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A bupivacaine injection along the tract of the nephrostomy site at the time of percutaneous nephrolithotomy (PCNL) reduces postoperative pain as well as the need for narcotic medication, according to study results presented at the 2016 Annual Meeting of the American Urological Association (AUA). Lead author James Mason, MD, University of Florida, Gainesville, Florida, speaking […]
Read MoreAuthors: Pierre Bouzat, M.D., Ph.D. et al Anesthesiology published on 5 2016. Background: To assess the performance of transcranial Doppler (TCD) in predicting neurologic worsening after mild to moderate traumatic brain injury. Methods: The authors conducted a prospective observational study across 17 sites. TCD was performed upon admission in 356 patients (Glasgow Coma Score [GCS], 9 to 15) […]
Read MoreA federal judge sentenced a 76-year-old physician to 25 years in prison for the deaths of three patients who overdosed on pain medications he prescribed, according to the Tampa Bay Times. The physician, Edward Neil Feldman, and his 66-year-old wife and office manager, Kim Feldman, were convicted during a February trial of financial conspiracy and of […]
Read MoreAuthors: Glenn S. Murphy, M.D. et al Anesthesiology 6 2016, Vol.124, 1246-1255. Background: Opportunities for anesthesia research investigators to obtain consent for clinical trials are often restricted to the day of surgery, which may limit the ability of subjects to freely decide about research participation. The aim of this study was to determine whether subjects providing same-day […]
Read MoreAnesthesia & Analgesia: April 13, 2016 AUTHORS: Djafarzadeh, Siamak PhD et al BACKGROUND: Remifentanil interferes with hepatic mitochondrial function. The aim of the present study was to evaluate whether hepatic mitochondrial function is affected by fentanyl, a more widely used opioid than remifentanil. METHODS: Human hepatoma HepG2 cells were exposed to fentanyl or pretreated with […]
Read MoreAnesthesia & Analgesia: April 13, 2016 AUTHORS: Sultan, Pervez MBChB, FRCA et al BACKGROUND: The intrathecal morphine dose achieving optimal analgesia for cesarean delivery while minimizing side effects has not yet been deduced. In this meta-analysis, our objective was to determine whether low- or high-dose intrathecal morphine provides acceptable duration and intensity of analgesia with […]
Read MoreAnesthesia & Analgesia: April 15, 2016 AUTHORS: Takaenoki, Yumiko MD et al BACKGROUND: Under emergent conditions, endotracheal drug administration may be an effective method of delivering emergency drugs. A common technique is to administer these drugs using a nonatomized spray. Atomized drug delivery may be an attractive alternative to nonatomized delivery because atomized particles are […]
Read MoreAnesthesia & Analgesia: June 2016 – Volume 122 – Issue 6 – p 1939–1946 AUTHORS: Traynor, Andrea J. MD et al BACKGROUND: Obstetric Anesthesia Workforce Surveys were conducted in 1981, 1992, and 2001, and the 10-year update was conducted in 2012. Anesthesia providers from US hospitals were surveyed to identify the methods used to provide […]
Read MoreAnesthesia & Analgesia: April 15, 2016 AUTHORS: Zaphiratos, Valerie MD, MSc, FRCPC et al BACKGROUND: Combined spinal-epidural (CSE) analgesia is widely used for delivering labor analgesia. Epidural volume extension (EVE) involves the injection of fluid into the epidural space compressing the dural sac, causing cephalad shift of the cerebral spinal fluid. Our hypothesis was that […]
Read MoreAnesthesia & Analgesia: April 15, 2016 AUTHORS: Bang, Ji-Yeon MD, PhD et al BACKGROUND: Acute kidney injury (AKI) is a primary cause of morbidity and mortality after major abdominal surgery; however, little is known about the effect of anesthetics on the development of AKI after colorectal surgery. The objective of this study was to compare […]
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