Despite the prevailing public view, opioid medicines are not powerful analgesics for low back pain, according to a meta-analysis of 20 randomized controlled trials. The drugs are commonly prescribed for chronic low back pain, but the review finds that they give only modest short-term relief and that the effect is not likely to be clinically […]
Read MoreAnesthesia & Analgesia: May 31, 2016 AUTHORS: Verkruysse, Wim PhD et al BACKGROUND: Contactless, camera-based photoplethysmography (PPG) interrogates shallower skin layers than conventional contact probes, either transmissive or reflective. This raises questions on the calibratability of camera-based pulse oximetry. METHODS: We made video recordings of the foreheads of 41 healthy adults at 660 and 840 […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 283–289 AUTHORS: Zhang, Wei et al BACKGROUND: Postoperative atrial fibrillation (AF) is associated with increased morbidity, mortality, and resource utilization. Current prediction models for postoperative AF are based primarily on Western populations. In this study, we sought to develop a clinical prediction […]
Read MoreAnesthesia & Analgesia: June 1, 2016 Authors: Ammar, Yoann MD et al Obstructive fibrinous tracheal pseudomembrane (OFTP) is a rare and potentially severe complication of endotracheal intubation characterized by a tubular pseudomembrane that obstructs the trachea and induces clinical symptoms of airway obstruction after extubation. In this report, we reviewed and summarized all published cases […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 452–473 Authors: Chung, Frances MBBS, FRCPC et al The purpose of the Society of Anesthesia and Sleep Medicine guideline on preoperative screening and assessment of adult patients with obstructive sleep apnea (OSA) is to present recommendations based on the available clinical evidence […]
Read MoreAn innovative, minimally invasive endoscopic approach to lumbar fusion spinal surgery under conscious sedation shows success as a feasible alternative to traditional lumbar spine fusion, allowing for faster recovery without general anesthesia or intubation, a case series suggests. “When used in select patients, this approach offers excellent improvement rates win pain and disability with a […]
Read MoreTwo new studies published in the Lancet call into question previous reports that suggest weekend staffing at hospitals is linked to higher patient mortality. One study looked specifically at acute stroke care and found no weekend effect on mortality, but found quality of care is inconsistent throughout the week. Therefore, the authors say, addressing only weekend care […]
Read MoreWith growing public support and promising, but inconclusive, signs of therapeutic benefits in the use of herbal cannabis, medical marijuana laws are marching full steam ahead across the United States, prompting the American Pain Society (APS) to issue a white paper to assist in cannabis-related clinical issues that pain physicians are increasingly facing. “Cannabis is […]
Read MoreMedical error is the third leading cause of death in the United States, after heart disease and cancer, according to findings published in BMJ. As such, medical errors should be a top priority for research and resources, say authors Martin Makary, MD, MPH, professor of surgery, and research fellow Michael Daniel, from Johns Hopkins University School […]
Read MoreDespite being at the front lines in the nation’s battle against opioid addiction as the first to treat chronic pain, and opioid overuse, few primary care and family physicians use the one drug available to them to treat addiction, buprenorphine, experts say. “Sublingual buprenorphine is the only treatment for opioid addiction that can be provided […]
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