Intradiskal biacuplasty can provide patients who have diskogenic low back pain with long-term improvements in pain scores and physical function, a new Canadian study suggests. Investigators conducted a 12-month study to determine the effectiveness of intradiskal biacuplasty (IDB) combined with conventional medical management (CMM) versus CMM alone for the treatment of diskogenic low back pain […]
Read MoreAlthough prescribing benzodiazepines concurrently with opioid analgesics has been shown to raise the risk for fatal overdose, new research documents a risk that is four times that of opioids taken alone, and even at low doses. The new study was published online in the British Medical Journal (2015;350:h2698). Additionally, the authors found a dose-dependent association with overdose […]
Read MoreAnesthesiologists looking to achieve good needle visualization at steeper angles of insertion may get better results using echogenic needles with beam steering versus using these technologies individually, new research suggests. “Needle visualization is of utmost importance when providing regional anesthesia care and to provide a safe and efficacious block,” said Christopher Prabhakar, MD, lead study […]
Read MoreLithium (Li) absorption systems are equal to calcium (Ca) absorbers in their ability to scavenge nitrogen dioxide (NO2) when nitric oxide (NO) is administered via anesthesia systems in the cardiac lab or operating room, research suggests. The anesthesia systems are “semiclosed” to conserve anesthetic agents and require carbon dioxide (CO2) absorption to allow recirculation. As […]
Read MoreWhen maintaining light sedation in critically ill ICU patients, dexmedetomidine should be avoided in those predisposed to bradycardia and propofol in those predisposed to hypotension. While propofol and dexmedetomidine are the preferred sedative agents to maintain light sedation in the ICU, both sedatives leave critically ill patients at risk for hemodynamic adverse events, said Amy […]
Read MoreAnesthesia & Analgesia: June 2016 – Volume 122 – Issue 6 – p 2017–2027 Authors: O’Neill, Liam PhD et al From the *Department of Health Management and Policy, School of Public Health, University of North Texas–Health Science Center, Fort Worth, Texas; †Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, Iowa; and ‡Department of Computer […]
Read MoreAmerican Journal of Therapeutics: May/June 2016 – Volume 23 – Issue 3 – p e690–e696 Authors; Park, Jeong-Soo MD et al Remifentanil target-controlled infusion and dexmedetomidine single-dose administration are known to reduce airway response and hemodynamic stimulation during anesthetic recovery. We compared the effects of 2 drugs on the prevention of cough during emergence. We enrolled […]
Read MoreAsk the pt to open his/her mouth wide just as you are ready to bolus propofol. As the jaw slackens just drop the LMA into the still open mouth without touching the teeth or sides of the oral cavity.
Read MoreAuthors: Frédérique Hovaguimian, M.D., M.Clin.Res.Meth. et al Anesthesiology 7 2016, Vol.125, 46-61. Background: Blood transfusions are associated with morbidity and mortality. However, restrictive thresholds could harm patients less able to tolerate anemia. Using a context-specific approach (according to patient characteristics and clinical settings), the authors conducted a systematic review to quantify the effects of transfusion strategies. Methods: The authors searched […]
Read MoreOpioid-epidemic legislation aimed at helping everyone from pregnant women and infants to veterans and inmates goes to President Barack Obama for his yea or nay after the Senate passed it in a 92-to-2 vote today. The bill, called the Comprehensive Addiction and Recovery Act (CARA), also allows nurse practitioners and physician assistants to prescribe buprenorphine […]
Read More