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Authors: Donna M. Urquhart et al Background Low back pain is a major clinical and public health problem, with limited evidence-based treatments. Low-dose antidepressants are commonly used to treat pain in chronic low back pain. However, their efficacy is unproven. The aim of this pragmatic, double-blind, randomised, placebo-controlled trial is to determine whether low-dose amitriptyline […]
Read MoreChildren, toddlers flood hospital emergency rooms due to opioid poisoning, study finds The research underscores the need for doctors to talk to patients about ways to keep the drugs safely, especially if children are in the household. Kaiser Health News As the nation continues to confront an epidemic of opioid and prescription painkiller addiction and […]
Read MorePatients may be more likely to take their regularly prescribed medications for chronic conditions correctly before surgery when provided a simple instruction sheet, according to a study presented at Anesthesiology 2016, the Annual Meeting of the American Society of Anesthesiologists (ASA). Taking medication correctly before surgery can improve patient safety and comfort, and reduce day-of-surgery […]
Read MoreEpidural anaesthesia may do more than relieve pain during labour; in some women it may decrease the likelihood of postpartum depression, suggests a preliminary study presented at ANESTHESIOLOGY 2016, the Annual Meeting of the American Society of Anesthesiologists (ASA). “Labour pain matters more than just for the birth experience,” said Grace Lim, MD, Magee Women’s […]
Read MoreAuthors: Segar A et al Genodisc Consortium ; Spine 41 (20), E1237-E1243 (Oct 2016) STUDY DESIGN A prospective observational study. OBJECTIVE The aim of this study was to identify the relationship between obesity, quantified by body mass index (BMI), and both back and leg pain in spinal patients. SUMMARY OF BACKGROUND DATA Obesity and back […]
Read MoreYou’re in the operating room, with a resident beside you, and your clinical decisions are harming the patient. Does your resident have the wherewithal to stand up to you and intervene? While the answer seems to be a resounding no, a study by a multicenter Canadian research team offers hope. The investigation showed that a […]
Read MorePediatric patients with an American Society of Anesthesiologists (ASA) physical status classification of at least III are at risk for postoperative complications and mechanical ventilation, even when undergoing low-risk procedures, researchers have concluded. Identifying these patients will go a long way toward ensuring they receive targeted preventive interventions, particularly with respect to pulmonary and nutritional […]
Read MoreAnesthesia & Analgesia: December 2016 – Volume 123 – Issue 6 – p 1480–1489 AUTHORS: Oprea, Adriana D. MD et al BACKGROUND: Increased pulse pressure (PP) is an important independent predictor of cardiovascular outcome and acute kidney injury (AKI) after cardiac surgery. The objective of this study was to determine whether elevated baseline PP is […]
Read MoreFor patients with severe, chronic back and leg pain, a new high-frequency spinal cord stimulation (SCS) technique provides superior clinical outcomes, compared to conventional low-frequency SCS, reports a clinical trial in the November issue of Neurosurgery. The new ‘HF10′ technique offers lasting reductions in back and leg pain after other treatments have failed, according to […]
Read MoreImplementation of a quality improvement initiative substantially reduced excessive use of neostigmine while improving train-of-four–guided neostigmine administration. Over a six-month period, the initiative led to a decrease in the mean dose of intraoperative neostigmine from 2.9 to 2.5 mg, researchers reported. “Preliminary data have shown that these interventions led to a statistically significant reduction in […]
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