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The lack of pain specialists in many parts of the US has almost reached a crisis point, making the question of when and why to refer a patient especially timely. The recent Centers for Disease Control and Prevention (CDC) guidelines for opioid management suggest that clinicans should increase the frequency of follow-up visits when prescribing […]
Read MoreWhile well known as a significant factor in overall health, vitamin D deficiency could influence the occurrence of frequent headaches, especially in patients underexposed to sunlight. Given that dietary vitamin D has been identified in the development of various neurovascular diseases, such as neurocognitive decline and ischemic stroke,1,2 it was a matter of time before vitamin […]
Read MoreNew epidemiological evidence suggests that patients at greater risk of opioid abuse and misuse could be the same patients who are more likely to receive prescriptions for pain for an extended period of time. Interview with Patrick D. Quinn, PhD, and Robert J. Gatchel, PhD, ABPP With a rising rate of opioid prescribing among patients […]
Read MoreMany people regularly take nonprescription pain relievers to manage or treat minor aches and pains. Yet some of these medications, when used regularly for an extended period of time, may increase the risk of hearing loss. Interview with Brian M, Lin, MD Today, approximately 48 million Americans suffer from some form of hearing loss, and […]
Read MoreAuthors: Spaulding C and Mennuni MG., J Am Coll Cardiol 2016 Dec 20; 68:2633 A study of Danish registry data suggests that a delay of a year may be unnecessary. Current guidelines recommend delaying noncardiac surgery for at least 6 months after percutaneous coronary intervention to insert a drug-eluting stent (DES). By linking government registries, Danish investigators […]
Read MoreAsthma was ruled out in a third of adults who were re-evaluated several years after first being diagnosed with the condition. The findings appear in JAMA. Over 600 randomly selected adults who’d received a physician diagnosis of asthma within the previous 5 years completed symptom questionnaires and underwent spirometry (patients on long-term oral steroids or unable […]
Read MoreAuthors: Rutger van der Schrier, M.D. et al Anesthesiology 3 2017, Vol.126, 534-542. Background: Respiratory depression is a potentially fatal complication of opioid use, which may be exacerbated by simultaneous ethanol intake. In this three-way sequential crossover dose-escalating study, the influence of coadministration of oral oxycodone and intravenous ethanol was assessed on resting ventilation, apneic events and […]
Read MoreAuthors: Fabienne M. A. van Hout, M.D. et al Anesthesiology 3 2017, Vol.126, 441-449. Background: Conflicting results have been reported concerning the effect of platelet transfusion on several outcomes. The aim of this study was to assess the independent effect of a single early intraoperative platelet transfusion on bleeding and adverse outcomes in cardiac surgery patients. Methods: For […]
Read MoreAuthors: Robert D. Sanders, M.B.B.S., Ph.D., F.R.C.A. et al Anesthesiology 2 2017, Vol.126, 214-222. Background: The isolated forearm technique allows assessment of consciousness of the external world (connected consciousness) through a verbal command to move the hand (of a tourniquet-isolated arm) during intended general anesthesia. Previous isolated forearm technique data suggest that the incidence of connected consciousness […]
Read MoreAuthors: Lukas Lannemyr, M.D. et al Anesthesiology 2 2017, Vol.126, 205-213. Background: Acute kidney injury is a common complication after cardiac surgery with cardiopulmonary bypass. The authors evaluated the effects of normothermic cardiopulmonary bypass on renal blood flow, glomerular filtration rate, renal oxygen consumption, and renal oxygen supply/demand relationship, i.e., renal oxygenation (primary outcome) in patients undergoing cardiac […]
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