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Authors: Adam W. Amundson, M.D. et al Anesthesiology published on March 2, 2017. Background: Multimodal analgesia is standard practice for total knee arthroplasty; however, the role of regional techniques in improved perioperative outcomes remains unknown. The authors hypothesized that peripheral nerve blockade would result in lower pain scores and opioid consumption than two competing periarticular […]
Read MoreEdited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD Migraine is associated with risk for stroke caused by cervical artery dissection, according to a JAMA Neurology study. Using a large Italian stroke registry, researchers studied nearly 2500 adults aged 18 to 45 who experienced a first ischemic stroke; 13% had spontaneous cervical […]
Read MoreA review and retrospective study on the effectiveness of scrambler (stimulation) therapy to reduce noncancer-related neuropathic pain syndromes, with apparent, maximal pain relief achieved at 1 to 2 weeks. By Alexandra M. Lesenskyj, Christina R. Maxwell, PhD, MTR and Ricardo A. Cruciani, MD, PhD Minimizing the incidence of medication dependence in patients with chronic neuropathic […]
Read MorePromising data suggests rapid access to physical therapy may improve outcomes for patients with acute back pain, who typically wait much longer to receive evaluation from a physician. By Thomas G. Ciccone Interview with Michael Campian, DO, and Pamela Hansen, MD Improving care for patients with low back pain could be as simple as providing […]
Read MoreThe authors discuss a special set of neurohormones with pain-related functions, which if tapped for their intrinsic use, may diminish the need for opioids. By John Claude Krusz, PhD, MD and Forest Tennant, MD, DrPH The recent discovery and awareness that the central nervous system (CNS) makes specific hormones for intrinsic use in addition to […]
Read MoreChronic pain and depression often go hand in hand. The prevalence of pain symptoms in patients with depression ranges from 15% to 100% while the prevalence for concurrent major depression in patients identified as having pain ranged from 5% to 85%. Authors: David Cosio, PhD et al We are introducing a monthly column on mental health disorders […]
Read MoreAuthors: Emine Ozgur Bayman, Ph.D. et al Anesthesiology published on March 2, 2017. Background: The goal of this study was to detect the predictors of chronic pain at 6 months after thoracic surgery from a comprehensive evaluation of demographic, psychosocial, and surgical factors. Methods: Thoracic surgery patients were enrolled 1 week before surgery and followed […]
Read MoreAuthors: Candela Solé-Lleonart, M.D. et al Anesthesiology published on March 2, 2017. Background: Nebulization of antiinfective agents is a common but unstandardized practice in critically ill patients. Methods: A systematic review of 1,435 studies was performed in adults receiving invasive mechanical ventilation. Two different administration strategies (adjunctive and substitute) were considered clinically relevant. Inclusion was […]
Read MoreASA Monitor 03 2017, Vol.81, 30-31. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical […]
Read MoreAuthor: Robert D’Angelo, M.D. ASA Monitor 03 2017, Vol.81, 20-21. Robert D’Angelo, M.D., is Section Head and Vice Chair, Obstetric Anesthesia, Wake Forest University School of Medicine, Winston-Salem, North Carolina. Initiatives in recent decades to improve quality in medicine have and will continue to significantly impact anesthesia practice. In order to assess and improve quality, […]
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