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AUTHORS: Ngan Kee et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 117–123 BACKGROUND: We previously described the use of closed-loop feedback computer-controlled infusion of phenylephrine for maintaining blood pressure (BP) during spinal anesthesia for cesarean delivery. In this study, we report a modified system in which phenylephrine is delivered […]
Read MoreMedication errors are apparently significantly underreported by anesthesia providers, at least at certain institutions. These recent findings may reflect a culture of underreporting or fear of punitive action, despite the fact that approximately 10% of these reported medication errors caused at least temporary patient harm. “As we know from the Institute of Medicine report about […]
Read MoreThe odds of long-term opioid use increased most sharply in the first days of therapy, particularly after 5 days of taking the drugs. Doctors who limit the supply of opioids they prescribe to 3 days or less may help patients reduce their risk of dependence and addiction, according to research published in the U.S. Centers […]
Read MoreAnesthesia practice guidelines are out of control—too many to adopt, too anecdotal to accept and too political to take seriously! Every society seems to issue them now, in order to announce their existence, promote their brand or troll for members. I would ignore most of them, but unfortunately lawyers use society guidelines as standards of […]
Read MoreOral pain medications administered postcesarean delivery on a fixed time interval basis resulted in significantly lower pain intensity and greater satisfaction with pain management. Prescheduled pain management strategies after cesarean delivery (CD) are superior to receiving medications on-demand, according to results of a new study published in the British Journal of Obstetrics and Gynaecology.1 Oral pain medications administered […]
Read MoreIntraoperative oxidative stress is associated with postoperative delirium in ICU patients after cardiac surgery, a study has found. Researchers from Vanderbilt University Medical Center, in Nashville, Tenn., came to this conclusion after they found plasma concentrations of F2-isoprostanes and isofurans, markers of oxidative damage, are associated with delirium. They measured plasma concentrations of F2-isoprostanes and […]
Read MoreDo individual anesthesiologists directly affect patient outcomes? For years, anesthesiologists have attempted to answer this question empirically. Now, a recent study has concluded that anesthesiologists do affect outcomes, and at a rate similar to that of surgeons. “Despite everything that’s happened with surgical improvement over the years, we still see troubling rates of complications and […]
Read MoreA study published in the April 2017 issue of the journal Pediatrics (published online March 20) found a strong correlation between medical and non-medical opioid use among adolescents, particularly boys. For those who had abused the drugs, they were generally prescribed opioids by a doctor first. Sean Esteban McCabe, PhD, 204 University of Michigan, Ann […]
Read MoreSpinal analgaesia is more effective than an intravenous opioid for decreasing postoperative pain in men undergoing a robot-assisted radical prostatectomy (RARP), according to results of a retrospective analysis presented here on March 26 at the 32nd Annual Congress of the European Association of Urology (EAU). Lawrence Kim, MD, Royal Marsden Hospital NHS, London, United Kingdom, […]
Read MoreBurst-mode transcutaneous electrical nerve stimulation (TENS) significantly improves short-term pain control for patients with chronic mechanical low back pain, according to results of a prospective study presented at the 2017 World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO). TENS is a nonpharmacological treatment based on applying low-voltage electrical currents to the skin, explained Aysegül […]
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