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AUTHORS: Vetter, Thomas R. MD, MPH et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1450–1458 BACKGROUND: The Perioperative Surgical Home (PSH) seeks to remedy the currently highly fragmented and expensive perioperative care in the United States. The 2 specific aims of this health services research study were to assess […]
Read MoreAUTHORS: Bronsert, Michael R. PhD, MS et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1476–1483 BACKGROUND: Nondepolarizing neuromuscular blocking drugs (NNMBDs) are commonly used as an adjunct to general anesthesia. Residual blockade is common, but its potential adverse effects are incompletely known. This study was designed to assess the […]
Read MoreAUTHORS; Tolska, Hanna Kaisa MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1459–1466 BACKGROUND: Post-tonsillectomy pain is 1 of the most intense postoperative pain conditions. However, optimal and sufficient postoperative analgesic treatment remains unclear. We investigated the effect of topical ropivacaine for post-tonsillectomy pain in 160 adult outpatient […]
Read MoreAUTHORS: Downey, Laura MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1431–1436 BACKGROUND: Recombinant factor VIIa (rFVIIa) is routinely used as an off-label hemostatic agent in children undergoing cardiac surgery. Despite evidence that rFVIIa use is associated with an increased incidence of thrombotic complications in adult cardiac surgery, […]
Read MoreAlthough the mechanisms underlying the development and maintenance of neuropathic pain are still poorly understood, both µ-opioid and NMDA receptors have been implicated. A randomized controlled trial investigating treatments for chronic neuropathic pain revealed that a ketamine regimen is superior to methadone, or ketamine combined with methadone, in alleviating neuropathic pain and associated sensory changes.1 […]
Read MoreIn patients with migraine, structural and functional changes occur in brain regions that are not directly involved in processing pain signals, such as the striatum or basal ganglia. Acute migraine attacks are associated with a reduction in dopamine release, according to a study published in Neurology.1 In patients with migraine, structural and functional changes occur in […]
Read MoreThe minimum criteria for informed consent (IC) are being met in pediatric anesthesia, but more can be done to obtain explicit agreement from patients’ parents, according to a prospective, cross-sectional study conducted at Seattle Children’s Hospital, in Washington. The findings come from analyses of recorded and transcribed conversations between parents of surgical patients aged 1 […]
Read MoreIf the experience of researchers at Duke University Medical Center is indicative of the nation as a whole, then infused medications are being wasted throughout the perioperative process. This is the product of preparing and priming standard infusions regardless of patient and procedural characteristics. The good news is that such practices seem to be easily […]
Read MoreA majority of institutions do not have a written policy for mechanical ventilation during intrahospital transport of children with congenital heart disease. That was the finding from a survey of pediatric anesthesia program directors throughout North America. Presented at the 2017 meeting of the Society for Pediatric Anesthesia/American Academy of Pediatrics Section on Anesthesiology and […]
Read MoreThe investigators found pain to present in many forms throughout the course of ALS. Pain is far more common and widespread in amyotrophic lateral sclerosis (ALS) than previously suspected, and initial pain symptoms may predate the clinical onset of the disease’s hallmark motor dysfunction by as much as 2 years, reported Adriano Chiò, MD, from […]
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