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AUTHORS: Oberholzer, Nicole CM et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 200–209 BACKGROUND: Pain is frequently encountered in the prehospital setting and needs to be treated quickly and sufficiently. However, incidences of insufficient analgesia after prehospital treatment by emergency medical services are reported to be as high as […]
Read MoreAUTHORS: Duceau, Baptiste MD et al Anesthesia & Analgesia: May 4, 2017 BACKGROUND: Although thoracic paravertebral block (TPVB) is recommended in major breast surgery, there is no gold standard to assess the success of TPVB. Pupillary dilation reflex (PDR) is the variation of the pupillary diameter after a noxious stimulus. The objective was to evaluate the […]
Read MoreAUTHORS: McCann, M. E. MD, MPH et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 837–845 BACKGROUND: The General Anesthesia compared to Spinal anesthesia (GAS) study is a prospective randomized, controlled, multisite, trial designed to assess the influence of general anesthesia (GA) on neurodevelopment at 5 years of age. A […]
Read MoreLarger pain areas are not associated with signs of central sensitization. Results from a study recently published in Pain Medicine indicate that greater pain extent of chronic tension-type headache (CTTH) correlates with older age and greater emotional and physical burdens in patients.1 The study also shows that pain extent is not related to anxiety, depression, or pressure pain […]
Read MoreClobazam was found to be less sedating than commonly used benzodiazepines. Clobazam is more effective than placebo in reducing low back pain, according to a randomized, placebo-controlled trial described in the European Journal of Pain.1 Benzodiazepines were initially used in the treatment of low back pain because of their muscle-relaxant effects. Rodent and human studies suggest […]
Read MoreUsing deep neural network (DNN) models to predict in-hospital mortality and identify high-risk surgical patients produces better or similar results as currently published risk scores, a new study suggests. This application of deep learning could lead to more effective care for high-risk patients and better allocation of hospital resources, according to the researchers. “Patients undergoing […]
Read MoreLower limb compression using a sequential compression device (SCD) significantly decreased the incidence of maternal hypotension in women receiving epidural anesthesia, researchers reported here at the annual meeting of the American College of Gynecologists and Obstetricians. Studies find that 30% of patients who choose epidural anesthesia during labor experience hypotension despite the standard prophylaxis of […]
Read MoreAuthor: West JR et al., Am J Emerg Med 2017 Apr 2; In patients undergoing endotracheal intubation who had apnea for >60 seconds, DAO correlated with increased pH and decreased PaCO2. Diffuse apneic oxygenation (DAO) uses high-flow nasal cannula oxygen during laryngoscopy for endotracheal intubation. This approach is believed to flush CO2 from the lungs and to improve […]
Read MoreAuthor: James DuCanto, MD It is a tenet of the scientific method to make systematic observations and measurements, and to experiment for the purpose of testing a hypothesis, leading to the modification or complete refutation of that hypothesis. In this case, a bunch of guys got together on a Sunday to chew up some food […]
Read MoreSurgery is on the move: With enhanced recovery protocols, procedures that once required several days of in-hospital recovery are shifting to the outpatient setting without compromising patient care. However, there are still major barriers to consider. At the Interdisciplinary Conference on Orthopedic Value-Based Care, Tong Joo (T.J.) Gan, MD, FRCA, MHS, assessed the feasibility of […]
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