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AUTHORS: Choi, Eun Joo MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 2021–2029 BACKGROUND: Percutaneous epidural adhesiolysis (PEA) is a minimally invasive procedure that is performed to relieve low back and/or lower limb pain secondary to adhesions or scarring in the epidural space that is refractory to conservative […]
Read MoreAUTHORS: Patino, Mario MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1937–1942 BACKGROUND: In children, postoperative respiratory rate (RR) monitoring by transthoracic impedance (TI), capnography, and manual counting has limitations. The rainbow acoustic monitor (RAM) measures continuous RR noninvasively by a different methodology. Our primary aim was to […]
Read MoreAUTHORS: Hirabayashi, Masato MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1930–1934 BACKGROUND: The incidence of pruritus after cesarean delivery under spinal anesthesia with opioids is high, ranging from 50% to 100%. Pruritus is difficult to prevent; however, pentazocine has been shown to be an effective treatment. Despite […]
Read MoreGiven the important role that inflammation may play in the development of postoperative delirium and cognitive dysfunction after cardiopulmonary bypass, researchers have long been on the hunt for an agent to stop this destructive process and aid recovery in affected patients. Yet, according to an analysis of the SIRS (Steroids In caRdiac Surgery) trial, that […]
Read MoreStroke preventive measures should be considered in women with a history of migraine headache. Women with a history of migraine headache face a more than 2-fold increased risk of stroke, according to data presented at the 2016 American Heart Association Scientific Sessions in New Orleans. In order to better examine the long-term risk of cardiovascular […]
Read MoreAuthors: Guillaume Besch, M.D. et al Anesthesiology published on August 24, 2017. Background: We aimed to assess the clinical effectiveness of intravenous exenatide compared to insulin in perioperative blood glucose control in coronary artery bypass grafting surgery patients. Methods: Patients more than 18 yr old admitted for elective coronary artery bypass grafting were included in a phase II/III […]
Read MoreAUTHORS: Sun, Eric C. MD, PhD et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 999–1007 BACKGROUND: Total knee arthroplasty (TKA) is associated with high rates of prolonged opioid use after surgery (10%–34%). By decreasing opioid use in the immediate postoperative period, perioperative nerve blockade has been hypothesized to decrease […]
Read MoreHow good are anesthesiologists at choosing the correct American Society of Anesthesiologists physical status classification for their patients? Pretty good, according to the results of a recent analysis from the University of Iowa—at least when the ASA’s physical descriptors are used when making the decision. “As we all know, there’s quite a bit of variability […]
Read MoreThe US Food and Drug Administration (FDA) is restricting the use of codeine and tramadol medicines in children. These medicines carry serious risks, including slowed or difficult breathing and death, which appear to be a greater risk in children aged younger than 12 years. These medicines should also be limited in some older children. The […]
Read MorePatients undergoing spinal fusion surgery who are treated with methadone during the procedure require significantly less intravenous and oral opioids to manage postoperative pain, according to a study published in the May issue of Anesthesiology. “This is a new application for an old pain medication that offers hope for reducing the development of acute pain […]
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