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Perioperative aspirin seems beneficial for high-risk patients undergoing noncardiac surgery who’ve previously undergone percutaneous coronary intervention (PCI), according to a subanalysis from the POISE-2 trial. The findings were published in the Annals of Internal Medicine and presented at the American Heart Association conference on Monday. In POISE-2, 10,000 adults with or at risk for atherosclerotic disease who […]
Read MoreIbuprofen and opioids are similarly effective for short-term relief of acute extremity pain when combined with acetaminophen, according to a JAMA study. Some 400 adults presenting to the emergency department with moderate-to-severe acute extremity pain (e.g., from sprain or fracture) were randomized to one of four single-dose oral treatments: Ibuprofen (400 mg) and acetaminophen (1000 mg) […]
Read MoreAuthors: Rebecca L. Johnson, MD, et al. “Continuous Posterior Lumbar Plexus Nerve Block Versus Periarticular Injection with Ropivacaine or Liposomal Bupivacaine for Total Hip Arthroplasty. A Three-Arm Randomized Clinical Trial” Li, Xinning MD JBJS: November 01, 2017 – Volume 99 – Issue 21 – p e117 Total joint replacement is projected to become the most common […]
Read MoreA study, presented at Anesthesiology 2017, examined the effectiveness of spinal and general anesthesia in spine surgery patients, Medscape reports. New York City-based Montefiore Medical Center’s Matthew Morris, MD, and colleagues conducted the study. Researchers examined demographic and clinical data for 188 patients who underwent a lumbar laminectomy or a discectomy procedure between 2012 and 2016. They […]
Read MoreAuthors: Jeffrey J. Bettinger, PharmD , Jeffrey Fudin, PharmD, DAIPM, FCCP, FASHP and Charles E. Argoff, MD Surgery presents a plethora of inherent risks for patients receiving long-term opioid therapy. Patients may require higher-than-usual postoperative opioid doses for acute pain due to an underlying physical tolerance, and may transition to another opioid shortly after a major surgical procedure requiring […]
Read MoreAuthors: Camille Rolland-Debord, M.D. et al Anesthesiology 12 2017, Vol.127, 989-997 Background: Patient–ventilator asynchrony is associated with a poorer outcome. The prevalence and severity of asynchrony during the early phase of weaning has never been specifically described. The authors’ first aim was to evaluate the prognosis impact and the factors associated with asynchrony. Their second aim was […]
Read MoreAuthors: Elizabeth M. S. Lange, M.D. et al Anesthesiology 12 2017, Vol.127, 942-952. Background: Intrapartum maternal fever is associated with several adverse neonatal outcomes. Intrapartum fever can be infectious or inflammatory in etiology. Increases in interleukin 6 and other inflammatory markers are associated with maternal fever. Magnesium has been shown to attenuate interleukin 6–mediated fever in animal […]
Read MoreRates of opioid abuse in North America have levelled, but remain disturbingly high, and do not seem to be declining, according to results of a retrospective study presented on October 22 at the 2017 Annual Meeting of the American Society of Anesthesiologists (ASA). Using 2000 to 2014 data from the annual National Survey on Drug […]
Read MoreAuthor: Christopher M. Burkle, M.D., J.D. ASA Monitor 11 2017, Vol.81, 48-49. Each year, the ASA Committee on Professional Liability provides a report on changing trends in malpractice insurance premiums and characteristics impacting physician anesthesiologists. The Anesthesia Closed Claims Project conducted a survey of malpractice insurers in May-July 2017 on behalf of the committee. Twenty-seven medical liability […]
Read MoreAuthors: Nasir Hussain, M.Sc., M.D. et al Anesthesiology 12 2017, Vol.127, 998-1013. Background: Interscalene block provides optimal shoulder surgery analgesia, but concerns over its associated risks have prompted the search for alternatives. Suprascapular block was recently proposed as an interscalene block alternative, but evidence of its comparative analgesic effect is conflicting. This meta-analysis compares the analgesic effect […]
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