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The number of prescriptions for opioid painkillers filled in the U.S. fell dramatically last year, showing their biggest drop in 25 years and continuing a decline amid increasing legal restrictions and public awareness of the dangers of addiction, new data show. Health data firm IQVIA’s Institute for Human Data Science released a report Thursday showing an 8.9 […]
Read MoreAUTHORS: Brown, Tod, A., MD et al Anesthesia & Analgesia: Nov 2017 BACKGROUND: Manual positive pressure ventilation is an essential skill in a variety of clinical situations. The C&E technique is commonly used with standard facemasks to provide effective ventilation. The Tao mask is a novel design that allows a more ergonomic grip. A seal between the […]
Read MoreAUTHORS: Krohg, Anders, MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 559–565 BACKGROUND: Landmark and ultrasound-guided transversus abdominis plane blocks have demonstrated an opioid-sparing effect postoperatively after cesarean delivery. The more posterior quadratus lumborum (QL) might provide superior local anesthetic spread to the thoracolumbar fascia and paravertebral space. The […]
Read MoreResearchers from Montefiore Medical Center and Albert Einstein College of Medicine, both located in New York City, studied the use of spinal anesthesia versus general anesthesia for spine surgery, according to Medscape. The study involved 188 patients who received lumbar laminectomy or discectomy procedures between 2012 and 2016. Of the patients, 97 received spinal anesthesia and 91 received […]
Read MoreAUTHORS: Kiberenge, Roy K. MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 120–126 BACKGROUND: Radial arterial cannulation is most commonly done using palpation, but the use of ultrasound has increased the cannulation success rate. This improvement, albeit significant, has not led to a very high success rate especially in […]
Read MoreAUTHORS: Andreae, Michael, H., MD et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 588–599 BACKGROUND: US health care disparities persist despite repeated countermeasures. Research identified race, ethnicity, gender, and socioeconomic status as factors, mediated through individual provider and/or systemic biases; little research exists in anesthesiology. We investigated antiemetic prophylaxis as […]
Read MoreAuthors: Maryann Mazer-Amirshahi, Pharm.D., M.D., M.P.H. et al N Engl J Med 2018; 378:1472-1474 Severe and long-standing prescription-drug shortages have become a major threat to public health and patient safety.1 Despite increased awareness and mitigation strategies, the United States has experienced shortages of many lifesaving drugs and other supplies essential to patient care. There was already […]
Read MoreAlthough we use the term “33% rule” all the time, it occurred to me that not everyone may know the intricacies of why anesthesia specifically could not sustain rates based on Medicare. So, for your reading pleasure, here it is: Medicare payment for anesthesiology is about 33% of commercial payer rates. In most other specialties, […]
Read MoreAuthors Maximilian S. Schaefer et al Background Postoperative nausea and postoperative vomiting are frequent but often missed complications after general anesthesia in pediatric patients. Because inhaled anesthetics are known to trigger postoperative vomiting, total intravenous anesthesia is often administered in high‐risk children to avoid the use of inhalational anesthesia. Since inhalational anesthesia might be advantageous in […]
Read MoreThe type of needle used in certain kinds of anesthesia is not linked to post-dural puncture headache (PDPH), a serious and potentially life-threatening complication, according to a recent study. The study, published in the latest issue of Regional Anesthesia and Pain Medicine, debunks myths about the cause of post-dural puncture headaches. The severe headaches are caused […]
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