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Lidocaine infusion may provide short-term pain relief for refractory neuropathic pain, according to a study published in Regional Anesthesia & Pain Medicine. This double-blind, placebo-controlled study was conducted to assess whether repeated intravenous administration of low-dose lidocaine (3 mg/kg) could provide safe and effective prolonged pain relief for postherpetic neuralgia or complex regional pain syndrome type II. […]
Read MorePatients who abuse, or are dependent on, opioids have higher readmission rates after major surgery than their counterparts who do not abuse the agents, according to a national database study. Opioid abuse and dependence, the investigators added, also increase costs, both at initial admission and at readmission after a major procedure. “We know that given […]
Read MoreAbusive behavior in the operating room (OR) is disturbingly prevalent, according to an international study by a team of Canadian clinicians. Given these findings, the investigators called for efforts to eradicate such behavior, including training in violence prevention, de-escalation, stress reduction and anger management. “Disruptive behavior in the OR implies actions that do not show […]
Read MoreAUTHORS: Uppal, Vishal FRCA et al Anesthesia & Analgesia: November 2017 – Volume 125 – Issue 5 – p 1627–1637 BACKGROUND: It is widely believed that the choice between isobaric bupivacaine and hyperbaric bupivacaine formulations alters the block characteristics for the conduct of surgery under spinal anesthesia. The aim of this study was to systematically review the […]
Read MoreAUTHORS: Xu, Zifeng MD, PhD et al Anesthesia & Analgesia: November 2017 – Volume 125 – Issue 5 – p 1560–1566 BACKGROUND: Aortocaval compression by the gravid uterus, low baseline vasomotor tone, and spinal anesthesia-related sympathetic blockade contribute to spinal anesthesia-induced hypotension during cesarean delivery. The finger perfusion index (PI) can predict spinal hypotension by reflecting baseline […]
Read MoreA multivariable prediction model for outcome after lower back surgery taking into account comorbidity history, back pain score, and motor and physical deficits may predict 12-month improvements in physical disability, the ability of the patient to return to work, major complications, readmissions, and inpatient rehabilitation requirements reliably, according to a study published in Neurosurgical Focus. In […]
Read MoreAUTHORS: Wu, Meng-Che MD et al Anesthesia & Analgesia: November 2017 – Volume 125 – Issue 5 – p 1549–1557 BACKGROUND: Several clinical trials on hypertonic fluid administration have been completed, but the results have been inconclusive. The objective of this study is to summarize current evidence for treating hypovolemic patients with hypertonic solutions by performing a […]
Read MoreAUTHORS: Sun, Kai MD et al Anesthesia & Analgesia: November 2017 – Volume 125 – Issue 5 – p 1463–1470 BACKGROUND: Although the hemodynamic benefits of venovenous bypass (VVB) during liver transplantation (LT) are well appreciated, the impact of VVB on posttransplant renal function is uncertain. The aim of this study was to determine if VVB was […]
Read MoreLow hemoglobin levels are associated with increased hospital length of stay (LOS) in children with congenital cyanotic heart disease undergoing surgical intervention. Nevertheless, the low hemoglobin levels had no effect on length of intubation or in-hospital mortality. “Although much has been reported in the literature for cardiac and noncardiac surgery in adults regarding transfusion triggers […]
Read MoreAUTHORS: Walsh, Elisa C. BS; Brovman et al Anesthesia & Analgesia: November 2017 – Volume 125 – Issue 5 – p 1484–1493 BACKGROUND: Do-not-resuscitate (DNR) orders instruct medical personnel to forego cardiopulmonary resuscitation in the event of cardiopulmonary arrest, but they do not preclude surgical management. Several studies have reported that DNR status is an independent predictor […]
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