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AUTHORS: Sehmbi, Herman et al Anesthesia & Analgesia: Oct 2017 BACKGROUND: Adductor canal block (ACB) has emerged as an effective analgesic regional technique for major knee surgeries in the last decade. Its motor-sparing properties make it particularly attractive for ambulatory knee surgery, but evidence supporting its use in ambulatory arthroscopic knee surgery is conflicting. This systematic review […]
Read MoreAuthors: Desai, Neel et al Anesthesia & Analgesia: Oc 2017 Anemia is common in elective surgery and is an independent risk factor for morbidity and mortality. Historical management of anemia has focused on the use of allogeneic blood transfusion but this in itself is not without risk. It too has been independently associated with morbidity and […]
Read MoreU.S. drug overdosee deaths increased by more than 20% from 2015 to 2016 — from 16.3 to 19.8 per 100,000 people — according to new data published in MMWR. Among the other findings, based on administrative data from 31 states and Washington, D.C.: Opioids accounted for two-thirds of overdose deaths in 2016. The overdose death rate […]
Read MoreToday, transfusion-related acute lung injury (TRALI) is the leading cause of death following a blood transfusion. So far, it has not been treatable, but a researcher at Lund University in Sweden, Rick Kapur, has now discovered that an anti-inflammatory drug cures the disease in mice. For his achievement, he is awarded the International Society of […]
Read MoreAuthors: Kei Ouchi, MD, MPH et al., “Prognosis After Emergency Department Intubation to Inform Shared Decision-Making”. Journal of the American Geriatrics Society Nationwide analysis reveals large number of patients 65 and older died in the hospital or were discharged to a nursing home following emergency intubation Intubation in the emergency department is common and […]
Read MoreFemale sex, increased age, and increased local anesthetic dose were all associated with longer duration of analgesia. Low doses of perineural dexamethasone were shown to prolong the duration of ropivacaine brachial plexus nerve block analgesia in a study published in Pain Medicine. In this retrospective cohort study, 1027 patients undergoing brachial plexus nerve block who received […]
Read MoreInvestigators sought to determine headache frequency and impact of headache on life quality in patients with HIV and CD4+ T lymphocyte counts >500. A large proportion of HIV-positive patients experience frequent headaches that often impact their quality of life, according to findings from a cross-sectional study published in Headache. For this study, investigators sought to determine […]
Read MoreEdward R. Mariano, MD, MAS Chief, Anesthesiology and Perioperative Care Service Associate Chief of Staff, Inpatient Surgical Services VA Palo Alto Health Care System Palo Alto, California Professor Department of Anesthesiology, Perioperative, and Pain Medicine Stanford University School of Medicine Stanford, California There are numerous clinical and financial benefits to creating an acute pain medicine […]
Read MoreAUTHORS: Lam, Thach MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 2019–2029 BACKGROUND: Death and anoxic brain injury from unrecognized postoperative respiratory depression (PORD) is a serious concern for patient safety. The American Patient Safety Foundation has called for continuous electronic monitoring for all patients receiving opioids in the […]
Read MoreAuthors: Roberto, Sarah, A. et al Anesthesia & Analgesia: October 5, 2017 – Volume Publish Ahead of Print – Issue – p Massachusetts state agencies received reports of 37 adverse events (AEs) involving cataract surgery from 2011 to 2015. Fifteen were anesthesia related, including 5 wrong eye blocks, 3 cases of hemodynamic instability, 2 retrobulbar hematoma/hemorrhages, […]
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