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The proliferation of opioid abuse and its alarming death toll have become major issues in both medical care and politics, but while many have spent the last several months decrying opioids, alarm has been slowly building over shortages of these same drugs. Shortages of many injectable forms of opioids have reminded patients, federal agencies and […]
Read MoreScientific evidence has been accumulating over the last 10 years regarding the usefulness of high-intensity laser therapy (HILT) for the treatment of a variety of acute and chronic pain syndromes. This nonpharmacologic therapy may also prove to be an effective approach for reducing dependence on prescription opioid medication, thereby helping to resolve the current opioid […]
Read MoreAUTHORS: Colquhoun, Douglas, A., MB ChB, MSc, MPH et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 495–502 BACKGROUND: Lung-protective ventilation (LPV) has been demonstrated to improve clinical outcomes in surgical patients. There are very limited data on the current use of LPV for patients undergoing 1-lung ventilation (1LV) despite evidence […]
Read MoreThe American College of Surgeons (ACS), the American Society of Anesthesiologists (ASA), the Association of peri-Operative Registered Nurses (AORN), the Association for Professionals in Infection Control and Epidemiology (APIC), the Association of Surgical Technologists (AST), the Council on Surgical and Perioperative Safety (CSPS); and The Joint Commission (TJC) met on February 27, 2018, to review […]
Read MoreAUTHORS: Zheng, Gang, MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 2056–2062 BACKGROUND: Head and neck radiation therapy (HNRT) impairs baroreflex sensitivity, and it may potentiate the effects of anesthetics on heart rate (HR) and blood pressure (BP) regulation. Currently, the impacts of HNRT on HR and BP under […]
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: Kuza, Catherine, M., MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 1960–1966 BACKGROUND: The American Society of Anesthesiologists (ASA) physical status (PS) classification system assesses the preoperative health of patients. Previous studies demonstrated poor interrater reliability and variable ASA PS scores, especially in trauma scenarios. There are few […]
Read MorePublished in the November 2017 issue of Today’s Hospitalist New research makes the case for more targeted treatment options THE OPIOID EPIDEMIC in the U.S. is receiving a growing amount of press and scrutiny, and rightly so. But according to the authors of a report in September by Annals of Internal Medicine, “an integral piece of epidemiologic information […]
Read MoreAUTHORS: Honardar, Marzieh, R., MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 1948–1951 This retrospective case series analyzed 45 malpractice claims for delayed detection of esophageal intubation from the Anesthesia Closed Claims Project. Inclusion criteria were cases from 1995 to 2013, after adoption of identification of CO2 in expired […]
Read MoreAUTHORS: Smith, Lauren, M., MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 1931–1945 Neuraxial anesthesia may improve perioperative outcomes when compared to general anesthesia; however, this is controversial. We performed a systematic review and meta-analysis using randomized controlled trials and population-based observational studies identified in MEDLINE, PubMed, and […]
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