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A North Carolina hospital’s trauma service created a multidisciplinary team that substantially reduced opioid prescriptions for patients by standardizing the approach to pain control, according to a new study. The Wake Forest Baptist Medical Center’s multidisciplinary team implemented a pain management protocol (PMP) for trauma patients that improved pain management and patient satisfaction while reducing […]
Read MoreRepeated or lengthy use of general anesthetic and sedation drugs in infants, toddlers and pregnant women in their third trimester might damage children’s developing brains, the U.S. Food and Drug Administration warned this month. Upset that the warning about pregnant women was based solely on animal studies, the American College of Obstetricians and Gynecologists, or […]
Read MoreAuthors: Anoop Ramgolam, Ph.D. et al Anesthesiology 6 2018, Vol.128, 1065-1074. Background: Limited evidence suggests that children have a lower incidence of perioperative respiratory adverse events when intravenous propofol is used compared with inhalational sevoflurane for the anesthesia induction. Limiting these events can improve recovery time as well as decreasing surgery waitlists and healthcare costs. This […]
Read MoreASA ANNUAL MEETING Oct 2017 Introduction Ketamine is associated with improvement of depression and neuropathic pain when sub-anesthetic doses are used. The NMDA receptor is involved in learning and memory, and antagonists such as ketamine may be associated with cognitive impairment. The objective of this study is to investigate whether repeat outpatient ketamine infusion is […]
Read MoreAlthough frailty is an important perioperative risk factor, interventions specific to frail surgical patients remain rare. According to a systematic review of the literature, development and evaluation of frailty-specific interventions in trials containing a low risk for bias is urgently needed. “We know that frailty adversely affects outcomes in the elderly. Now it’s time to […]
Read MoreWomen diagnosed with breast cancer who are taking aromatase inhibitors to prevent disease recurrence may get relief from joint pain associated with the drugs through acupuncture procedures, according to a study presented here at the 2017 Annual San Antonio Breast Cancer Symposium (SABCS). In a clinical trial that included a sham acupuncture treatment and a […]
Read MoreCold hands, warm heart, as the saying goes. But when it comes to anesthesia, the inverse may be true. Standard induction techniques cause vasodilation, which transfers heat energy away from the core to the periphery in a process known as redistribution hypothermia. According to a new study, however, changing how anesthetic inductions are performed can […]
Read MoreIn a study that has relevance for the ongoing debate about anesthetic neurotoxicity in children, researchers have identified predictors of increased anesthetic duration for some of the most common pediatric general surgeries. Given the possible association between duration of anesthetic exposure and long-term cognitive deficits, understanding predictors of variability may be useful in identifying patients […]
Read MoreAuthors: Oulego-Erroz I et al. Intensive Care Med 2017 Dec 1. In this respect, maybe children are just small adults (with smaller, harder-to-cannulate veins). Ultrasound has definitively been shown to facilitate central line placement in adults, and single-center and operating room studies also support its use in children (NEJM JW Emerg Med Nov 2014 and Acad Emerg Med 2014; 21:981). However, […]
Read MoreAUTHORS: Odonkor, Charles, A., MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 280–288 BACKGROUND: Low back pain is the leading cause of years lost to disability with approximately 15%–25% of the chronic back pain population suffering from lumbar facet arthropathy. No large-scale study has sought to systematically identify inciting […]
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