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This is indirectly related to anesthesia since we have pts with CAD. Hypoglycaemia in patients with coronary artery disease is associated with longer hospital stays and higher mortality, according to a study presented here at the 2018 Annual Meeting of The Endocrine Society (ENDO). Shuyang Fang, MD, Icahn School of Medicine at Mount Sinai Hospital, […]
Read MoreCotargeting of peripheral μ-opioid and cannabinoid receptors was found to have a synergistic effect in reducing mechanical allodynia in a mouse model of neuropathic pain in a study presented at the American Pain Society (APS) 2018 meeting, held March 4 to 6 in Anaheim, California. “Current therapeutic options for the management of neuropathic pain are limited by […]
Read MoreAlthough a primary source of medical errors, handoffs between the ICU and the operating room (OR) can be improved through a structured process that does not negatively affect practitioner satisfaction. The structured handoff process both increased the quantity of information transferred and improved the efficiency of the process itself. “The Joint Commission has said that […]
Read MoreAuthors: Ji-Ming Wang et al Chinese Medical Journal 2018 Volume : 131 Issue : 6 Page : 631-637 Background: Patients with potential difficult mask ventilation (DV) and difficult intubation (DI) are often managed with awake intubation, which can be stressful for patients and anesthesiologists. This prospective randomized study evaluated a new approach, fast difficult airway evaluation (FDAE). […]
Read MoreRelying on behavioral indicators, like crying, to assess surgical pain in neonates underestimates actual pain and could lead to long-term effects on brain development and future pain sensitivity, according to research presented at the 2018 American Pain Society Scientific Summit (Curr Biol 2017;27[4]:3846-3851). “Infants respond to noxious stimulation from birth, but the neural pathways underlying pain […]
Read MorePhenoxybenzamine and doxazosin are equally effective in pretreating patients undergoing resection of a pheochromocytoma (PCC), researchers reported here at the 2018 Annual Meeting of The Endocrine Society (ENDO). The administration of alpha-adrenergic receptor antagonists is recommended before PCC resection in order to prevent any perioperative cardiovascular complication. For the current study, Edward Buitenwerf, MD, University […]
Read MorePatients who received epidural analgesia for open colectomy experienced lower rates of myocardial infarction, pulmonary complications, pneumonia and shorter hospital length of stay (LOS) than those who did not. Kenneth Cummings, MD, an anesthesiologist at the Cleveland Clinic, in Ohio, presented the analysis of regional anesthetic techniques following surgery, that was conducted with a multidisciplinary […]
Read MoreUbiquitous and disabling, headache disorders are common — with an estimated prevalence of migraine in the United States between 11.7% and 22.7% — and are one of the leading causes of emergency department visits.1,2 Evidence suggests a difference in prevalence of headache disorders between the elderly (≥65 years) and younger adults (˂65 years) that may […]
Read MoreA small pilot trial comparing transverse abdominis plane (TAP) block and IV local infiltration in children undergoing hydrocelectomy and/or hernia repair has demonstrated equivalence of clinical efficacy. In the study, postoperative opioid use, time to first rescue medication, average pain scores and parental satisfaction were similar between groups. “This was a negative result, which I […]
Read MoreThere is a national shortage of certain opioids that hospitals stock for perioperative and trauma pain relief, according to a series of announcements from the FDA. Injectable formulations of morphine, hydromorphone and fentanyl, including prefilled syringes, as well as small ampulesand vials for intravenous delivery are affected. While some pharmaceutical companies have had to cut production as far back as last year, […]
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