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Authors: Stavros G. Memtsoudis et al British Journal of Anaesthesia September 2019 Volume 123, Issue 3, Pages 269–287 Background Evidence-based international expert consensus regarding anaesthetic practice in hip/knee arthroplasty surgery is needed for improved healthcare outcomes. Methods The International Consensus on Anaesthesia-Related Outcomes after Surgery group (ICAROS) systematic review, including randomised controlled and observational studies […]
Read MoreAUTHOR: Michael Vlessides Anesthesiology News Patients suffering from cancer pain refractory to systemic opioids may find relief in an unlikely source, according to a pilot study by Swedish researchers: intrathecal bupivacaine. They concluded that the therapy can be effectively used for long-term pain management in these individuals with little increase in dose and few of […]
Read MoreAUTHORS: Dautzenberg, Karin H. W. MD et al Anesthesia & Analgesia: May 15, 2019 We performed bilateral ultrasound-guided erector spinae plane blocks at the second and eighth thoracic vertebrae in 11 fresh frozen cadavers. Methylene blue dye spread variably and extensively deep to the erector spinae muscles fascia with involvement of the spinal rami and paravertebral […]
Read MoreBy Amy Orciari Herman Roughly 25% of teens report ever having used cannabis concentrates, according to a Pediatrics study. Cannabis concentrates are produced by using a solvent (e.g., butane) or a nonsolvent method (e.g., a sieve) to extract tetrahydrocannabinol (THC) from the cannabis plant; they can contain roughly three times the THC as traditional marijuana. As part […]
Read MoreAUTHORS: Cohen, Barak MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1160-1166 BACKGROUND: Postoperative pain is common and promotes opioid use. Surgical wounds are hypoxic because normal perfusion is impaired. Local wound ischemia and acidosis promote incisional pain. Some evidence suggests that improving oxygen supply to surgical wounds […]
Read MoreAUTHORS: Toner, Andrew J. MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1154-1159 BACKGROUND: Apneic oxygenation via the oral route using a buccal device extends the safe apnea time in most but not all obese patients. Apneic oxygenation techniques are most effective when tracheal oxygen concentrations are maintained […]
Read MoreAUTHORS: Sztain, Jacklynn F. MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p e104-e108 We tested the hypothesis that during a continuous popliteal-sciatic nerve block, postoperative analgesia is improved with the catheter insertion point “deep” to the paraneural sheath immediately distal to the bifurcation between the tibial and common […]
Read MoreAuthor: Anne-Marie Kommers Becker’s Hospital Review Patients revisiting the hospital within 30 days of initial discharge increasingly receive care in emergency departments and observation stays, marking a shift that may reflect hospitals’ efforts to avoid CMS penalties for readmissions, according to a study published Aug. 12 in the BMJ. Researchers studied hospital stays among Medicare […]
Read MoreAuthor: Caitlin E. Cox tct/MD/the heart beat One in eight patients who undergo cardiothoracic surgery continue to take opioids long after pain control is necessary, according to a new analysis of Medicare data from 2009 to 2015. While some predictors of persistent use, like female sex, younger age, and existing pain disorders, aren’t modifiable, others […]
Read MoreBy Elizabeth Fernandez UCSF Potential Harms Need to be Considered before Scanning, Researchers Conclude Despite a broad campaign among physician groups to reduce the amount of imaging in medicine, the rates of use of CT, MRI and other scans have continued to increase in both the U.S. and Ontario, Canada, according to a new study of […]
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