Author: Michael Vlessides Anesthesiology News Among chronic opioid users, having surgery seems to be associated with a faster time to opioid discontinuation—contrary to popular belief. A study by Toronto researchers concluded that several factors were associated with reduced odds of opioid discontinuation in this patient population, including oxycodone use, higher opioid doses, and diagnoses of […]
Read MoreAUTHORS: Allan Riis et al BMC Musculoskeletal Disorders BACKGROUND According to clinical guidelines, advice to stay active despite experiencing pain is recommended to patients with non-specific low back pain (LBP). However, not all patients receive guideline-concordant information and advice, and some patients still believe that activity avoidance will help them recover. The purpose was to […]
Read MoreMany older patients with new episodes of low back pain receive care inconsistent with current guidelines, including high use of opioids and advanced imaging tests, according to a study published in Medical Care. Results of the study showed that opioids were prescribed to nearly one-third of older adults with new and persistent low back pain — […]
Read MoreAuthor: Michael Vlessides Anesthesiology News The ongoing debate surrounding the efficacy of perioperative gabapentinoids in adult patients may be over, at least for the management of acute postoperative pain. A team of Canadian researchers concluded that perioperative use of gabapentinoids yields no clinically significant analgesic effect, and comes with an increased risk for adverse events. […]
Read MoreAUTHORS: Sahinovic, Marko M. MD, PhD et al Anesthesia & Analgesia: February 2020 BACKGROUND: Clinicians can optimize propofol titration by using 2 sources of pharmacodynamic (PD) information: the predicted effect-site concentration for propofol (Ceprop) and the electroencephalographically (EEG) measured drug effect. Relation between these sources should be time independent, that is, perfectly synchronized. In reality, […]
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