Intraoperative infusions of esmolol reduced intraoperative opioid use, PACU opioid use and PACU pain scores, and may be effective as part of a multimodal analgesic regimen in certain patient populations. “Esmolol can obviously decrease risk for conditions like opioid-induced hyperalgesia, and perhaps should be used for specific subsets of patients, such as those undergoing ambulatory […]
Read MoreExtending the duration of adductor canal blocks after total knee arthroplasty may improve pain control without compromising functional outcomes or delaying discharge. Results of a prospective, randomized, open-label study show that a higher proportion of patients randomly assigned to 48-hour infusion experienced milder pain after total knee arthroplasty when compared with a single-shot injection and […]
Read MoreHigh blood pressure in the PACU has been linked to poorer outcomes after painful surgical procedures. According to a recent study’s results, the incidence of posto perative hypertension in patients who had undergone general anesthesia was associated with increased PACU length of stay (LOS) and pulmonary complications. Future studies evaluating blood pressure in the immediate […]
Read MoreAuthors: Honorio T. Benzon, M.D. et al Northwestern University Feinberg School of Medicine, Chicago, Illinois, United States Introduction: Contrast medium is usually avoided, or a steroid premedication is given, in patients with a history of allergy to the contrast. We report 8 patients who were unintentionally given contrast and did not develop significant (moderate to […]
Read MoreAMERICAN SOCIETY OF ANESTHESIOLOGISTS Opioid-free general anesthesia is safe, effective and dramatically decreases postoperative nausea, according to a single-center study of more than 1,000 patients being presented at the ANESTHESIOLOGY® 2017 annual meeting. Using opioid alternatives during general anesthesia is part of an effort by TEAMHealth Anesthesia at Select Physicians Surgery Center in Tampa, Florida […]
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