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Authors: David B. Auyong, M.D. et al Anesthesiology April 2018 Background: The interscalene nerve block provides analgesia for shoulder surgery, but is associated with diaphragm paralysis. One solution may be performing brachial plexus blocks more distally. This noninferiority study evaluated analgesia for blocks at the supraclavicular and anterior suprascapular levels, comparing them individually to the interscalene approach. […]
Read MoreInteresting article I wanted to share JAMA Otolaryngology Head & Neck Surgery, online March 15, 2018. Children who have their tonsils removed before they’re at least three years old may be more likely to have complications afterward than kids who have the surgery when they’re older, a U.S. study suggests. Researchers examined data on 1,817 […]
Read MoreDavid M. Dickerson, MD Assistant Professor, Anesthesiology and Pain Medicine Director, Acute Pain Service Department of Anesthesia & Critical Care University of Chicago Medicine Chicago, Illinois Following the guidelines on acute postoperative pain management requires the hard work of institutionalizing and implementing the recommendations. Updating the 2012 practice advisory of the American Society of Anesthesiologists […]
Read MoreAuthors: Annalotta Scheinin, M.D. et al Anesthesiology April 2018. Background: Differentiating drug-related changes and state-related changes on the electroencephalogram during anesthetic-induced unconsciousness has remained a challenge. To distinguish these, we designed a rigorous experimental protocol with two drugs known to have distinct molecular mechanisms of action. We hypothesized that drug- and state-related changes can be separated. Methods: Forty-seven […]
Read MoreThe Society of Hospital Medicine has released a consensus statement on safely using opioids for acute, noncancer pain in hospitalized patients. The statement, which appears in the Journal of Hospital Medicine, includes 16 recommendations for clinicians. Among them: Restrict opioid use to patients who have severe pain, or those with moderate pain that isn’t well controlled with […]
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