Authors: Stavros G. Memtsoudis, M.D., Ph.D., F.C.C.P. et al Anesthesiology March 2018. Background: Multimodal analgesia is increasingly considered routine practice in joint arthroplasties, but supportive large-scale data are scarce. The authors aimed to determine how the number and type of analgesic modes is associated with reduced opioid prescription, complications, and resource utilization. Methods: Total hip/knee arthroplasties (N = […]
Read MoreAuthors: Mark van den Boogaard, PhD et al JAMA. 2018;319(7):680-690. Key Points Question What is the effect of prophylactic haloperidol on survival among critically ill adults? Findings In this multicenter randomized trial involving 1789 critically ill patients at high risk of delirium, the median number of days patients survived in 28 days was 28 days in the 2-mg haloperidol group […]
Read MoreAuthors:Atul Gupta, M.D. et al Anesthesiology February, 2018. Background: Although opioids remain the standard therapy for the treatment of postoperative pain, the prevalence of opioid misuse is rising. The extent to which opioid abuse or dependence affects readmission rates and healthcare utilization is not fully understood. It was hypothesized that surgical patients with a history of opioid […]
Read MoreAuthors: Jagtar Singh Heir, D.O.; Javier Lasala, M.D. ASA Monitor 03 2018, Vol.82, 28-29. Jagtar Singh Heir, D.O., is Associate Professor of Anesthesiology and Perioperative Medicine, University of Texas M.D. Anderson Cancer Center, Houston. Javier Lasala, M.D., is Assistant Professor of Anesthesiology and Perioperative Medicine, University of Texas M.D. Anderson Cancer Center, Houston. It is suggested that […]
Read MoreSurgical incisions for cesarean delivery vary in length: from nine to 23 cm, with a median of 15 cm, according to a recent study. Shorter incisions were associated with increased acute pain, and longer ones with acute and chronic pain. Severe pain was less likely to occur at medium lengths. “To our knowledge, this Goldilocks […]
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