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Authors: Walsh SL et al., JAMA Psychiatry 2017 Jun 22; An investigational depot form of the medication has positive early results. The opioid receptor partial agonist buprenorphine, as sublingual monotherapy or in combination with the opioid antagonist naloxone (Suboxone), attenuates narcotic withdrawal and craving and blocks euphoria from concurrent narcotics. Still, buprenorphine is itself subject to misuse […]
Read MoreA comprehensive, multimodal pain strategy is the cornerstone of policy formation for managing buprenorphine perioperatively at Stanford University Medical Center. As awareness of the pervasiveness of the opioid epidemic increases, clinicians have begun to take steps to do what they can to control it. “We are having more and more patients coming for surgery that […]
Read MoreAUTHORS: Butwick, Alexander J. MBBS, FRCA, MS et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 523–532 BACKGROUND: Women who undergo intrapartum caesarean delivery (CD) are at increased risk of postpartum hemorrhage (PPH) compared with those undergoing prelabor CD. To determine whether the presence and strength of the associations […]
Read MoreAUTHORS: Kim, Tae Kyong MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 485–490 BACKGROUND: In patients with cervical immobilization, jaw thrust can cause cervical spine movement. Concurrent use of a laryngoscope may facilitate lightwand intubation, allowing midline placement and free movement of the lightwand in the oral cavity without […]
Read MoreAUTHORS: Tandon, Kanwarpreet MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 469–476 BACKGROUND: Colonoscopy quality is directly related to the bowel preparation. It is well established that bowel preparations are improved when at least part of the laxative is ingested on the day of the procedure. However, there is […]
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