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AUTHORS: Mazzeffi, Michael MD, MPH, MSc et Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1316–1321 BACKGROUND: Surgical site infections (SSIs) after colon surgery remain a critical safety issue. Patients with an SSI have an increased risk of death, prolonged hospitalization, and increased costs of care. Red blood cell (RBC) transfusion […]
Read MoreAUTHORS: Moore, Albert MD et al Anesthesia & Analgesia: May 11, 2017 BACKGROUND: We hypothesized that an epidural catheter placed in a lower vertebral interspace will require less medication for labor analgesia. METHODS: Nulliparous women requesting neuraxial labor analgesia were randomized to epidural catheter placement at the ultrasound-confirmed L1-2 or L4-5 interspace. Patient-controlled epidural analgesia and […]
Read MoreObese patients showed less respiratory insufficiency (RI) than their nonobese counterparts during endoscopic surgery, according to a new study. The result was counterintuitive. Because of their higher rates of obstructive sleep apnea, pulmonary hypertension and other cardiopulmonary disorders, obese patients generally are thought to be at increased risk for sedation-related complications, such as RI. Consequently, […]
Read MoreRaeyat Doost E et al., Am J Emerg Med 2017 Apr 14; Nerve block was faster but sedation was somewhat more effective in this small randomized trial. For reduction of anterior shoulder dislocations, options include procedural sedation, intraarticular lidocaine injection, nerve block, and manipulation without sedation. Investigators in Iran randomized 60 adults undergoing anterior shoulder dislocation […]
Read MoreA new initiative to identify preoperative patients who may be predisposed to developing dependence on opioid analgesics could facilitate treatment plans that reduce their exposure to opioids and mitigate that risk. The joint endeavor by specialty pharmaceutical manufacturer Pacira Pharmaceuticals and therapeutic management firm GeneAlign has incorporated behavioral histories and pharmacogenetic and pharmacogenomic testing into […]
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