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Canadian Journal of Anesthesia April 2017, Volume 64, Issue 4, pp 416–427 Authors: David T. Wong Purpose During the process of tracheal intubation, patients are apneic or hypoventilating and are at risk of becoming hypoxemic. This risk is especially high in patients with acute or chronic respiratory failure and accompanying compromised respiratory reserve. To address this concern, apneic oxygenation can be […]
Read MoreA single glucocorticoid injection offers short-term relief of chronic back pain associated with discopathy, according to a study in the Annals of Internal Medicine. But the benefits are not long-lasting. Some 135 patients with daily low back pain of at least 3 months’ duration and active discopathy on magnetic resonance imaging were randomized to receive either […]
Read MoreAuthorizing a second opioid prescription in opioid-naive adults doubles the risk for chronic opioid use, according to an MMWR study. Researchers examined a sample of 1.3 million U.S. adults who were prescribed opioids for the first time between 2006 and 2015. Of these, the probability of continued opioid use 1 year later was 6%, and 3 years […]
Read MorePresented at the Society for Academic Emergency Medicine conference, May 2016, New Orleans, LA. Authors: Cameron P. Upchurch, BS et al Study objective Induction doses of etomidate during rapid sequence intubation cause transient adrenal dysfunction, but its clinical significance on trauma patients is uncertain. Ketamine has emerged as an alternative for rapid sequence intubation induction. […]
Read MoreAuthors: Chalifoux, F., Colin, F., St-Pierre, P. et al. Can J Anesth/J Can Anesth (2017) 64: 280 Background Although intravenous dexamethasone prolongs the analgesic duration of interscalene brachial plexus block, it is uncertain whether this effect can be observed using lower doses of dexamethasone. This study evaluated the impact of intravenous dexamethasone (4 mg and […]
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