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AUTHORS: Dam, Mette MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 303–312 BACKGROUND: The spread of injectate resulting from a transmuscular quadratus lumborum (TQL) block and a transverse oblique paramedian (TOP) TQL block has never been examined. The aim of this cadaveric study was to investigate by which […]
Read MoreWhen it comes to surgery for patients with hip fractures, earlier is better. A database analysis by a team of Cleveland Clinic researchers concluded that for every 10-hour increase in time from hospital admission to surgery, one-year mortality in these patients increased by 5%. “There is considerable debate regarding the timing of surgery after hip […]
Read MoreAnesthesiology · March 2, 2017 Background: Multimodal analgesia is standard practice for total knee arthroplasty; however, the role of regional techniques in improved perioperative outcomes remains unknown. The authors hypothesized that peripheral nerve blockade would result in lower pain scores and opioid consumption than two competing periarticular injection solutions. Methods: This three-arm, nonblinded trial randomized 165 adults undergoing unilateral […]
Read MoreThe dose of local anesthetic used in spinal-epidural analgesia for external cephalic version has no influence on the success rate of the procedure, according to a randomized controlled trial. The conclusion contradicts earlier meta-analyses. Although the trial investigators found dose-dependent changes in some secondary outcomes, they noted that these results highlight the importance of blinding […]
Read MoreDespite the common use of opioid analgesics in the management of chronic pain, no factors have been identified that could predict optimal efficacy of these agents. A study published in the March 2017 issue of Pain showed that psychosocial variables such as depression and anxiety predict the response to morphine analgesia in patients with low back pain […]
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