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Author: By Seddon R. Savage, MD, MS The role of opioids in chronic pain treatment has become increasingly controversial and includes important questions about who may benefit from long-term opioid therapy. While much chronic pain can be managed with nonopioid approaches, it is clear that some patients and providers find opioids a helpful component of ongoing […]
Read MoreAuthor: MARY HERMAN, MD, PHD A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Sometimes our best decisions as physician anesthesiologists are when we decide to call off a surgery or procedure. The “best anesthetic I never gave” was for 18-year-old Hunter Jones and her case really demonstrates the importance of talking with patients before surgery. […]
Read MoreAuthors: Benjamin C. Mayo, BA et al Spine. 2016;41(20):1580-1585. Study Design. Case-series Objective. The aim of the study was to investigate changes in intraoperative and postoperative parameters associated with the surgical learning curve for anterior cervical discectomy and fusion (ACDF). Summary of Background Data. ACDF is a common surgical spine procedure. The surgical learning curve for this procedure has […]
Read MoreAuthors: Charalampis Giannadakis, MD et al J Am Geriatr Soc. 2016;64(10):2011-2018. A Multicenter Observational Study Objectives: To compare clinical outcomes after decompressive surgery for central lumbar spinal stenosis (LSS) in individuals aged 80 and older with those of individuals aged 18–79. Design: Prospective data from the Norwegian Registry for Spine Surgery. Setting: Multicenter observational study. Participants: Individuals with central LSS […]
Read MoreAuthors: Wenwen Zhai et al BMC Anesthesiol. 2016;16(80) A Randomized Controlled Trial Background: Ultrasound guidance has reduced the amount of local anesthetics to achieve a successful block. Previous studies of the relationship between the volume or concentration of local anesthetics and the effects of the block were based on relatively high doses of local anesthetics. We tested […]
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