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For patients undergoing noncardiac surgery, rates of death, stroke, and myocardial injury are reduced when angiotensin-converting-enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) are discontinued 24 hours before the procedure, according to new research. “We believe clinicians should consider withholding ACE inhibitors and ARBs in major noncardiac surgery patients in the 24 hours before surgery,” […]
Read MoreAuthor: M. R. Pinsky Br J Anaesth. 2016;116(6):736-738. Cardiovascular homeostasis is a complex and beautiful interplay between the functional differences between various vascular circuits in the body and their tissue’s metabolic demand, the physical nature of the endothelial barrier to fluid flux, the circulating blood volume, and reflex-mediated autonomic tone. When at rest, as occurs during […]
Read MoreAuthors: S. Weibel et al Br J Anaesth. 2016;116(6):770-783. Background: Improvement of postoperative pain and other perioperative outcomes remain a significant challenge and a matter of debate among perioperative clinicians. This systematic review aims to evaluate the effects of perioperative i.v. lidocaine infusion on postoperative pain and recovery in patients undergoing various surgical procedures. Methods: CENTRAL, MEDLINE, EMBASE, […]
Read MorePatients with severe chronic pain, including those with arachnoiditis, have low serum cortisol levels, a new study has shown. Before prescribing opioids to such patients, clinicians should check cortisol levels, and if these levels are below normal, they should consider cortisol supplements, said Forest Tennant, MD, from Veract Intractable Pain Clinic, West Covina, California. “One […]
Read MoreThe possibility of symptomatic or permanent phrenic nerve palsy (PNP) need not loom over every patient administered an interscalene nerve block. Ki Jinn Chin, MD, associate professor in the Department of Anesthesia at Toronto Western Hospital, University of Toronto, told attendees of the 2016 International Symposium of Ultrasound for Regional Anesthesia, Pain Medicine, and Peri-operative […]
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