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Anesthesia & Analgesia: March 9, 2016 AUTHORS: Monahan, Amanda M. MD et al BACKGROUND: Multiple studies have demonstrated that, for single-injection popliteal sciatic nerve blocks, block characteristics are dependent upon local anesthetic injection relative to the sciatic nerve bifurcation. In contrast, this relation remains unexamined for continuous popliteal sciatic nerve blocks. We, therefore, tested the […]
Read MoreBuprenorphine (multiple brands) may be superior to opioids in the treatment of veterans with the difficult triad of chronic pain, posttraumatic stress disorder (PTSD), and substance use disorders (SUDs), new research shows. In a retrospective cohort study, investigators found that twice as many veterans treated with the partial nociceptin opioid receptor agonist experienced improvement in […]
Read MoreAlthough the use of femoral nerve catheters is commonplace after total knee arthroplasty (TKA), many patients will still require a postoperative sciatic nerve block for pain rescue. That cumbersome reality may be avoided in the future, however, thanks to the development of a nomogram that predicts which patients will need supplemental analgesia after TKA. “The […]
Read MoreNo matter how successful the surgery, a patient’s experience of postoperative nausea and vomiting (PONV) can contribute to patient dissatisfaction, longer PACU stays, hospital readmission and overall perioperative costs. Pupillometric assessment can serve as a simple but accurate tool to help identify patients with PONV, a study has found, which can allow physicians to offer […]
Read MorePatients should not receive intra-articular steroid injections in the hip in the 3 months before total hip arthroplasty because it could put them at higher risk for postoperative infection, new research shows. “I’ve spoken with surgeons who have been reluctant to perform hip injections before surgery because of the theoretical risk of infection due to […]
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