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NEJM Journal Watch Neil H. Winawer, MD, SFHM, reviewing Owen AR et al. J Bone Joint Surg Am 2022 Sep 7 Patients who received spinal anesthesia had less pain and opioid use and fewer intensive care admissions. The optimal choice of anesthesia — spinal or general — often is debated for patients undergoing total hip arthroplasty (THA). Mayo […]
Read MoreAUTHORS: Dankert, André MD et al Anesthesia & Analgesia October 29, 2022. Abstract BACKGROUND: Pulmonary function tests (PFTs) such as spirometry and blood gas analysis have been claimed to improve preoperative pulmonary risk assessment, but the scientific literature is conflicting. The Preoperative Diagnostic Tests for Pulmonary Risk Assessment in Chronic Obstructive Pulmonary Disease (PREDICT) […]
Read MoreNEJM Journal Watch Patricia Kritek, MD In two trials, restrictive fluid resuscitation was adequate and even preferable to more-aggressive resuscitation. Resuscitation is a central part of the care of many critically ill patients, including those with septic shock and severe pancreatitis. For years, emphasis was placed on rapid administration of large volumes of fluid to […]
Read MoreDG News Spinal anaesthesia was associated with more pain in the first 24 hours after hip fracture surgery and more prescription analgesic use at 60 days compared with general anaesthesia, according to a study published in the Annals of Internal Medicine. “In our study, patients who got spinal anaesthesia did get fewer opioids in the operating […]
Read MoreThis is for our readers who treat pain DG News Arginine administered intravenously resulted in changes in biomarkers that signalled less oxidative stress in patients with sickle cell disease who were hospitalised with vaso-occlusive pain, and arginine also led to a trend in decreased opioid use, according to a study presented at the 64th Annual […]
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