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Authors: CláudiaSchweiger et al Journal of Pediatrics Sept 2018 Objective To assess the accuracy of stridor in comparison to endoscopicexamination for diagnosis of pediatric post-intubation subglottic stenosis. Method Children who required endotracheal intubation for >24 h were included in this prospective cohort study. Children were monitored daily and underwent flexible fiberoptic laryngoscopy after extubation. Those with moderate-to-severe abnormalities underwent another examination 7–10 days later. If lesions […]
Read MoreAuthors: Giacomo Grasselli, M.D. et al Anesthesiology 9 2018, Vol.129, 394-395. Functional impairment of respiratory muscles is considered one of the determinants of difficult weaning from the ventilator which results in prolonged mechanical ventilation and is associated with worse patient outcome. Patients requiring invasive ventilation are exquisitely prone to the development of respiratory muscle dysfunction (including ventilator-induced […]
Read MoreAuthors: Matthias Behrends, M.D. et al Anesthesiology 9 2018, Vol.129, 536-543. What We Already Know about This Topic: Hip arthroscopy is a surgical procedure growing in popularity The optimal approach to postoperative analgesia has not been identified What This Article Tells Us That Is New: The addition of preoperative fascia iliaca block using ropivacaine to the […]
Read MoreSuperficial cervical plexus block (SCPB) may be safe and effective for use in emergency medicine, according to results published in the Journal of Emergency Medicine. The prospective observational study included participants who presented to the emergency department with painful conditions of the “cape” distribution of the neck and shoulder who were given SCPB (n=27). Verbal numeric pain scores […]
Read MoreThe use of headache calendars may enable individuals who regularly experience migraine, tension-type, or cluster headaches to better identify particular triggers that are associated with headache attacks. This research was presented at the American Headache Society’s 60th Annual Scientific Meeting, held June 27 –July 1, 2018 in San Francisco, California. This cross-sectional, observational study sought to […]
Read MoreAuthors: Filbin MR et al. Crit Care Med 2018 Jun 29 And not for the reasons you might think. Sepsis can be both deadly and difficult to recognize. It is not clear whether treatment delays, such as delayed antibiotic administration, reflect poor recognition, poor quality care, or something else. To examine whether absence of explicit infectious presenting […]
Read MoreConcurrent benzodiazepine use is associated with increased risk of opioid-related overdose, with the risk highest on the first days of concurrent use, according to a study published June in JAMA Network Open. Inmaculada Hernandez, Pharm.D., Ph.D., from the University of Pittsburgh, and colleagues conducted a retrospective cohort study of Medicare Part D claims data to examine the […]
Read MoreFrom January 2007 through December 2016 there were more than 11,000 calls to US Poison Centers for paediatric exposures to buprenorphine, according to study published in Pediatrics. Most (86%) of the calls were about exposures among children aged younger than 6 years. Most (98%) buprenorphine exposures among younger children were unintentional. Nearly half (45%) of the […]
Read MorePeople who experience migraine earlier in life are more likely to develop depression, and vice versa, over the course of their lifetime. Migraine is “a common, multifactorial, disabling, recurrent, hereditary neurovascular headache disorder.”1 It affects 12% of US adults,2predominantly female — in fact, it affects 3 times as many women as men.3 The varying symptoms that […]
Read MorePerioperative lidocaine delivered intravenously (IV) may not improve pain, gastrointestinal recovery, postoperative nausea, or opioid consumption in the early postoperative phase compared with placebo or no treatment, according to results published in Cochrane Database of Systematic Reviews. The review included 68 trials with 4525 participants. Two trials compared IV lidocaine with thoracic epidural analgesia, and the […]
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