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Intraoperative periarticular local anesthetic infiltration (periarticular injection) and psoas compartment block (PCB) may provide comparable analgesia after total hip arthroplasty (THA), according to a prospective clinical trial published in The Journal of Arthroplasty. A number of regional anesthesia modalities, such as PCB and periarticular injection, have become mainstays of multimodal approaches used during THA. However, the most efficacious […]
Read MoreAlthough postoperative vision loss is exceedingly rare, it is far more common in children undergoing neurosurgery. A database analysis by a team of Texas researchers has helped characterize the nature and incidence of pediatric postoperative vision loss, an undertaking they said would provide valuable insight for clinicians working with children. “Perioperative vision loss in any […]
Read MoreSurgical incisions for cesarean delivery vary in length: from nine to 23 cm, with a median of 15 cm, according to a recent study. Shorter incisions were associated with increased acute pain, and longer ones with acute and chronic pain. Severe pain was less likely to occur at medium lengths. “To our knowledge, this Goldilocks […]
Read MoreCancer-related pain affects approximately 9 million people worldwide each year, with the number of new cases expected to increase from 12.7 million in 2008 to 22.2 million by 2030.1,2Cancer pain has been linked to reduced quality of life, increased risk for depression, and reduced tolerance to cancer treatment.3 The management of cancer pain is gradually […]
Read MoreTrials cast doubt on endotracheal intubation as preferred treatment Author: Salynn Boyles Among patients suffering out-of-hospital cardiac arrest, laryngeal tube insertion was associated with significantly greater 72-hour survival compared with standard-of-care endotracheal intubation, researchers reported. In a randomized clinical trial involving 3,000 cases and 27 emergency medical service (EMS) agencies, statistically significant associations with survival […]
Read MoreAn analysis in the Clinical Journal of the American Society of Nephrology indicates that despite current recommendations, opioid pain medications may not be safe for patients undergoing haemodialysis. Individuals with kidney failure undergoing haemodialysis may be especially vulnerable to opioid-related complications due to factors such as their kidneys’ reduced ability to clear drugs from the body. To […]
Read MorePoor physician communication contributes to liability—independent of injury—in almost a fifth of all perioperative anesthesia malpractice claims. In a review of malpractice cases, it was found that anesthesia payments were more common in claims with liability-related communication failures than in those with no communication failures. “Poor physician communication is known to contribute to malpractice,” said […]
Read MoreCassandra Wasson, DO Alice Tsao, MD Case Description A 76-year-old woman with a medical history of hypertension and oral cancer status post-left mandibulectomy, glossectomy and radiation required surgical correction of an olecranon fracture after a ground-level fall. During the patient’s preoperative evaluation, she was found to be edentulous, with a Mallampati classification of IV, and […]
Read MoreAdministration of hyaluronidase and corticosteroid methylprednisolone acetate to the epidural space during epiduroscopy for failed back surgery-related radicular pain may improve back pain and disability at 1 year, according to a study published in Pain Medicine. In this randomized double-blind trial (Clinicaltrials.gov identifier: NCT02459392), 45 patients (age ≥18 years; with permanent low back pain and >60% radicular pain) with failed […]
Read MoreA member of the family that owns Purdue Pharma — which is being sued by more than 1,000 jurisdictions for its alleged role in seeding the opioid crisis with its pain medication OxyContin — has been awarded a patent for a treatment for opioid use disorder. Dr. Richard Sackler is listed as one of six inventors on the […]
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