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For joint replacement patients, cognitive therapy (CT) via Skype to mitigate catastrophizing is almost as effective as in-person therapy, according to a poster presented at the 2017 meeting of the American Society of Anesthesiologists (abstract A4153). People who catastrophize—that is, who view their likely outcomes pessimistically—are more likely to have persistent postsurgical pain after an […]
Read MoreBRIDION® (sugammadex) Injection 100 mg/mL (equivalent to 108.8 mg/mL sugammadex sodium) Demonstrated Efficacy in Cardiac Patient Populations With No Dose Adjustments Indication BRIDION is indicated for the reversal of neuromuscular blockade induced by rocuronium bromide and vecuronium bromide in adults undergoing surgery. In a clinical study, BRIDION provided reversal of rocuronium-induced moderate neuromuscular blockade (NMB) (reappearance of T2) […]
Read MoreThe addition of perineural dexamethasone may significantly prolong the duration of interscalene block over IV administration of the adjuvant, but this benefit likely is not enough to overcome the potential for adverse effects. Researchers found little difference between 4- and 8-mg doses of dexamethasone on block prolongation. “Although interscalene block is known to provide effective […]
Read MoreA single lumbar sympathetic block may alleviate residual pain, phantom limb pain and perceived disability in patients with post-amputation pain, according to a case series published in Pain Medicine. The case series included 4 patients selected from the Pathophysiology of Post-Amputation Pain study in which participants received either a single lumbar sympathetic block with 0.25% bupivacaine or sham […]
Read MorePatients with cancer could benefit from a simple bedside system to manage their pain, according to a study published in the Journal of Clinical Oncology. The new approach reduces pain levels compared with conventional care, according to Marie Fallon, MD, Palliative and Supportive Care Group, University of Edinburgh, Edinburgh, United Kingdom, and colleagues. The researchers worked […]
Read MoreThere is a lack of correlation between physician scores and those of others for physician-patient communication, according to a study published in the July/August issue of the Annals of Family Medicine. Jenni Burt, Ph.D., from the University of Cambridge in the United Kingdom, and colleagues analyzed survey data from patients attending face-to-face appointments with 45 family physicians […]
Read MoreAuthors: Isaac Wasserman, M.P.H. et al Anesthesiology 7 2018, Vol.129, 77-88. Background: The value of intravenous acetaminophen in postoperative pain management remains debated. The authors tested the hypothesis that intravenous acetaminophen use, in isolation and in comparison to oral, would be associated with decreased opioid utilization (clinically significant reduction defined as 25%) and opioid-related adverse effects in […]
Read MoreThe United States Cluster Headache Survey revealed differences in presentation between cluster headache sufferers exposed to tobacco and those not exposed, according to research published in Headache. This study found that respondents who were exposed to tobacco presented more severely in terms of headache frequency, disability due to headaches, and cycle frequency. They also reported the […]
Read MoreAuthors: David O. Warner, M.D. et al Anesthesiology 7 2018, Vol.129, 89-105. Background: Few studies of how exposure of children to anesthesia may affect neurodevelopment employ comprehensive neuropsychological assessments. This study tested the hypothesis that exposure to multiple, but not single, procedures requiring anesthesia before age 3 yr is associated with adverse neurodevelopmental outcomes. Methods: Unexposed, singly […]
Read MoreAdding peripheral nerve blocks to routine periarticular injections for total knee replacements has been linked to less postoperative pain and lower opioid consumption, according to a study that will be presented at the American Society of Regional Anesthesia (ASRA) and Pain Medicine meeting. With increasing numbers of patients receiving total knee arthroplasty (TKA) in the […]
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