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Authors: Christine K. Lee, M.S., Ph.D. et al Anesthesiology April 16, 2018. Background: The authors tested the hypothesis that deep neural networks trained on intraoperative features can predict postoperative in-hospital mortality.Methods: The data used to train and validate the algorithm consists of 59,985 patients with 87 features extracted at the end of surgery. Feed-forward networks with a logistic […]
Read MoreBuprenorphine maintenance treatment for opioid dependence may result in hyperalgesia and prevent morphine-associated antinociception, according to preliminary findings published in Pain Medicine. In this study, 12 patients maintained on stable doses of sublingual buprenorphine for 1.5 to 12 months and 10 healthy control patients were included. All study participants were pain free. Patients receiving buprenorphine maintenance treatment were […]
Read MoreMonitoring for low minute ventilation during the 45 minutes before anticipated PACU discharge can be useful in identifying patients at risk for postoperative opioid-induced respiratory depression on the general hospital floor. Investigators concluded that monitoring patients with a respiratory volume monitor may help prevent this potentially devastating postoperative event. “We’ve all been concerned about opioid-induced […]
Read MoreWomen are twice as likely as men to take pain medication over a 12-week, post-discharge period, according to researchers. The secondary analysis of a large study identified factors that influence postoperative pain medicine use in orthopedic trauma patients who also received a psychosocial intervention or standard trauma intervention. The analysis found no significant difference in […]
Read MoreThis doesn’t involve anesthesia however our providers are often parents so I wanted to share it. Pfizer Consumer Healthcare announced a voluntary recall of one lot of Children’s Advil Suspension (ibuprofen) Bubble Gum Flavored 4 floz bottle due to customer complaints that the dosage cup included is marked in teaspoons whereas the label instructions are described in […]
Read MoreWe want our readers and followers to have a fun and safe Labor Day with their families therefore no blogs today. Enjoy life see you tomorrow.
Read MoreOver 160 cases of severe and prolonged coagulopathy associated with synthetic cannabinoids — including four deaths — were reported in Illinois from March to June 2018. Data suggest the cannabinoids were mixed with brodifacoum, a rodenticide related to warfarin. In the New England Journal of Medicine, researchers report on 34 adults admitted to one Illinois hospital with […]
Read MoreA national working group led by an investigator at Beth Israel Deaconess Medical Center (BIDMC) has developed a Consensus Statement intended to inform safe prescribing of opioids for hospitalised adults with acute pain. The set of 16 recommendations, published today in the Journal of Hospital Medicine, provides guidance about when to use opioids versus other pain management […]
Read MoreThe type of sciatic nerve lesions observed in patients with diabetic peripheral neuropathy (DPN) was found to differ in type 1 and type 2 diabetes in a study published in Annals of Neurology. In addition, nerve lesions were associated with impaired glycemic control in type 1 diabetes and with dyslipidemia in type 2 diabetes. Investigators performed 3-tesla […]
Read MoreCertain prescribing patterns, surgical procedures, and patient characteristics increase patients’ risk of long-term opioid use following surgery or trauma, according to a study published in the Journal of Bone and Joint Surgery. “Approximately 4% of the general population will use prescribed opioids for an extended time after surgery, but, among patients with a history of prescription […]
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