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A patient blood management program safely reduced the need for blood transfusions among patients undergoing common orthopaedic surgeries, according to a study published in Anesthesiology. “A growing body of literature shows reducing blood use in surgery reduces risks to patients while also lowering costs,” said lead author Steven M. Frank, MD, Johns Hopkins Health System Blood […]
Read MoreAuthors: Steven P. Cohen, M.D. et al Anesthesiology 9 2018, Vol.129, 517-535. t This Topic: Facet blocks, including intraarticular and medial branch blocks, are frequently used before radiofrequency ablation, but their validity as a predictive tool is unproven Recently, the evidence supporting radiofrequency ablation has come under great scrutiny What This Article Tells Us That Is […]
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 […]
Read MoreAuthors: Sepehrvand N et al Heart (Mar 2018) BACKGROUND Although oxygen therapy has been used for over a century in the management of patients with suspected acute myocardial infarction (AMI), recent studies have raised concerns around the efficacy and safety of supplemental oxygen in normoxaemic patients. OBJECTIVE To synthesise the evidence from randomised controlled trials […]
Read MoreAuthors: Kim J, Koh H et al Journal of Shoulder and Elbow Surgery (Mar 2018) BACKGROUND We sought to compare the efficacy of interscalene brachial plexus bolus blockade (IBPBB) and patient-controlled interscalene indwelling catheter analgesia (PCIA) for postoperative pain management within 48 hours postoperatively in patients undergoing arthroscopic rotator cuff repairs (ARCR). METHODS Patients undergoing […]
Read MoreA longer duration of extended-release naltrexone (XR-NTX) treatment in individuals with opioid dependence was associated with improved outcomes and reduced rates of relapse in a study published in Addiction. Monthly visits for XR-NTX treatment of 395 patients with opioid dependence were retrospectively assessed. Patients were divided into subgroups according to the number of XR-NTX injections they received: 6 […]
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 MorePatients taking prescription opioids and gabapentin concomitantly have a 49% greater risk for opioid-related death than those treated with opioids only, according to a new Canadian study. A team of researchers led by Tara Gomes, PhD, MHSc, principal investigator of the Ontario Drug Policy Research Network (ODPRN), used administrative databases to compare opioid users who […]
Read MoreAuthors: Cassandra Wasson, DO, Alice Tsao, MD, Zheng Wang, MD Case Description A 45-year-old man presented to the emergency department (ED) as a trauma patient after a motor vehicle collision. He was a restrained passenger of a single-vehicle accident. The Glasgow Coma Scale (GCS) score was assessed as 9 in the field. The emergency medical services […]
Read MoreAuthors: Amie L. Severino, Ph.D. et al Anesthesiology 9 2018, Vol.129, 544-556. What We Already Know about This Topic: Pain resolves more quickly from cesarean delivery than other abdominal surgeries Pregnancy-related hormones such as oxytocin may reduce postoperative pain in women, although similar systems may function in men as well What This Article Tells Us That […]
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