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Authors: Griswold B et al Journal of Pediatric Orthopaedics (Mar 2018) BACKGROUND Pediatric osteoarticular infection can cause severe morbidity. Some infectious loci may be difficult to identify clinically, and there may be more than one. There is little agreement regarding the appropriate use of preoperative magnetic resonance imaging (MRI) in this setting. After noting an […]
Read MoreAbdominoplasty in the postpartum population improves low back pain and urinary incontinence, according to a study published online in Plastic and Reconstructive Surgery. D. Alastair Taylor, from Macquarie University in Sydney, and colleagues conducted a multicenter prospective study using validated questionnaires to examine the incidence of low back pain and urinary incontinence in postpartum women presenting for abdominoplasty […]
Read MoreThe prevalence of opioid use disorder among pregnant women hospitalized for delivery increased more than fourfold from 1999 to 2014, according to an analysis in MMWR. Using Agency for Healthcare Research and Quality data, researchers examined rates of opioid use disorder at delivery in some 30 states over the 16-year period. The disorder was diagnosed in […]
Read MoreOlder patients presenting for major elective surgeries do not often receive perioperative geriatric care, a Canadian study has concluded. These findings fly in the face of current research, which has demonstrated that preoperative geriatric evaluations improve postoperative outcomes in this age group, a finding corroborated by the current study. The conclusions probably also can be […]
Read MoreAuthors: Echeverría G, Altermatt F et al European Journal of Anaesthesiology (Mar 2018) BACKGROUND Postoperative vomiting (POV) is a frequent complication of tonsillectomy in children. In adult patients undergoing abdominal surgeries, the use of intravenous lidocaine infusion can prevent POV. OBJECTIVE To evaluate the anti-emetic effect of an intravenous lidocaine infusion used as an adjuvant […]
Read MoreShivering is a frequent, distressing side effect for women undergoing neuraxial anesthesia for cesarean delivery, but a recent study may have come up with a safe and effective way to deal with it. Researchers concluded that a single bolus of dexmedetomidine after delivery dramatically reduced the incidence and duration of shivering, with no major hemodynamic […]
Read MoreMany people with osteoarthritis and other degenerative diseases, including posttraumatic pain and rheumatoid arthritis, suffer from chronic hip pain. Conservative treatment approaches such as physical therapy and analgesia may result in significant cost or adverse effects while providing only short-term improvement, and minimally invasive techniques have been found to be ineffective or of temporary benefit.1 […]
Read MoreThis is indirectly related to anesthesia since we have pts with CAD. Hypoglycaemia in patients with coronary artery disease is associated with longer hospital stays and higher mortality, according to a study presented here at the 2018 Annual Meeting of The Endocrine Society (ENDO). Shuyang Fang, MD, Icahn School of Medicine at Mount Sinai Hospital, […]
Read MoreCotargeting of peripheral μ-opioid and cannabinoid receptors was found to have a synergistic effect in reducing mechanical allodynia in a mouse model of neuropathic pain in a study presented at the American Pain Society (APS) 2018 meeting, held March 4 to 6 in Anaheim, California. “Current therapeutic options for the management of neuropathic pain are limited by […]
Read MoreAlthough a primary source of medical errors, handoffs between the ICU and the operating room (OR) can be improved through a structured process that does not negatively affect practitioner satisfaction. The structured handoff process both increased the quantity of information transferred and improved the efficiency of the process itself. “The Joint Commission has said that […]
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