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AUTHORS: Meyer, Larissa A., MD, MPH et al Obstetrics & Gynecology: August 2018 – Volume 132 – Issue 2 – p 281–290 OBJECTIVE: To investigate the effect of an enhanced recovery after surgery (ERAS) program on perioperative outcomes with an emphasis on opioid consumption and patient-reported outcomes in the immediate and extended postoperative periods. METHODS: We initiated our […]
Read MoreBackground Caesarean section rates are increasing worldwide and are a growing concern with limited explanation of the factors that influence the rising trend. Understanding obstetricians’ and midwives’ views can give insight to the problem. This systematic review aimed to offer insight and understanding, through aggregation, summary, synthesis and interpretation of findings from studies that report […]
Read MoreAnalgesics may be more effective in alleviating pain associated with postherpetic neuralgia (PHN) compared with topical therapies, antivirals, antidepressants, and antiepileptics, according to findings from a meta-analysis published in Pain Physician. PHN is defined by the presence of persisting pain for ≥120 days after the onset of rash at the acute herpes zoster site. For this meta-analysis, 2 […]
Read MoreOn July 17, anesthesiologist leader and ASA member Jeff Balser, President, CEO and Dean of the Vanderbilt University Medical Center, appeared before the Senate Committee on Health, Education, Labor and Pensions. His message on the future of health care focused on reducing health care costs, eliminating waste and improving value for patients. I want to […]
Read MoreKetamine infusion may provide short-term pain relief for patients with complex regional pain syndrome (CRPS), according to a meta-analysis published in Current Pain and Headache Reports. However, study authors acknowledge the need for additional studies examining the efficacy of the drug for CRPS-associated pain. For this analysis, 2 investigators reviewed independently published randomized controlled trials and […]
Read MoreBy Janaka Lagoo MD, MPH For far too long, we’ve tolerated poor communication and lack of professionalism by surgeons toward fellow clinicians and even patients. At the extreme, surgeons have been known to yell, bully or intimidate their clinical peers. However, there are also more commonplace examples of surgeons failing to inform all members of […]
Read MoreAuthors: Prabhu, Malavika, MD et al Obstetrics & Gynecology: July 2018 – Volume 132 – Issue 1 – p 70–78 OBJECTIVE: To evaluate whether a liposomal bupivacaine incisional block decreases postoperative pain and represents an opioid-minimizing strategy after scheduled cesarean delivery. METHODS: In a single-blind, randomized controlled trial among opioid-naive women undergoing cesarean delivery, liposomal bupivacaine or placebo […]
Read MoreAuthors: Thomas K. Henthorn, M.D. et al Anesthesiology 8 2018, Vol.129, 260-270. What We Already Know about This Topic: Recirculatory pharmacokinetic models describe intravascular mixing by incorporating cardiac output and its distribution to characterize the oscillations of arterial and venous drug concentrations in the minutes after rapid IV drug administration Arterial drug concentrations during a drug […]
Read MoreIt’s time for us all to face a hard truth: you can, in fact, compare apples and oranges. Really, they’re not all that dissimilar. The fundamental traits of each are pretty much the same: they’re both spherical fruits and they both can be made into delicious candy. By almost any measure, they’re much more similar […]
Read MoreRadiofrequency ablation of the basivertebral nerve may lead to significant short-term reduction in pain and functional disability in patients with chronic low back pain and type I or type II Modic changes of the vertebral bodies, according to findings from a randomized trial published in the European Spine Journal. The investigators targeted the basivertebral nerve in […]
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