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Authors: Phi T. Ho, M.D., M.B.A. et al Anesthesiology 8 2018, Vol.129, 249-259. What We Already Know about This Topic: Prompt availability of dantrolene is important for treating malignant hyperthermia and has resulted in lowered mortality rates Maintaining a malignant hyperthermia cart and full treatment dose of dantrolene is expensive, particularly for locations with low incidence […]
Read MoreAuthors: Gianluca Cappelleri, M.D. et al Anesthesiology 8 2018, Vol.129, 241-248. What We Already Know about This Topic: Reducing the volume of local anesthetic administered for neural blockade may increase safety Local anesthetic administration can result in nerve damage What This Article Tells Us That Is New: The low volume intraneural injection of ropivacaine 1% provided […]
Read MoreAuthors: Takeshi Yoshida, M.D., Ph.D. et al Anesthesiology 7 2018, Vol.129, 163-172. Background: In supine patients with acute respiratory distress syndrome, the lung typically partitions into regions of dorsal atelectasis and ventral aeration (“baby lung”). Positive airway pressure is often used to recruit atelectasis, but often overinflates ventral (already aerated) regions. A novel approach to selective recruitment […]
Read MoreIn a study of patients undergoing corrective osteotomy for hallux valgus, those who received an ankle block with a mixture of bupivacaine and long-acting liposomal bupivacaine (Exparel, Pacira) experienced relief of postoperative pain and a marked reduction in opioid consumption, compared with use of general anesthesia alone or ankle block with bupivacaine alone. Both types […]
Read MoreThere are general risks when it comes to going under the knife, many of them related to general anesthesia—side effects from shivering to vomiting. Perhaps more unsettling for the patient, however, can be states of confusion in the minutes and hours after surgery, or even the long-term memory loss sometimes seen in senior patients. “The […]
Read MoreThe management of pulmonary hypertension and right ventricular dysfunction in critically ill patients presents many challenges, but current evidence suggests several clear and effective approaches. According to a systematic review of the literature, use of vasopressors had a moderate to high level of supporting evidence. Studies invest igating inotropic drugs and pulmonary vasodilators also demonstrated […]
Read MoreLidocaine gel may not provide substantial advantage over nonanesthetic gel for reducing pain associated with transurethral bladder catheterization in children age <4 years, according to a meta-analysis published in the Annals of Emergency Medicine. In this study, 2 investigators independently reviewed randomized controlled trials comparing the pain-relieving efficacy of lidocaine gel vs nonanesthetic gel in pediatric patients undergoing […]
Read MoreDepending on the extent of the injury, pain due to burns can range from mild to severe to excruciating. Research indicates that pain experienced during the early hospitalization period may predict long-term outcomes,1 and that acute pain at the time of discharge may serve as a predictor of suicidal ideation post-burn injury.2 A study conducted in soldiers who […]
Read MoreAccording to an anatomic comparison recently published in Pain Medicine, bipolar sacroiliac joint (SIJ) radiofrequency ablation (RFA) techniques might better capture sacral lateral branches (LBs) than monopolar techniques. The cadaveric fluoroscopy study compared the percentage of LBs captured when lesions were created in 40 cadaveric SIJs using 4 bipolar and 3 monopolar RFA techniques. In total, 17 […]
Read MoreRobert S. Ackerman, MD1 Christopher W. Tufts, MD1 Rosemarie E. Garcia Getting, MD2 Devang M. Padalia, MD2 Jonathan B. Cohen, MD2 Arnold B. Etame, MD, PhD3 Sephalie Y. Patel, MD2 Affiliations: 1 University of South Florida, Morsani College of Medicine, Tampa, Florida 2 Department of Anesthesiology, Moffitt Cancer Center, Tampa, Florida 3 Department of Neuro-Oncology, Moffitt Cancer Center, Tampa, Florida Introduction […]
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