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Ilioinguinal-transversus abdominis plane (I-TAP) block was shown to provide superior pain relief compared with a multimodal analgesic regimen in patients undergoing elective cesarean delivery, and to be associated with reduced use of high fentanyl doses, in a study published in Anaesthesia. In this prospective placebo-controlled triple-blind trial, investigators evaluated pain outcomes in 100 women who underwent […]
Read MoreThe American Society for Gastrointestinal Endoscopy (ASGE) has released updated guidelines on the use of sedation and anesthesia during GI endoscopic procedures. There are similarities to the guidelines of the American Society of Anesthesiologists (ASA), particularly when it comes to timing of sedation. However, the new ASGE guidelines offer a different approach for capnography during endoscopic procedures […]
Read MoreBy Shereen Lehman (Reuters Health) – Using non-steroidal anti-inflammatory drugs (NSAIDs) around the time of conception significantly increases the risk of miscarriage in the first eight weeks of pregnancy, a study suggests. Researchers compared newly pregnant women who used NSAIDs around the time of conception or early in their pregnancy to those who used acetaminophen […]
Read MoreBy Rachael Rettner Life Science June 2018 Marijuana use may affect how much pain people feel and the dose of painkillers they need following a traumatic injury, such as an injury from a car accident, a new study suggests. The study found that, after experiencing a traumatic injury, marijuana users reported higher levels of pain, and needed […]
Read MoreOral vitamin E supplementation consisting of 400 mg/day mixed tocotrienols for 1 year may not result in improved neuropathic pain symptoms in patients with diabetic peripheral neuropathy (DPN), according to a randomized trial published in JAMA Neurology. In this double-blind placebo-controlled trial, investigators randomly assigned patients with DPN (mean age, 57.6±8.9 years; mean duration of diabetes, […]
Read MoreAuthor at Forbes Bruce Japsen As insurance companies shift more reimbursement away from fee-for-service medicine, doctors and their practices are seeing more of their bonuses and pay hikes based on “value-based metrics such as patient satisfaction and outcome measures,” new reports on physician compensation indicate. Physician staffing firm MerrittHawkins said 43% of its clients offering physicians […]
Read MoreAUTHORS: Afreen, Lubana K., BS et al Anesthesia & Analgesia: August 2018 – Volume 127 – Issue 2 – p 420–423 BACKGROUND: Known complications of endoscopic retrograde cholangiopancreatography (ERCP) include pancreatitis, bleeding, duodenal perforation, and venous air embolism (VAE). The aim of this study was to determine the incidence of VAE during ERCP and be able to […]
Read MoreAUTHORS: Simpao, Allan F., MD, MBI et al Anesthesia & Analgesia: February 23, 2018 BACKGROUND: The migration of pediatric thoracic epidural catheters via a thoracic insertion site has been described. We assessed the migration of caudally threaded thoracic epidural catheters in neonates and infants at our institution. METHODS: The anesthesia records and diagnostic imaging studies of neonates and […]
Read MoreAUTHORS: Quan, Zhefeng, MD et all Anesthesia & Analgesia: February 23, 2018 BACKGROUND: We evaluated the efficacy and gastroenterologist/patient satisfaction of midazolam combined with oxycodone, relative to that of midazolam combined with sufentanil, for anesthesia during endoscopic injection sclerotherapy (EIS) in patients with cirrhosis and esophageal varices. METHODS: Patients with cirrhosis (20–69 years of age), body mass index, […]
Read MoreAUTHORS: Katz, Daniel, MD et al Anesthesia & Analgesia: February 23, 2018 Agreement between estimated fibrinogen concentration via thromboelastography and traditional assays is not established in the parturient. We therefore recruited 56 parturients and performed Clauss and functional fibrinogen level (FLEV) tests. Mean difference of measurements was 36.8 mg/dL (95% CI, 21.8–51.9) with a standard deviation […]
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