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A comparison of anesthesia closed claims from ambulatory surgery centers (ASCs) and hospital operating rooms (HORs) has found some noteworthy differences, and also spotlights areas where underperforming can result in liability. Procedures performed in ASCs have become markedly more common since the 1980s. The researchers, including Richard D. Urman, MD, MBA, of the Center for Perioperative Research […]
Read MoreThis is an interesting article for our readers who treat pain patients A study published in Diseases of the Colon & Rectum suggest that women who underwent laparoscopic colorectal resection for endometriosis not responding to hormonal treatment reported significant reductions in pain intensity associated with menstrual periods, between periods and less pain associated with bowel […]
Read MoreI thought this was interesting so I wanted to share it Source: J Clin Rheumatol OBJECTIVE Racial variation in total knee replacement (TKR) utilization in the United States has been reported in administrative database studies. We investigated racial variation in TKR procedures in a diverse cohort with severe knee pain followed in an ongoing clinical trial. […]
Read MoreAm J Emerg Med Coronary artery spasm (CAS) rarely worsens from single-vessel to simultaneous multivessel CAS naturally, and simultaneous multivessel CAS leads to serious conditions such as cardiopulmonary arrest (CPA). A 77-year-old Japanese man who took medications for CAS was transferred to our hospital due to persistent chest pain. On arrival, his vital signs were […]
Read MoreAlthough there is a significant association between elevated baseline pulse pressure and acute kidney injury (AKI) after coronary artery bypass graft (CABG) surgery, no association exists with the weighted duration of intraoperative hemodynamic perturbations, such as hypotension or hypertension. “It’s known that elevated pulse pressure is a predictor of acute kidney injury after CABG surgery,” […]
Read MoreIMPROVE Trial Investigators. BMJ 2017 Nov 14. Three-year mortality was lower with endovascular repair. In a previously reported U.K. trial of 613 patients with clinically suspected rupture of abdominal aortic aneurysm (AAA), 30-day mortality and hospital costs were similar in patients randomized to endovascular repair (in those with suitable aortic anatomy) and patients randomized to open repair; […]
Read MoreAUTHORS: Sankineani S et al European Journal of Orthopaedic Surgery & Traumatology (May 2018) BACKGROUND Adductor canal block (ACB) is a peripheral nerve blockade technique that provides good pain control in patients undergoing total knee arthroplasty which however does not relieve posterior knee pain. The recent technique of an ultrasound-guided local anesthetic infiltration of the interspace between popliteal artery […]
Read MoreAUTHORS: Kadomatsu Y et al General Thoracic and Cardiovascular Surgery (May 2018) OBJECTIVE Clinical evidence comparing paravertebral (PVB) and continuous intercostal nerve (ICB) blocks for pain management post video-assisted thoracic surgery (VATS) is limited. This study confirms the analgesic effect of ICB using two catheters is not inferior to that of PVB under direct vision. […]
Read MoreThis is important because we see many dialysis patients in surgery. In a retrospective cohort study published in the Clinical Journal of the American Society of Nephrology, opioids were found to be associated with adverse events in older Medicare beneficiaries receiving hemodialysis. The investigators used the US Renal Data System to evaluate adverse events in 140,899 Medicare […]
Read MoreWith the country’s opioid crisis in mind, anesthesiologists are on the lookout for ways to address pain after outpatient surgery while minimizing the possibility of diversion. A team of Missouri researchers may have found a possible solution in the unlikeliest of candidates: IV methadone. Their study found that a single intraoperative dose of the agent […]
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