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AUTHORS: Porteous, Grete, H., MD et al Anesthesia & Analgesia: December 26, 2017 BACKGROUND: Microbiological contamination of the anesthesia work environment (AWE) is a potential source of health care–associated infections. Medication syringes, stopcocks, and many other areas are routinely contaminated during anesthetic care, and adherence to hand hygiene recommendations is poor. Using a simulation model, we investigated […]
Read MoreJAMA Surg. published May 23, 2018. Authors: Shahid Shafi MD, MBA, MPH et al Question What are the incidence and consequences of opioid-related adverse drug events in patients undergoing hospital-based surgical and endoscopic procedures within a large, integrated health care delivery system? Findings In this study of clinical and administrative data that included 135 379 patients, 14 386 (10.6%) […]
Read Morehe FDA is warning that over-the-counter (OTC) oral drug products containing benzocaine should not be used to treat infants and children younger than 2 years. We are also warning that benzocaine oral drug products should only be used in adults and children 2 years and older if they contain certain warnings on the drug label. […]
Read MoreMany first-time mothers have mistaken ideas about managing the pain of childbirth, a new survey reveals. The survey, commissioned by the American Society of Anesthesiologists (ASA), included more than 900 U.S. mothers, 73 percent of whom had vaginal births. While many said they had less pain than feared, many went into labor with false ideas […]
Read MoreThis is another article I found interesting so I wanted to share it with our pain practitioners along with our readers. Injections and pain-relieving pills on game day. Potential lasting damage. B/R Mag’s survey of 50 current players sheds light on pro football’s dirty secret: Toradol They didn’t ask questions. If something hurt, NFL players […]
Read MoreIn an effort to improve the use and safety of neuromuscular monitoring, the International Anesthesia Research Society recently published a consensus statement on its use in the perioperative setting (Anesth Analg 2017 Nov 30. [Epub ahead of print]). The statement includes several recommendations laid out by a team of physician experts on the proper use […]
Read MoreA North Carolina hospital’s trauma service created a multidisciplinary team that substantially reduced opioid prescriptions for patients by standardizing the approach to pain control, according to a new study. The Wake Forest Baptist Medical Center’s multidisciplinary team implemented a pain management protocol (PMP) for trauma patients that improved pain management and patient satisfaction while reducing […]
Read MoreRepeated or lengthy use of general anesthetic and sedation drugs in infants, toddlers and pregnant women in their third trimester might damage children’s developing brains, the U.S. Food and Drug Administration warned this month. Upset that the warning about pregnant women was based solely on animal studies, the American College of Obstetricians and Gynecologists, or […]
Read MoreAuthors: Anoop Ramgolam, Ph.D. et al Anesthesiology 6 2018, Vol.128, 1065-1074. Background: Limited evidence suggests that children have a lower incidence of perioperative respiratory adverse events when intravenous propofol is used compared with inhalational sevoflurane for the anesthesia induction. Limiting these events can improve recovery time as well as decreasing surgery waitlists and healthcare costs. This […]
Read MoreASA ANNUAL MEETING Oct 2017 Introduction Ketamine is associated with improvement of depression and neuropathic pain when sub-anesthetic doses are used. The NMDA receptor is involved in learning and memory, and antagonists such as ketamine may be associated with cognitive impairment. The objective of this study is to investigate whether repeat outpatient ketamine infusion is […]
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