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Although frailty is an important perioperative risk factor, interventions specific to frail surgical patients remain rare. According to a systematic review of the literature, development and evaluation of frailty-specific interventions in trials containing a low risk for bias is urgently needed. “We know that frailty adversely affects outcomes in the elderly. Now it’s time to […]
Read MoreWomen diagnosed with breast cancer who are taking aromatase inhibitors to prevent disease recurrence may get relief from joint pain associated with the drugs through acupuncture procedures, according to a study presented here at the 2017 Annual San Antonio Breast Cancer Symposium (SABCS). In a clinical trial that included a sham acupuncture treatment and a […]
Read MoreCold hands, warm heart, as the saying goes. But when it comes to anesthesia, the inverse may be true. Standard induction techniques cause vasodilation, which transfers heat energy away from the core to the periphery in a process known as redistribution hypothermia. According to a new study, however, changing how anesthetic inductions are performed can […]
Read MoreIn a study that has relevance for the ongoing debate about anesthetic neurotoxicity in children, researchers have identified predictors of increased anesthetic duration for some of the most common pediatric general surgeries. Given the possible association between duration of anesthetic exposure and long-term cognitive deficits, understanding predictors of variability may be useful in identifying patients […]
Read MoreAuthors: Oulego-Erroz I et al. Intensive Care Med 2017 Dec 1. In this respect, maybe children are just small adults (with smaller, harder-to-cannulate veins). Ultrasound has definitively been shown to facilitate central line placement in adults, and single-center and operating room studies also support its use in children (NEJM JW Emerg Med Nov 2014 and Acad Emerg Med 2014; 21:981). However, […]
Read MoreAUTHORS: Odonkor, Charles, A., MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 280–288 BACKGROUND: Low back pain is the leading cause of years lost to disability with approximately 15%–25% of the chronic back pain population suffering from lumbar facet arthropathy. No large-scale study has sought to systematically identify inciting […]
Read MoreBy Pauline W. Chen, M.D. New York Times May 31, 2018 Perched atop a hill overlooking a major thoroughfare, the massive brick tower was a holdout from decades earlier. With green tiles lining the walls, black and white linoleum flooring, and hallways redolent of an antiseptic whose recipe hadn’t changed since the 1950s, the hospital had […]
Read MoreAuthors: Klavas, Derek, M., MD et al JAAOS – Journal of the American Academy of Orthopaedic Surgeons: May 15, 2018 – Volume 26 – Issue 10 – p e221–e229 Introduction: Our study assessed the effect of total intravenous anesthesia (TIVA) with short-acting spinal anesthesia and aggressive day-of-surgery postoperative day 0 physical therapy (POD#0 PT) on hospital length […]
Read MoreAUTHORS: Kirkham, Kyle, Robert, MD et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 270–279 BACKGROUND: Perineural dexamethasone has gained popularity in regional anesthesia to prolong analgesia duration. However, uncertainty remains regarding the optimal perineural dose. Clarification of this characteristic is of significant importance as the administration of dexamethasone may lead […]
Read MoreAUTHORS: Hu, Sally, MSc et al Anesthesia & Analgesia: January 2018 – Volume 126 – Issue 1 – p 233–246 BACKGROUND: Narcolepsy is a rare sleep disorder characterized by excessive daytime sleepiness, sleep paralysis, and/or hypnagogic/hypnopompic hallucinations, and in some cases cataplexy. The response to anesthetic medications and possible interactions in narcolepsy patients is unclear in the […]
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