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Investigators sought to determine headache frequency and impact of headache on life quality in patients with HIV and CD4+ T lymphocyte counts >500. A large proportion of HIV-positive patients experience frequent headaches that often impact their quality of life, according to findings from a cross-sectional study published in Headache. For this study, investigators sought to determine […]
Read MoreEdward R. Mariano, MD, MAS Chief, Anesthesiology and Perioperative Care Service Associate Chief of Staff, Inpatient Surgical Services VA Palo Alto Health Care System Palo Alto, California Professor Department of Anesthesiology, Perioperative, and Pain Medicine Stanford University School of Medicine Stanford, California There are numerous clinical and financial benefits to creating an acute pain medicine […]
Read MoreAUTHORS: Lam, Thach MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 2019–2029 BACKGROUND: Death and anoxic brain injury from unrecognized postoperative respiratory depression (PORD) is a serious concern for patient safety. The American Patient Safety Foundation has called for continuous electronic monitoring for all patients receiving opioids in the […]
Read MoreAuthors: Roberto, Sarah, A. et al Anesthesia & Analgesia: October 5, 2017 – Volume Publish Ahead of Print – Issue – p Massachusetts state agencies received reports of 37 adverse events (AEs) involving cataract surgery from 2011 to 2015. Fifteen were anesthesia related, including 5 wrong eye blocks, 3 cases of hemodynamic instability, 2 retrobulbar hematoma/hemorrhages, […]
Read MoreAuthor: Rebecca M. Gerlach, MD Cardiac surgery without neuromuscular blockade is safe and feasible under the right conditions, a study has found. “Although there have been many studies in the recent literature looking at complications associated with residual neuromuscular blockade after anesthesia in noncardiac surgery, we realized that nobody has looked at this issue in […]
Read MoreThe mean sedation scores were statistically significant in favor of the diphenhydramine group as judged by a physician and nurse. For patients using chronic opioids, use of diphenhydramine in addition to conventional sedatives appears to decrease pain and is associated with improved sedation during colonoscopy, according to a study presented at the World Congress of […]
Read MoreAlthough documented as an effective analgesic technique for major knee surgeries, the adductor canal block provides only minor analgesic benefit after ambulatory arthroscopic knee surgery, a study has concluded. In addition, a systematic review and meta-analysis found that the role of the block in anterior cruciate ligament (ACL) reconstruction also may be limited. “Adductor canal […]
Read MoreIn patients undergoing total joint arthroplasty who are already receiving multimodal analgesia, there may be added benefit to incorporating intrathecal morphine. According to a recent retrospective study, the addition of intrathecal morphine to a multimodal analgesic regimen improved analgesia after surgery and reduced postoperative opioid consumption and postoperative nausea and vomiting (PONV). “These data suggest […]
Read MoreAUTHORS: Koster, Andreas et al Anesthesia & Analgesia: October 19, 2017 BACKGROUND: The impact of red blood cell (RBC) transfusion on long-term clinical outcome is controversial. METHODS: We prospectively recorded follow-up data of 6124 cardiac surgical patients who received no transfusion (RBC− group) or 1–2 units of leukocyte-depleted RBC (RBC+ group) at our institution. The primary end point […]
Read MoreAmid an opioid crisis that is claiming tens of thousands of lives each year, the U.S. surgeon general on Thursday urged Americans to start carrying a drug that reverses overdoses. It marks the first time in 13 years that the nation’s top doctor has issued a public health advisory. Speaking at the National Rx Drug […]
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