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British Journal of Anesthesia March 20018 Volume 120, Issue 3, Pages 469–474 Authors: P. Frykholm et al Abstract The current guidelines for preoperative fasting recommend intervals of 6, 4, and 2 h (6–4–2) of fasting for solids, breast milk, and clear fluids, respectively. The objective is to minimize the risk of pulmonary aspiration of gastric contents, but […]
Read MoreAuthors: Lorri A. Lee, MD; Karen L. Posner, PhD; and Karen B. Domino, MD, MPH Postoperative opioid-induced ventilatory impairment (OIVI) is a preventable cause of high severity injuries to patients and many organizations have focused efforts on this patient safety issue over the last two decades. Progress has been slow in this arena because […]
Read MoreJournal of Clinical Anesthesia February 2018 Volume 44 Pages 50-56 Authors: Denis Snegovskikh, M.D. et al Highlights Postpartum Hemorrhage (PPH) is a major cause of maternal morbidity and mortality. 6,708 cesarean deliveries and 13,641 vaginal births analyzed. Point-of-care viscoelastic testing (PCVT) was utilized in patients with PPH. The PCVT produced substantial improvement in both patient […]
Read MoreThis is from Harvard Business Review “Bring me solutions, not problems.” Many well-meaning managers have said it, intending to keep employees from simply complaining about work issues. But employees can take it to mean they should cover up an issue if they don’t have a way to fix it. So it’s better to tell your […]
Read MoreAUTHORS: Kim Yet al Regional Anesthesia and Pain Medicine (Jan 2018) BACKGROUND AND OBJECTIVES Lidocaine infusion therapy (LIT) is an effective treatment for relieving neuropathic pain (NeP). However, it remains unclear whether pain relief can be sustained through repeated lidocaine infusions. This study aimed to determine whether repeated intravenous administration of low-dose lidocaine could provide prolonged […]
Read MoreAUTHORS: Chang, Jee-Eun MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1240–1245 BACKGROUND: Although minor, a sore throat after endotracheal intubation can adversely affect patient satisfaction and postoperative function. We compared the effects of 2 endotracheal tube cuff shapes on postoperative sore throat. METHODS: One hundred ninety-one adult patients were […]
Read MoreI thought this was interesting especially for our readers who treat trauma and/or pain patients. FDA has authorized marketing of the Brain Trauma Indicator, the first blood test to evaluate mild traumatic brain injury (TBI; concussion) in adults. Why this matters TBI is common and can be associated with substantial morbidity and mortality. Majority of […]
Read MoreInsurance commissioners are reacting to news that a former medical director did not review patient medical records when deciding whether to pay for treatment. He looked at the information the nurse provided and not the actual medical record. He stated that Aetna trained him to make pr-authorization decisions this way. In Santa Ana, CA Superior […]
Read MoreJAMA Neurology · February 19, 2018 Authors: Lisbeth Evered, BSc, MBiostats, PhD et al Importance: Anesthesia and surgery are believed to act on the central nervous system by a fully reversible mechanism innocuous to nerve cells. Evidence that neurological sequelae may follow would challenge this belief and would thereby suggest a need to reassess theories of the […]
Read MoreAUTHORS: Maarrawi J et al European Journal of Pain (Feb 2018) BACKGROUND Amitriptyline has well-established efficacy in several chronic pain conditions. While optimal treatment for chronic neck pain (CNP) remains controversial, amitriptyline was not tested for CNP. We evaluated the effect of bedtime amitriptyline in the management of CNP. METHODS 220 patients suffering from idiopathic […]
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