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By Palavi Vaidya, Roya Vahdatinia , Victoria A. Troncoso, DO and Leonard B. Goldstein, DDS, PhD In this case study, the authors review hyperlordosis as a cause of back pain during pregnancy and discuss best practices for pain management before, during, and after pregnancy. Case Overview A 26-year-old female, who was 34 weeks pregnant with her first child, presented with lower […]
Read MoreAuthors: Nasir Hussain, M.Sc., M.D. et al Anesthesiology 12 2017, Vol.127, 998-1013. Background: Interscalene block provides optimal shoulder surgery analgesia, but concerns over its associated risks have prompted the search for alternatives. Suprascapular block was recently proposed as an interscalene block alternative, but evidence of its comparative analgesic effect is conflicting. This meta-analysis compares the analgesic effect […]
Read MoreNIH-funded scientists may have revealed brain functions in pre-clinical research that widen the safety margin for opioid pain relief without overdose. Opioid pain relievers can be extremely effective in relieving pain, but can carry a high risk of addiction and ultimately overdose when breathing is suppressed and stops. Scientists have discovered a way to separate […]
Read MoreBy Alex Kacik for Modern Healthcare Nov 2017 Healthcare costs for four common procedures are rising as hospitals and health systems employ more physicians, according to a new study. A 49% increase in hospital-employed physicians between 2012 and 2015 led to a $3.1 billion increase in Medicare costs related to four specific procedures in cardiology, orthopedics and […]
Read MoreBy MEGAN THIELKING Motorcycle crashes are alarmingly common — and incredibly costly, according to a new study. Researchers pulled data from adults treated for motorcycle and car crash injuries at hospitals in Ontario, Canada, between 2007 and 2013. The toll: nearly 282,000 adults injured in car accidents and nearly 27,000 in motorcycle crashes during that time […]
Read MoreAuthors: Daniel I. Sessler, M.D. et al Anesthesiology published on November 23, 2017. Background: The relative contributions of intraoperative and postoperative hypotension to perioperative morbidity remain unclear. We determined the association between hypotension and a composite of 30-day myocardial infarction and death over three periods: 1) intraoperative; 2) remaining day of surgery; and 3) during the initial […]
Read MoreAuthors: Stefan A. Girsberger, M.D. et al Anesthesiology published on November 23, 2017. Background: Thoracic epidural analgesia with bupivacaine resulted in clinically relevant postvoid residuals due to detrusor underactivity. This study aimed to compare the risk of bladder dysfunction with ropivacaine versus bupivacaine using postvoid residuals and maximum flow rates. Our hypothesis was that ropivacaine would result in lower […]
Read MoreAuthor: Warwick D. Ngan Kee, M.D., F.A.N.Z.C.A., F.H.K.A.M. Anesthesiology 12 2017, Vol.127, 934-941. Background: Norepinephrine has been investigated as a potential alterative to phenylephrine for maintaining blood pressure during spinal anesthesia for cesarean delivery with the advantage of less depression of maternal heart rate and cardiac output. However, the relative potencies of these two vasopressors have not […]
Read MoreAuthors: Christian Breschan, M.D., D.E.A.A. et al Anesthesiology 1 2018, Vol.128, 38-43. Background: The aim of this retrospective analysis was to evaluate the clinical effectiveness of the supraclavicular ultrasound-guided cannulation of the brachiocephalic vein in preterm infants. Methods: The ultrasound probe was placed in the supraclavicular region so as to obtain the optimum sonographic long-axis view of the […]
Read MoreAn alarming new study suggests that the emphasis on reducing hospital 30-day readmissions has inadvertently led to increased risk of death for Medicare patients hospitalized with heart failure. Gregg C. Fonarow, MD As many as 10,000 heart failure patients could die prematurely each year because of misguided efforts that keep them out of the hospital […]
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