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Authors: Ryu Komatsu, M.D. et al Anesthesiology 10 2017, Vol.127, 684-694. Background: The majority of parturients in the United States first return for evaluation by their obstetric practitioner 6 weeks after delivery. As such, there is little granular data on the pain experience, analgesic requirements, and functional recovery during the postpartum period. This prospective observational study was […]
Read MoreAuthors: Stein Silva, M.D., Ph.D. et al Anesthesiology 10 2017, Vol.127, 666-674 Background: Recent studies suggest that isolated sonographic assessment of the respiratory, cardiac, or neuromuscular functions in mechanically ventilated patients may assist in identifying patients at risk of postextubation distress. The aim of the present study was to prospectively investigate the value of an integrated thoracic […]
Read MoreAuthors: Maryanne Z. A. Mariyaselvam, M.B.B.S. et al Anesthesiology 10 2017, Vol.127, 658-665. Background: Retained central venous catheter guidewires are never events. Currently, preventative techniques rely on clinicians remembering to remove the guidewire. However, solutions solely relying upon humans to prevent error inevitably fail. A novel locked procedure pack was designed to contain the equipment required for […]
Read MoreAuthors: Catherine E. Warnaby, Ph.D. et al Anesthesiology 10 2017, Vol.127, 645-657. Background: Previously, we showed experimentally that saturation of slow-wave activity provides a potentially individualized neurophysiologic endpoint for perception loss during anesthesia. Furthermore, it is clear that induction and emergence from anesthesia are not symmetrically reversible processes. The observed hysteresis is potentially underpinned by a neural […]
Read MoreAuthors: Amy I. Lee, M.D. et al Anesthesiology 10 2017, Vol.127, 614-624. Background: Breastfeeding is an important public health concern. High cumulative doses of epidural fentanyl administered for labor analgesia have been reported to be associated with early termination of breastfeeding. We tested the hypothesis that breastfeeding success is adversely influenced by the cumulative epidural fentanyl dose […]
Read MoreAUTHORS: Oberholzer, Nicole CM et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 200–209 BACKGROUND: Pain is frequently encountered in the prehospital setting and needs to be treated quickly and sufficiently. However, incidences of insufficient analgesia after prehospital treatment by emergency medical services are reported to be as high as […]
Read MoreAUTHORS: Duceau, Baptiste MD et al Anesthesia & Analgesia: May 4, 2017 BACKGROUND: Although thoracic paravertebral block (TPVB) is recommended in major breast surgery, there is no gold standard to assess the success of TPVB. Pupillary dilation reflex (PDR) is the variation of the pupillary diameter after a noxious stimulus. The objective was to evaluate the […]
Read MoreAUTHORS: McCann, M. E. MD, MPH et al Anesthesia & Analgesia: September 2017 – Volume 125 – Issue 3 – p 837–845 BACKGROUND: The General Anesthesia compared to Spinal anesthesia (GAS) study is a prospective randomized, controlled, multisite, trial designed to assess the influence of general anesthesia (GA) on neurodevelopment at 5 years of age. A […]
Read MoreLarger pain areas are not associated with signs of central sensitization. Results from a study recently published in Pain Medicine indicate that greater pain extent of chronic tension-type headache (CTTH) correlates with older age and greater emotional and physical burdens in patients.1 The study also shows that pain extent is not related to anxiety, depression, or pressure pain […]
Read MoreClobazam was found to be less sedating than commonly used benzodiazepines. Clobazam is more effective than placebo in reducing low back pain, according to a randomized, placebo-controlled trial described in the European Journal of Pain.1 Benzodiazepines were initially used in the treatment of low back pain because of their muscle-relaxant effects. Rodent and human studies suggest […]
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