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Although the mechanisms underlying the development and maintenance of neuropathic pain are still poorly understood, both µ-opioid and NMDA receptors have been implicated. A randomized controlled trial investigating treatments for chronic neuropathic pain revealed that a ketamine regimen is superior to methadone, or ketamine combined with methadone, in alleviating neuropathic pain and associated sensory changes.1 […]
Read MoreIn patients with migraine, structural and functional changes occur in brain regions that are not directly involved in processing pain signals, such as the striatum or basal ganglia. Acute migraine attacks are associated with a reduction in dopamine release, according to a study published in Neurology.1 In patients with migraine, structural and functional changes occur in […]
Read MoreThe minimum criteria for informed consent (IC) are being met in pediatric anesthesia, but more can be done to obtain explicit agreement from patients’ parents, according to a prospective, cross-sectional study conducted at Seattle Children’s Hospital, in Washington. The findings come from analyses of recorded and transcribed conversations between parents of surgical patients aged 1 […]
Read MoreIf the experience of researchers at Duke University Medical Center is indicative of the nation as a whole, then infused medications are being wasted throughout the perioperative process. This is the product of preparing and priming standard infusions regardless of patient and procedural characteristics. The good news is that such practices seem to be easily […]
Read MoreA majority of institutions do not have a written policy for mechanical ventilation during intrahospital transport of children with congenital heart disease. That was the finding from a survey of pediatric anesthesia program directors throughout North America. Presented at the 2017 meeting of the Society for Pediatric Anesthesia/American Academy of Pediatrics Section on Anesthesiology and […]
Read MoreThe investigators found pain to present in many forms throughout the course of ALS. Pain is far more common and widespread in amyotrophic lateral sclerosis (ALS) than previously suspected, and initial pain symptoms may predate the clinical onset of the disease’s hallmark motor dysfunction by as much as 2 years, reported Adriano Chiò, MD, from […]
Read MorePediatric patients with tetralogy of Fallot and pulmonary atresia appear to have an increased likelihood of complications following pulmonary rehabilitation surgery, according to a retrospective review. The findings, presented at the 2017 annual meeting of the Society for Pediatric Anesthesia/American Academy of Pediatrics Section on Anesthesiology and Pain Medicine (abstract CA1-36), come from an analysis […]
Read MoreShale Imeson, MD The saying “May you live in interesting times,” is perhaps especially meaningful for those of us navigating the tumultuous world of today’s health care marketplace. As reimbursement shifts toward value-based payments, the health care industry struggles to find ways to meet new demands for efficiency, including improved outcomes and lower costs. In […]
Read MoreKaren B. Domino, MD, MPH Professor of Anesthesiology & Pain Medicine University of Washington, Seattle Martin J. London, MD Professor of Clinical Anesthesia University of California, San Francisco Avery Tung, MD Professor of Anesthesiology & Critical Care University of Chicago In the March issue of Anesthesiology News, Robert E. Johnstone, MD, criticized anesthesia practice guidelines, citing […]
Read MoreThe use of supraglottic airway (SGA) devices in pediatric patients with neck masses “almost always” has an effect on the appearance of the masses on MRI scans, according to a 10-year review at a single institution. Results from analyzing the MRI scans from databases at the Children’s Hospital of Philadelphia (CHOP) support avoidance of SGA […]
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