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JAMA · April 11, 2017 Question: Is the use of spinal manipulative therapy in the management of acute (≤6 weeks) low back pain associated with improvements in pain or function? Findings: In this systematic review and meta-analysis of 26 randomized clinical trials, spinal manipulative therapy was associated with statistically significant benefits in both pain and function, of […]
Read MoreAUTHORS: Stedman, Jennifer L. MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1564–1568 BACKGROUND: As the number of operative cases increases, there is a greater emphasis on reducing inefficiency while maintaining patient safety. Recently, the issue of prespiking intravenous (IV) bags was raised. No study has assessed whether […]
Read MoreAUTHORS: McIsaac, Daniel I. MD, MPH, FRCPC et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1653–1661 BACKGROUND: Older patients undergoing emergency general surgery (EGS) experience high rates of postoperative morbidity and mortality. Studies focused primarily on elective surgery indicate that frailty is an important predictor of adverse outcomes in […]
Read MoreAUTHORS: Gabel, Eilon MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1423–1430 BACKGROUND: In medical practice today, clinical data registries have become a powerful tool for measuring and driving quality improvement, especially among multicenter projects. Registries face the known problem of trying to create dependable and clear metrics […]
Read MoreThe use of PNS in 2 subjects with chronic LBP is described. HealthDay News — A novel method of short-term percutaneous peripheral nerve stimulation (PNS) is useful for producing pain relief and reducing medication use among patients with chronic low back pain (LBP), according to a case report published in Pain Practice.1 Leonardo Kapural, MD, PhD, […]
Read MoreAUTHORS: Tangen, Kevin M. BS et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1686–1696 BACKGROUND: Intrathecal drug delivery is an attractive option to circumvent the blood-brain barrier for pain management through its increased efficacy of pain relief, reduction in adverse side effects, and cost-effectiveness. Unfortunately, there are limited guidelines […]
Read MoreAuthors: Ronaldo Rodrigo MD, PhD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1674–1677 Intrathecal local anesthetic maldistribution is a well-known cause of spinal anesthesia failure (SAF). This could potentially result in sensory blockade restricted to the sacral dermatomes. We sought to determine the overall incidence of SAF and […]
Read MoreThe DRG has been shown to undergo pathophysiologic changes in animal models of chronic pain, and may be a viable target for neurostimulation. Dorsal root ganglion (DRG) stimulation is more likely than spinal cord stimulation (SCS) to provide pain relief in patients with neuropathic pain affecting the lower extremities, according to the ACCURATE study published […]
Read MoreFactors influencing patient satisfaction after total hip arthroplasty (THA) vary by sex, according to a new study. Staff responsiveness followed by clear communication from nurses and doctors are most important to female patients, whereas optimal pain management is most important to male patients, researchers have found. The study was conducted to see whether patients’ sex […]
Read MoreDifferent ropivacaine concentrations in transversus abdominis plane (TAP) block for post-cesarean analgesia yield unpredictably varying analgesic benefits and wide confidence intervals in morbidly obese women, according to a randomized clinical trial. The results have served to add fuel to the fire over the controversy of the block’s efficacy. “At our institution, morbidly obese parturients do […]
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