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Many patients with motor vehicle accidents experience acute musculoskeletal pain, which transforms to persistent pain in approximately 40% of cases. A study comparing opioids with nonsteroidal anti-inflammatory drugs (NSAIDs) prescribed for pain following a motor vehicle collision (MVC) found that opioids do not reduce the likelihood of developing persistent pain. In addition, opioids may lead […]
Read MoreAnaesthesia · February 15, 2017 Authors: M Miller et al Following the return of spontaneous circulation after out-of-hospital cardiac arrest, neurological dysfunction, airway or ventilatory compromise can impede transport to early percutaneous coronary intervention, necessitating pre-hospital or emergency department anaesthesia to facilitate this procedure. There are no published reports of the ideal induction agents in these patients. […]
Read MoreAlthough epidural anesthesia is considered the gold standard for postthoracotomy pain treatment, it is contraindicated in certain patients. According to a retrospective study by researchers at the Shizuoka Cancer Center in Japan, continuous thoracic paravertebral nerve block (PVB) is similarly effective as epidural anesthesia (EDA) for the management of postthoracotomy pain.1 Although EDA is considered […]
Read MoreApproximately 1.75% of children and adolescents experience chronic migraine. In a new study by researchers at the University of Cincinnati College of Medicine, a combination of treatment with cognitive behavioral therapy (CBT) and the tricyclic antidepressant amitriptyline led to greater improvements in youth with chronic migraine compared with treatment with headache education (HE) and amitriptyline.1 […]
Read MorePatients with JFM had poorer psychological and health-related outcomes than healthy control patients. According to a study published in Arthritis Care & Research, young adults with juvenile-onset fibromyalgia (JFM) and a history of trauma are more likely than patients with JFM and no trauma history to have psychological comorbidities. Contrary to the researchers’ hypothesis, a trauma […]
Read MoreA comparison of interscalene and supraclavicular approaches with brachial plexus block during shoulder surgery suggests that using larger volumes of local anesthetic does not provide a longer duration of effect. According to the study’s authors, when compared with the interscalene approach, the supraclavicular approach provided similar post operative pain control along with a lower incidence […]
Read MoreIn recent years, transmucosal fentanyl formulations have been shown to be superior to immediate-release oral morphine. Fentanyl sublingual tablets (FST) are preferred over subcutaneous morphine (SCM) in patients with severe breakthrough cancer pain, but FST may not be as effective as SCM, according to a study published in the Journal of Clinical Oncology.1 Patients who require […]
Read MoreCase Report: Adam A. Dalia, MD, MBA Cardiothoracic Anesthesiology Fellow Department of Anesthesia, Critical Care, and Pain Medicine Massachusetts General Hospital Boston, Massachusetts Michael K. Essandoh, MD Associate Director of Clinical Research Associate Professor, Clinical Cardiovascular Anesthesiology Department of Anesthesiology The Ohio State University Medical Center Columbus, Ohio Routine mediastinoscopy can be a fairly low-risk […]
Read MoreAUTHORS: Karkouti, Keyvan MD, FRCPC et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1986–1991 BACKGROUND: Red cell viability is impaired during storage, resulting in excess hemolysis during storage and after transfusion. As a result, transfusions may oversaturate the hemoglobin clearance pathways, resulting in cell-free hemoglobin and iron toxicity in […]
Read MoreThe Johns Hopkins Armstrong Institute for Patient Safety and Quality has been awarded nearly $4 million to improve surgical care across the United States, Johns Hopkins Medicine announced. This money will be used, in collaboration with the American College of Surgeons, to help implement enhanced recovery after surgery (ERAS) protocols in more than 750 hospitals. […]
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