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New-onset atrial fibrillation (AF) after surgery still occurs frequently among cardiac surgery patients, despite advances in therapeutic options, and leads to significantly more morbidity. “Atrial fibrillation is the most common postoperative complication in cardiac surgery, has numerous negative effects on patients and is very costly for the health care system as a whole,” said Jean […]
Read MoreNondrug treatment alternatives should be considered as first-line therapy for patients with low back pain (LBP), according to an updated clinical practice guideline from the American College of Physicians (ACP). The new guideline offered three main recommendations for treating acute (less than four weeks), subacute (four to 12 weeks) and chronic (>12 weeks) LBP: • Nonpharmacologic treatments […]
Read MoreRepetitive transcranial magnetic stimulation (rTMS) significantly reduced phantom limb pain in patients who had lost limbs to land mine explosions for up to 15 days, according to a study in the Journal of Pain (2016 ;17:911-918). Sixty-three percent of patients experienced a greater than 50% reduction in pain. No significant side effects were reported. Fifty-four patients with […]
Read MoreA large French study has shown that monitoring both hemoglobin (SpHb) and plethysmography variability index (PVI) as part of a vascular filling algorithm allows for optimal transfusion among surgical patients, thereby reducing mortality. The researchers noted that inclusion of such noninvasive devices may significantly affect patient outcomes in the future, particularly among patients undergoing serious, […]
Read MoreA study that compared epidurals placed in the L5-S1 interspace and those placed in the most clinically accessible lumbar interspace cephalad found no significant differences in efficacy. The mean number of dermatomes blocked, number of interventions required to achieve adequate analgesia, and pain scores following epidural placement and at delivery were all similar in the […]
Read MoreAuthors: Lascarrou J et al Journal of the American Medical Association (JAMA) 317 (5), 483-493 (2017) Importance In the intensive care unit (ICU), orotracheal intubation can be associated with increased risk of complications because the patient may be acutely unstable, requiring prompt intervention, often by a practitioner with nonexpert skills. Video laryngoscopy may decrease this […]
Read MoreAUTHORS: Hussain N et al BACKGROUND AND OBJECTIVES Dexmedetomidine has been thought to be an effective adjuvant to local anesthetics in brachial plexus blockade. We sought to clarify the uncertainty that still exists as to its true efficacy. METHODS A meta-analysis of randomized controlled trials was conducted to assess the ability of dexmedetomidine to prolong […]
Read MoreBelieve it or not, damages from health-sector pollution are on the same order of magnitude as lives lost each year from preventable medical errors. Therefore, striving to keep patients safe should include efforts to protect public health. “Ironically, the health sector is one of the worst polluting industries,” said Jodi Sherman, MD, assistant professor of […]
Read MoreThalamic pain is a distressing and treatment-resistant type of central post-stroke pain. Although stellate ganglion block is an established intervention used in pain management, its use in the treatment of thalamic pain has never been reported. A 66-year-old woman presented with a 3-year history of severe intermittent lancinating pain on the right side of the […]
Read MoreStellate ganglion blocks have been shown to provide effective pain relief in a number of different conditions, but no one had reported stellate ganglion blocks for the treatment of epileptic pain. We describe a case report of the successful use of stellate ganglion block in the treatment of epileptic pain in the patient. A 8-year-old […]
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