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Rates of opioid abuse in North America have levelled, but remain disturbingly high, and do not seem to be declining, according to results of a retrospective study presented on October 22 at the 2017 Annual Meeting of the American Society of Anesthesiologists (ASA). Using 2000 to 2014 data from the annual National Survey on Drug […]
Read MoreAuthor: Christopher M. Burkle, M.D., J.D. ASA Monitor 11 2017, Vol.81, 48-49. Each year, the ASA Committee on Professional Liability provides a report on changing trends in malpractice insurance premiums and characteristics impacting physician anesthesiologists. The Anesthesia Closed Claims Project conducted a survey of malpractice insurers in May-July 2017 on behalf of the committee. Twenty-seven medical liability […]
Read MoreAuthors: Nasir Hussain, M.Sc., M.D. et al Anesthesiology 12 2017, Vol.127, 998-1013. Background: Interscalene block provides optimal shoulder surgery analgesia, but concerns over its associated risks have prompted the search for alternatives. Suprascapular block was recently proposed as an interscalene block alternative, but evidence of its comparative analgesic effect is conflicting. This meta-analysis compares the analgesic effect […]
Read MoreAuthors: Jan Hofland, M.D., Ph.D. et al Anesthesiology 12 2017, Vol.127, 918-933. Background: Ischemic myocardial damage accompanying coronary artery bypass graft surgery remains a clinical challenge. We investigated whether xenon anesthesia could limit myocardial damage in coronary artery bypass graft surgery patients, as has been reported for animal ischemia models. Methods: In 17 university hospitals in France, Germany, […]
Read MoreAuthors: Moritz Kretzschmar, M.D., Ph.D., D.E.S.A. et al Anesthesiology 11 2017, Vol.127, 800-812. Background: Increasing numbers of patients with obstructive lung diseases need anesthesia for surgery. These conditions are associated with pulmonary ventilation/perfusion (VA/Q) mismatch affecting kinetics of volatile anesthetics. Pure shunt might delay uptake of less soluble anesthetic agents but other forms of VA/Q scatter have […]
Read MoreInfants under the age of 1 year, children 13 years and older, paediatric patients with high ASA physical status, and those treated in university hospitals may be at increased risk for longer exposure to general anaesthesia, which appears to affect neurodevelopment, according to results of a retrospective cohort analysis presented at the 2017 Annual Meeting […]
Read MoreOpioid-free anaesthesia is both safe and effective, and dramatically decreases postoperative nausea, according to results of a retrospective review presented October 23 at the 2017 Annual Meeting of the American Society of Anesthesiologists (ASA). Lead author Enrico M. Camporesi, MD, University of South Florida and TEAMHealth Anesthesia, Tampa, Florida and colleagues examined the records of […]
Read MoreScrambler Therapy — in which an electronic device is used to block transmission of pain signals by providing non-pain information to the nerve fibres — is a viable option for the treatment of chemotherapy-induced peripheral neuropathy (CIPN), according to results of a small, prospective study presented on October 21 at the 2017 Annual Meeting of […]
Read MoreIntraperitoneal bupivacaine is an effective postoperative analgesic following laparascopic cholecystectomy, according to results of a meta-analysis presented here at the 2017 Annual Meeting of the American College of Surgeons (ACS). “Intraperitoneal bupivacaine instillation effectively reduces post-operative pain in patients who underwent laparoscopic cholecystectomy, specifically in the first 12 hours postoperatively,” stated lead author Linnelle Lao, […]
Read MoreIntraoperative administration of a fixed dose of dexmedetomidine is associated with a 35% decrease in postoperative opioid use and faster discharge from the post-anaesthesia care unit (PACU) in patients undergoing minimally invasive thoracic surgery, according to prospective research presented at the 2017 Annual Meeting of the American Society of Anesthesiologists (ASA). Multimodal analgesia is commonly […]
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