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Report said 6 in 10 hospitals studied had C-section rates above the national target rate for low-risk births. While there are a number of risks that can make birth by cesarean section more likely for women, a Consumer Reports investigation said the biggest risk factor is the hospital where the mother delivers, and how busy […]
Read MoreVitamin D deficiency may cause musculoskeletal pain, muscle weakness, and muscle atrophy. New research published in Headache suggests there is a relationship between serum vitamin D levels and chronic tension-type headaches (CTTH).1 Sanjay Prakash, DM, from the Department of Neurology at the Smt. B. K. Shah Medical Institute and Research Center in Gujarat, India, and colleagues examined […]
Read MoreAdding sciatic nerve block to femoral nerve block may increase the occurrence of adverse effects such as weakness in the quadriceps. Pain relief after total knee arthroplasty (TKA) may be greater when femoral nerve block (FNB) is combined with sciatic nerve block (SNB) than when it is combined with local infiltration analgesia (LIA).1 While previous […]
Read MoreAuthors: Glenn S. Murphy, M.D. et al Anesthesiology published on September 28, 2017Background: When a muscle relaxant is administered to facilitate intubation, the benefits of anticholinesterase reversal must be balanced with potential risks. The aim of this double-blinded, randomized noninferiority trial was to evaluate the effect of neostigmine administration on neuromuscular function when given to patients after […]
Read MoreAuthors: Hyung-Chul Lee, M.D. et al Anesthesiology published on September 28, 2017. Background: The discrepancy between predicted effect-site concentration and measured bispectral index is problematic during intravenous anesthesia with target-controlled infusion of propofol and remifentanil. We hypothesized that bispectral index during total intravenous anesthesia would be more accurately predicted by a deep learning approach. Methods: Long short-term memory […]
Read MoreGaining 510(k) clearance from the Food and Drug Administration, two new drug screening tests offer practitioner rapid, in-office results for the most commonly abused opioid-derived drugs. By Kathleen Doheny Interviews with Scott Taille and Michael R. Clark, MD, MPH, MBA Physicians who are treating patients for pain now have two new urine screening options available for […]
Read MoreThe optimal duration of postsurgical opioid prescriptions likely ranges from 4 to 15 days, depending on the procedure, a JAMA Surgery study suggests. Using a U.S. military health system database, researchers identified 215,000 opioid-naive adults up to age 64 who underwent one of eight common surgeries and filled an opioid prescription within 14 days after the procedure. […]
Read MoreUnintentional overfeeding of ICU patients with acute respiratory distress syndrome (ARDS) may increase the risk for infections, prolong mechanical ventilation and boost hospital length of stay (LOS), according to a study presented at the 2017 American Society for Parenteral and Enteral Nutrition Clinical Nutrition Week (CNW). The study, from Rush University Medical Center and the […]
Read MoreAuthors: Laurie A. Chalifoux, M.D. et al Anesthesiology 10 2017, Vol.127, 625-632 Background: Breech presentation is a leading cause of cesarean delivery. The use of neuraxial anesthesia increases the success rate of external cephalic version procedures for breech presentation and reduces cesarean delivery rates for fetal malpresentation. Meta-analysis suggests that higher-dose neuraxial techniques increase external cephalic version […]
Read MoreAuthors: Camille Rolland-Debord, M.D. et al Anesthesiology published on September 21, 2017. Background: Patient–ventilator asynchrony is associated with a poorer outcome. The prevalence and severity of asynchrony during the early phase of weaning has never been specifically described. The authors’ first aim was to evaluate the prognosis impact and the factors associated with asynchrony. Their second aim […]
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