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Medication treatment for opioid addiction (e.g., “medication-assisted treatment” with methadone and buprenorphine) shouldn’t be withheld from patients who take benzodiazepines or other central nervous system depressants even though this combination can lead to serious adverse events, the FDA said on Wednesday. The agency said the benefit of stopping opioid misuse usually outweighs these risks. In […]
Read MoreAuthors: Brendan Carvalho, M.B.B.Ch., F.R.C.A. et al Anesthesiology 10 2017, Vol.127, 596-598. APPROXIMATELY one third of all births in the United States are by cesarean delivery, and in most high-income countries the cesarean delivery rate also exceeds that recommended by the World Health Organization for optimal maternal and neonatal outcomes.1 This is concerning, because cesarean delivery, and […]
Read MoreThe benefits of Roux-en-Y gastric bypass surgery appear to persist over a decade, according to a study in the New England Journal of Medicine. Researchers studied over 400 people with severe obesity who underwent Roux-en-Y gastric bypass, 400 who sought the procedure but did not receive it, and 300 obese people who did not seek or […]
Read MoreObese women who receive antibiotics after cesarean delivery have a reduced risk for surgical site infections, according to a single-center study in JAMA. Some 400 women with a prepregnancy body-mass index of 30 or higher who received intravenous cefazolin before C-section were randomized to receive oral cephalexin plus metronidazole or matching placebo for 48 hours after […]
Read MoreAuthors: Ryu Komatsu, M.D. et al Anesthesiology 10 2017, Vol.127, 684-694. Background: The majority of parturients in the United States first return for evaluation by their obstetric practitioner 6 weeks after delivery. As such, there is little granular data on the pain experience, analgesic requirements, and functional recovery during the postpartum period. This prospective observational study was […]
Read MoreThe trial concluded earlier this week with a unanimous decision, which involves the death of 80-year-old Richard Pellock of Cassville, Wisconsin who sought treatment at UnityPoint Health, Finley Hospital. Attorneys for his family argue it was negligence by the medical group, Mississippi Valley Anesthesiology, P.C. that caused Richard Pellock’s death. On Jan. 5, 2015, he had surgery to remove […]
Read MoreAUTHORS: Cohen, Mindy MD, FAAP et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 2030–2037 BACKGROUND: Posterior spinal fusion for scoliosis is one of the most painful elective pediatric surgeries. Good postoperative pain control allows early ambulation and return of ability to tolerate oral intake. Options for analgesia in this […]
Read MoreAUTHORS: Choi, Eun Joo MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 2021–2029 BACKGROUND: Percutaneous epidural adhesiolysis (PEA) is a minimally invasive procedure that is performed to relieve low back and/or lower limb pain secondary to adhesions or scarring in the epidural space that is refractory to conservative […]
Read MoreAUTHORS: El-Boghdadly, Kariem MBBS, FRCA et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 2008–2020 BACKGROUND: Clonidine, an α-2 agonist, has long been used as a local anesthetic adjunct with proven efficacy to prolong peripheral nerve block duration. Dexmedetomidine, a newer α-2 agonist, has a more favorable pharmacodynamic and safety […]
Read MoreAUTHORS: Patino, Mario MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1937–1942 BACKGROUND: In children, postoperative respiratory rate (RR) monitoring by transthoracic impedance (TI), capnography, and manual counting has limitations. The rainbow acoustic monitor (RAM) measures continuous RR noninvasively by a different methodology. Our primary aim was to […]
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