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Presented at the Society for Academic Emergency Medicine conference, May 2016, New Orleans, LA. Authors: Cameron P. Upchurch, BS et al Study objective Induction doses of etomidate during rapid sequence intubation cause transient adrenal dysfunction, but its clinical significance on trauma patients is uncertain. Ketamine has emerged as an alternative for rapid sequence intubation induction. […]
Read MoreAuthors: Chalifoux, F., Colin, F., St-Pierre, P. et al. Can J Anesth/J Can Anesth (2017) 64: 280 Background Although intravenous dexamethasone prolongs the analgesic duration of interscalene brachial plexus block, it is uncertain whether this effect can be observed using lower doses of dexamethasone. This study evaluated the impact of intravenous dexamethasone (4 mg and […]
Read MoreAuthors: Motov S et al., Am J Emerg Med 2017 Mar 3; Neuropsychiatric side effects were more common with intravenous push administration, but does it matter? At intravenous (IV) doses of 0.1–0.3 mg/kg, ketamine is a safe and effective analgesic. Adverse effects are minimal and include sedation and a feeling of disconnection from reality. Investigators compared the effectiveness […]
Read MoreBy Kelly Young Edited by Susan Sadoughi, MD, and Richard Saitz, MD, MPH, FACP, DFASAM The American Heart Association and the American College of Cardiology have updated their guidelines for managing valvular heart disease. The new guidance appears in Circulation. Here are a few of the changes since the 2014 guidelines: Antibiotic prophylaxis for certain dental work is […]
Read MoreBy Amy Orciari Herman Edited by Lorenzo Di Francesco, MD, FACP, FHM Concurrent use of opioids and benzodiazepines nearly doubled from 2001 through 2013, leading to an increase in opioid overdoses, suggests a retrospective study in The BMJ. Using a large U.S. health claims database, researchers studied some 315,000 adults who filled at least one prescription for […]
Read MoreBy Christine Rhodes Interview with Jennifer Baima, MD Studies show there is no one-size-fits-all approach to rehabilitation from cancer surgery. Each type of cancer requires a different approach to achieve adherence, and lessen pain while working to restore physical function and other post-treatment challenges. Physical and occupational therapy are important components of recovery for many cancer […]
Read MoreBy Thomas G. Ciccone Interview with Tor D. Wager, PhD Researchers from the University of Colorado have mapped the brain in people with fibromyalgia as they responded to painful stimuli. These images offer pain practitioners new insights into the neurophysiology of this condition. Historically, fibromyalgia (FM) lacks a definitive explanation for its underlying mechanisms of action,1 and has […]
Read MoreBy Charles E. Argoff, MD Given the complexity of chronic pain management, clinicians are challenged to move toward more rigorous assessment and individualized treatment to improve quality of life for all patients. In the pain management community, we are all too familiar with the statistic estimating that there are 100 million adults suffering from chronic pain […]
Read MoreAuthors: Stefania Crotti, M.D. et al Anesthesiology 4 2017, Vol.126, 678-687. Background: We evaluate the clinical feasibility of spontaneous breathing on extracorporeal membrane oxygenation and the interactions between artificial and native lungs in patients bridged to lung transplant or with acute exacerbation of chronic obstructive pulmonary disease (COPD) or acute respiratory distress syndrome. Methods: The clinical course of […]
Read MoreAuthors: Andreas Duma, M.D., M.Sc. et al Anesthesiology 4 2017, Vol.126, 643-652. Background: While electroconvulsive therapy is widely regarded as a lifesaving and safe procedure, evidence regarding its effects on myocardial cell injury is sparse. The objective of this investigation was to determine the incidence and magnitude of new cardiac troponin elevation after electroconvulsive therapy using […]
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