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Author is Karen Sullivan Sibert, MD in her blog A Penned Point There are two schools of thought about how to extubate patients at the conclusion of general anesthesia: Allow the patient to wake up with the endotracheal tube in place, gagging on the tube and flailing like a fish on a line, while someone […]
Read More… in patients with post–dural puncture headache An alternative approach to traditional epidural blood patch administration in patients with post–dural puncture headache who have an indwelling catheter has passed its first test. Although current fine-gauge needles have reduced the incidence of PDPH, the adverse event still occurs, and depends on several factors, including needle size […]
Read MoreWomen who suffer grade 3 or 4 perineal lacerations during vaginal delivery consume significantly more opioids than their counterparts who do not, a study found, and virtually none of these women with higher-grade lacerations received neuraxial morphine. That finding surprised the researchers and illustrated the need for a department-wide protocol to address the analgesic needs […]
Read MoreA free gaming application downloaded to mobile devices allows anesthesiologists to try their skills at a variety of airway procedures, without needing hardware. Airway EX from Level EX Inc, is a comprehensive, interactive, virtual patient airway simulator of rare and/or difficult cases such as fiberoptic laryngoscopy, a burned airway (featuring a firefighter) and selected tumors. […]
Read MoreCertain antidepressants and anti-seizure drugs are among medications that effectively treat diabetic nerve pain, according to a study published in the journal Neurology. “Providing pain relief for neuropathy is crucial to managing this complicated disease,” said Julie Waldfogel, PharmD, Johns Hopkins Hospital, Baltimore, Maryland. “Unfortunately, more research is still needed, as the current treatments have […]
Read MoreThe participants were trained in the use of the device, involving an armband of electrodes placed on the upper arm coordinated through a customized cell phone app for self-reporting of responses. Remote electrical stimulation (RES) is an effective, noninvasive, nonpharmacologic alternative treatment to traditional medications for acute migraine, according to results of a clinical study […]
Read MoreNSAIDs may not “provide clinically important effects for spinal pain over placebo.” Nonsteroidal anti-inflammatory drugs (NSAIDs) might not be ideal analgesics for treating spinal-related pain, including neck and lower back pain, as indicated by results from a recent meta-analysis published in the Annals of Rheumatic Diseases.1 Although several clinical guidelines recommend using NSAIDs as a second-line […]
Read MoreAUTHORS: Voepel-Lewis, Terri PhD, RN et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1594–1602 BACKGROUND: Preoperative pain predicts persistent pain after spine fusion, yet little is understood about the nature of that pain, related symptoms, and how these symptoms relate to postoperative pain outcomes. This prospective study examined children’s […]
Read MoreAUTHORS: Wong, Jean MD, FRCPC et al Anesthesia & Analgesia: Post Author Corrections: March 17, 2017 BACKGROUND: The effectiveness of perioperative interventions to quit smoking with varenicline has not been compared with brief interventions. Our objective was to determine the efficacy of a comprehensive smoking cessation program versus a brief intervention for smoking cessation. METHODS: In […]
Read MoreAUTHORS: Ellis, Margaret K. Menzel MD et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 58–65 BACKGROUND: Economic, personnel, and procedural challenges often complicate and interfere with efficient and safe perioperative care of patients with cardiovascular implantable electronic devices (CIEDs). In the context of a process improvement initiative, we created […]
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