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By Lynn R. Webster, MD A Medpage Today article titled “Opioid Crisis: Scrap Pain as 5th Vital Sign?” lays out similar flawed arguments touted by Physicians for Responsible Opioid Prescribing (PROP). The American Medical Association was petitioned by its Illinois delegates to remove pain’s fifth-vital-sign status. What are these flawed arguments? One is to falsely equate the […]
Read MoreMalpractice claims are a dreaded but rare fact of the practice of medicine—but not so rare if you’ve already been sued, researchers have found. A recent study suggests that a small share of physicians account for the majority of malpractice suits in the United States. How small? Roughly 1% of all doctors were involved in […]
Read MoreOpioids as a treatment for chronic pain have exposed the holes in our country’s health care system in an unparalleled fashion. Now, a new guideline issued by the Centers for Disease Control and Prevention (CDC) discourages the use of opioids in treating chronic pain, excluding cancer and end-of-life care (MMWR Recomm Rep 2016;65:1-49). The CDC touts […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 420–429 AUTHORS: Willems, Ariane MD, MSci Biomed, PhD et al BACKGROUND: Children undergoing cardiac surgery are frequently exposed to red blood cell (RBC) transfusions mainly in the case of hemorrhage or low oxygen transport. However, in this population, RBCs are sometimes added […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 363–370 AUTHORS: Bang, Ji-Yeon MD, PhD et al BACKGROUND: Acute kidney injury (AKI) is a primary cause of morbidity and mortality after major abdominal surgery; however, little is known about the effect of anesthetics on the development of AKI after colorectal surgery. […]
Read MoreAuthors: Glenn S. Murphy, M.D. etal Anesthesiology 10 2016, Vol.125, 611-614 BY the late 1980s, it was well recognized that undetected postoperative residual neuromuscular block (PRNB) was a common occurrence in most postanesthesia care units (PACUs).1–4 However, an editorial in 1989 noted that there was little, if any, objective evidence to validate the hypothesis that PRNB […]
Read MoreAuthors: M. Ruth Graham, M.D., F.R.C.P.(C). et al Anesthesiology 10 2016, Vol.125, 667-677 Background: Animal studies demonstrate general anesthetic (GA) toxicity in the developing brain. Clinical reports raise concern, but the risk of GA exposure to neurodevelopment in children remains uncertain. Methods: The authors undertook a retrospective matched cohort study comparing children less than 4 yr of age […]
Read MoreAuthors: Catherine M. Bulka, M.P.H. et al Anesthesiology 10 2016, Vol.125, 647-655. Background: Residual postoperative paralysis from nondepolarizing neuromuscular blocking agents (NMBAs) is a known problem. This paralysis has been associated with impaired respiratory function, but the clinical significance remains unclear. The aims of this analysis were two-fold: (1) to investigate if intermediate-acting NMBA use […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 402–410 AUTHORS: Moaveni, Daria M. MD et al Over the past 40 years, the success of organ transplantation has increased such that female solid organ transplant recipients are able to conceive and carry pregnancies successfully to term. Anesthesiologists are faced with the […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 396–401 AUTHORS: Frölich, Michael A. MD et al BACKGROUND: Hormonal action has been implicated as a possible mechanism for pregnancy-induced analgesia. Previous investigators have reported an increase in heat pain tolerance during labor compared with nonpregnant controls and postulated it was because […]
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