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Authors: Mack M and Holmes DR., Lancet 2016 Oct 31; A large randomized trial surprisingly demonstrates superior 5-year outcomes for coronary-artery bypass surgery in patients with left main coronary artery disease. For years, coronary-artery bypass grafting (CABG) has been the standard method for revascularization in patients with left main coronary artery disease. In NOBLE, a noninferiority study supported […]
Read MorePatients who use opioids before abdominal wall repair (AWR) have a greater need for opioids while in the hospital, and their stay may be longer than for patients who do not use the drugs before surgery, according to research presented at the Americas Hernia Society 2016 meeting. “We were beginning to see the impact of […]
Read MoreA novel predictive spinal cord stimulation (SCS) algorithm for chronic pain, presented at the 2016 Neural Interfaces Conference in Baltimore, was inspired by biological evolution. Akin to the neck of a giraffe becoming longer in order to reach leaves higher on a tree for eating, the algorithm relies on computational evolution to refine sets of […]
Read MoreStudy suggests factors other than pain may influence continued use. Patients who are prescribed opioids to manage their joint pain after total knee and total hip arthroplasty (TKA and THA) procedures may remain on opioids long term, well after they have ceased to experience improvements in their pain, according to collaborators at the University of […]
Read MoreWhen it comes to gauging patient satisfaction with anesthesia and perioperative care, operating rooms (ORs) are a bit too noisy and hospitals can be difficult to navigate. Researchers concluded that while patients are generally satisfied with their care, institutions should continually gauge their clients’ feelings in the hopes of improving the patient care experience. “Patient […]
Read MoreAn Observational, Prospective Study Authors: Ilona Razlevice et al BMC Anesthesiol. 2016;16(107) Background: Cerebral oxygen saturation (rSO2c) decrease from baseline greater than 20 % during infant cardiac surgery was associated with postoperative neurologic changes and neurodevelopmental impairment at 1 year of age. So far, there is no sufficient evidence to support the routine monitoring of rSO2c during […]
Read MoreJohn J. Whyte, MD, MPH Hello. I’m Dr John Whyte, director of Professional Affairs and Stakeholder Engagement (PASE) at the US Food and Drug Administration (FDA) Center for Drug Evaluation and Research. You’re watching this video commentary as part of the FDA’s collaboration with Medscape. I’d like to talk to you about a serious safety […]
Read MoreIncidences of retained surgical objects are extremely rare, occurring maybe once in every 5,000 operations. But when it happens — and it does happen, thousands of times per year — the economic consequences can be profound, often running into hundreds of thousands of dollars in readmissions, litigation, settlements and damaged reputations. So be extremely careful and watch […]
Read MoreThe implementation of an evidence-based, multimodal pain regimen after Roux-en-Y gastric bypass (LRYGB) was associated with a significant decrease in narcotic requirements as well as maximum postoperative pain scores, according to a study presented here on November 1 at Obesity Week 2016, the Annual Meetings of the American Society for Metabolic & Bariatric Surgery (ASMBS) […]
Read MoreA study of children born in Sweden suggests a small association between exposure to anesthesia for surgery before the age 4 with slightly lower school grades at age 16 and slightly lower IQ scores at 18. For the study, published online by JAMA Pediatrics, Pia Glatz, MD, Karolinska Institutet, Stockholm, Sweden, and colleagues conducted a […]
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