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Approximately 7% of people with Alzheimer’s disease use opioids for non-cancer pain for a period longer than 6 months, according to a study published in the journal Pain. One third of people initiating opioid use became long-term users, and long-term use was heavily associated with transdermal opioid patches. Researchers from the University of Eastern Finland, […]
Read MoreAuthors: He H et al BMC Infectious Diseases 16 (1), 579 (Oct 2016) BACKGROUND Acute transverse myelitis is uncommon and presumably results from an autoimmune process or a preceding infection. Most cases of bacterial myelitis are due to hematogenous dissemination from urinary or respiratory tract infections or contiguous spreading from a neighboring infected structure. A […]
Read MoreAuthors: Segar A et al Spine 41 (20), E1237-E1243 (Oct 2016) STUDY DESIGN A prospective observational study. OBJECTIVE The aim of this study was to identify the relationship between obesity, quantified by body mass index (BMI), and both back and leg pain in spinal patients. SUMMARY OF BACKGROUND DATA Obesity and back pain are […]
Read MoreBreathing Effects of Different Sites of Injection Autors: Lars Bergmann et al BMC Anesthesiol. 2016;16(45) Background: Interscalene brachial plexus (ISB) block is often associated with phrenic nerve block and diaphragmatic paresis. The goal of our study was to test if the anterior or the posterior ultrasound guided approach of the ISB is associated with a lower incidence […]
Read MoreAuthors: Karen B. Domino, M.D., M.P.H.; Joanna M. Davies, M.B.B.S., FRCA ASA Monitor 02 2017, Vol.81, 16-17. An anesthesiologist was called STAT for an emergency cesarean section for severe fetal bradycardia. The anesthesiologist rapidly anesthetized the mother using a rapid-sequence induction and a floppy, pale, non-responsive baby was delivered. An obstetric nurse and family practitioner attempted to […]
Read MoreResults of a Predefined Secondary Analysis of the VISION Study Authors: T. E. F. Abbott et al Br J Anaesth. 2016;117(2):172-181. Background: Increased baseline heart rate is associated with cardiovascular risk and all-cause mortality in the general population. We hypothesized that elevated preoperative heart rate increases the risk of myocardial injury after non-cardiac surgery (MINS). Methods: We performed […]
Read MoreAuthors: Hitoshi Sato et al BMC Anesthesiol. 2016;16(47) Background: Compared to conventional tidal volume ventilation, low tidal-volume ventilation reduces mortality in cased of acute respiratory distress syndrome. The aim of the present study is to determine whether low tidal-volume ventilation reduces the production of inflammatory mediators in the lungs and improves physiological status during hepatic surgery. Methods: We […]
Read MoreA Double-blind Phase III Study of Haemostatic Therapy Authors: N. Rahe-Meyer et al Br J Anaesth. 2016;117(1):41-51. Background: Single-dose human fibrinogen concentrate (FCH) might have haemostatic benefits in complex cardiovascular surgery. Methods: Patients undergoing elective aortic surgery requiring cardiopulmonary bypass were randomly assigned to receive FCH or placebo. Study medication was administered to patients with a 5 min […]
Read MoreA Systematic Review With Trial Sequential Analysis Authors: S. Weibel et al Br J Anaesth. 2016;116(6):770-783. Background: Improvement of postoperative pain and other perioperative outcomes remain a significant challenge and a matter of debate among perioperative clinicians. This systematic review aims to evaluate the effects of perioperative i.v. lidocaine infusion on postoperative pain and recovery in patients […]
Read MoreClinicians are spending nearly two hours working on electronic health records (EHRs) for every hour they spend with a patient—a trend that may contribute to burnout, according to a new study. Physicians in ambulatory care practices, such as GI, family medicine, cardiology, internal medicine and orthopedics, report spending an extra two hours of in-office time […]
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