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Delivering continuous positive airway pressure (CPAP) with novel nasal PAP mask assembly is an effective technique for improving safety in patients receiving an interscalene block and sedation for shoulder arthroscopy, new research suggests. Some people may be given a sedative after a regional peripheral nerve block. Desaturation commonly occurs in patients receiving moderate to deep […]
Read MoreMore than one-third of children require at least one form of PACU analgesic after outpatient surgery, according to a recent study. The trial also unearthed several predictors of PACU opioid requirements, the most notable of which was a history of obstructive sleep apnea (OSA). “The biggest challenge with respect to treating children in the ambulatory […]
Read MoreThe FDA has approved an IV bag presentation of acetaminophen (Ofirmev) injection, giving health care providers another delivery option, Mallinckrodt Pharmaceuticals announced. Acetaminophen injection is the first—and currently the only—FDA-approved IV formulation of the drug in the United States, according to Mallinckrodt. It is indicated for the management of mild to moderate pain, management of […]
Read MoreA pilot study has found that patients randomly assigned to cricoid pressure or sham treatment showed no difference in time to lowest peripheral capillary oxygen saturation (SpO2) or lowest SpO2 during anesthesia induction with planned endotracheal intubation. “Application of 30 N of cricoid pressure was not associated with a significant difference in time to reach lowest […]
Read MoreUpdate of guidelines recommends FDA-approved treatments and cautions against the use of opioids. The American Diabetes Association (ADA) has updated its guidelines on the management of diabetic peripheral neuropathy (DPN) in patients with diabetes. The guidelines,1 which were last updated in 2005, recommend pregabalin (Lyrica) or duloxetine (Cymbalta, generic) as first-line medication therapies for managing symptoms of DPN. […]
Read MoreThe standard of care in cardiac surgery, intraoperative transesophageal echocardiography (TEE), is safe, according to researchers. A recent review found an overall complication rate of 1.4% related to the imaging and diagnostic technique. It also pinpointed several significant risk factors for complications. “The use of transesophageal echocardiography is ubiquitous in cardiac surgical practice,” said Razvan […]
Read MoreNearly all clinicians agree that imaging is unnecessary for patients with nonspecific low back pain, but that does not mean they find it easy to follow the recommendations against such imaging, suggests a study published October 17 in JAMA Internal Medicine. The Choosing Wisely campaign, which aims to reduce unnecessary procedures to improve patient care, includes seven […]
Read MoreWith exponential growth in the number of procedures being done under anesthesia, especially in the gastrointestinal suite, providers are wondering about the best way to provide safe, efficient and affordable care but also prevent adverse events (AEs), such as aspiration. A review of the current gastroenterology literature about AEs using propofol sedation reveals some insights […]
Read MorePostoperative and post-discharge nausea may be very common in children, but it is woefully undertreated, according to a Baylor College of Medicine study. Researchers there concluded that use of the Baxter Retching Faces (BARF) scale may help stem the issue, as it is both easy to use and reliable in the clinical setting. “Postoperative nausea […]
Read MoreYoga is as good as physical therapy (PT) in reducing chronic low back pain, the most common pain problem in the United States, new research shows. “Our study showed that yoga was noninferior to physical therapy for a diverse group of low-income patients,” said Robert B. Saper, MD, director of integrative medicine, Boston Medical Center, […]
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