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Does it make good clinical and financial sense to send a patient home with a continuous peripheral nerve block (CPNB)? Experts at the 2016 International Symposium of Ultrasound for Regional Anesthesia, Pain Medicine, and Peri-operative Application argued yay and nay. Philippe Macaire, MD, consultant in anesthesiology and pain management at Rashid Hospital Trauma Center, Dubai […]
Read MoreEdited by David G. Fairchild, MD, MPH The American College of Physicians now recommends nonpharmacologic therapies — including superficial heat, massage, acupuncture, and spinal manipulation — as first-line treatment for patients with acute or subacute low back pain (lasting 12 weeks or less). The new guideline, published in the Annals of Internal Medicine, is a major change […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology published on February 9, 2017 Background: Frailty is a risk factor for adverse postoperative outcomes. Hospitals that perform higher volumes of surgery have better outcomes than low-volume providers. We hypothesized that frail patients undergoing elective surgery at hospitals that cared for a higher volume of similarly frail […]
Read MoreAlthough eating disorders and chronic pain may occur with comparable severity, eating disorders tend to go undetected for twice as long in adolescents who are also experiencing chronic pain, perhaps compromising effective treatment. With Leslie A. Sim, PhD, LP and commentary by Alix Timko, PhD Adolescents who present with chronic pain may also have an […]
Read MoreAuthors: Timm FP et al., BMJ 2017 Jan 10; 356:i6635 Surgical patients with migraine, particularly those with aura, are at increased risk for perioperative ischemic stroke and postsurgical 30-day hospital readmission. To explore the association of migraine with perioperative stroke and 30-day hospital readmission, investigators reviewed prospective hospital registry data for all patients who underwent surgery under […]
Read MoreASA Monitor 02 2017, Vol.81, 42-43. Review of unusual patient care experiences is a cornerstone of medical education. Each month, the AQI-AIRS Steering Committee abstracts a patient history submitted to the Anesthesia Incident Reporting System (AIRS) and authors a discussion of the safety and human factors challenges involved. Real-life case histories often include multiple clinical decisions, […]
Read MoreAuthors: Mazen Maktabi, M.B.B.Ch.; Gretchen Ruoff, M.P.H., CPHRM ASA Monitor 02 2017, Vol.81, 20-22. Clear communication of clinical information is an essential component of delivering safe and effective medical care, whether in emergency departments, critical care areas, operating rooms or patient wards. Inadequate communication of information is a major contributor to preventable medical errors. The average 500-bed heath care […]
Read MoreAuthors: Lameijer H et al., Am J Emerg Med 2017 Jan 3; In a retrospective cohort study, propofol was more effective than midazolam and just as safe. Propofol and midazolam are each commonly used for procedural sedation in the emergency department (ED). To compare their efficacy and safety, investigators reviewed a convenience sample of procedural sedations performed […]
Read MoreAuthors: Tania Gardner, BAppSc et al Spine. 2016;41(18):1405-1413. Study Design. A prospective, single-arm, pre-postintervention study. Objective. The aim of this study was to test the preliminary effectiveness of a patient-led goal-setting intervention on improving disability and pain in chronic low back pain. Summary of Background Data. An effective intervention for the treatment of chronic low back pain remains elusive […]
Read MoreInterview with Abby R. Rosenberg, MD, MS Matters concerning negative prognosis, transitioning into hospice care, end-of-life (EoL) scenarios, and other related topics can be very hard to discuss with patients and their family members. Having to conduct these sensitive conversations with pediatric patients presents even more challenges, considering certain ethical and emotional precautions must be […]
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