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The majority of women who chose nitrous oxide to manage labour pain ultimately decide to have an epidural, according to a study presented at Anesthesiology 2016, the Annual Meeting of the American Society of Anesthesiologists (ASA). Researchers found nitrous oxide provided limited pain relief, with patients reporting no change in average pain scores after its […]
Read MorePatients may be more likely to take their regularly prescribed medications for chronic conditions correctly before surgery when provided a simple instruction sheet, according to a study presented at Anesthesiology 2016, the Annual Meeting of the American Society of Anesthesiologists (ASA). Taking medication correctly before surgery can improve patient safety and comfort, and reduce day-of-surgery […]
Read MoreEpidural anaesthesia may do more than relieve pain during labour; in some women it may decrease the likelihood of postpartum depression, suggests a preliminary study presented at ANESTHESIOLOGY 2016, the Annual Meeting of the American Society of Anesthesiologists (ASA). “Labour pain matters more than just for the birth experience,” said Grace Lim, MD, Magee Women’s […]
Read MoreBy Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Surgical patients with a history of migraine face increased risk for perioperative ischemic stroke, according to a study in The BMJ. Researchers examined the medical records of nearly 125,000 patients who had surgery under general anesthesia with mechanical ventilation at […]
Read MoreAuthors: Min Cai, M.D., Ph.D. et al Anesthesiology published on January 5, 2017 Background: The authors have reported that antioxidative effects play a crucial role in the volatile anesthetic-induced neuroprotection. Accumulated evidence shows that endogenous antioxidation could be up-regulated by nuclear factor-E2–related factor 2 through multiple pathways. However, whether nuclear factor-E2–related factor 2 activation is modulated […]
Read MoreEmily Richardson, M.D. ASA Monitor 01 2017, Vol.81, 34-36. Collection of data is all well and good, but improvement in patient outcomes requires the ability to turn information into action. The AQI Practice Quality Improvement Committee (PQIC) will collect and present examples of this principle so that all of us can learn from those who are […]
Read MoreASA Monitor 01 2017, Vol.81, 28-29. 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 MoreJason Hansen, M.S., J.D. ASA Monitor 01 2017, Vol.81, 54-55. On October 13, then-ASA President-Elect Jeffrey Plagenhoef, M.D., spoke at the Brookings Institution forum, “Protecting Patients from Surprise Medical Bills.” The think tank briefing was timed with the release of a Brookings policy paper on this topic and featured two panels: stakeholder and policymaker perspectives. During the […]
Read MoreEditor’s Memo December 2016 By Forest Tennant, MD, DrPH Last December, I wrote about 2 scientific clinical advances relevant to pain management: the recognition that circulating catecholamines control descending pain, and centralization of pain and neuroinflammation as the fundamental causes of persistent or intractable pain. This year’s Practical Clinical Advances of 2016 recognition goes to the […]
Read MoreAsk the Expert December 2016 By Kelly Korza and McKenzie C Ferguson, PharmD, BCPS First, we must consider the different neuropathic pain types. Neuropathic pain can be diverse in nature, encompassing a wide range of pain types, including post-herpetic neuralgia (PHN), painful diabetic peripheral neuropathy (DPN), and painful cancer-related neuropathies. Gabapentin has been shown to be beneficial in […]
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