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RONALD L. HARTER, MD | PHYSICIAN | JULY 7, 2016 A guest column by the American Society of Anesthesiologists, exclusive to KevinMD.com. Our institution, like countless others across the country, has been working to institute processes to achieve the “triple aim” of improving the quality of health care, increasing patient satisfaction, and reducing the cost of providing that care. As chair […]
Read MoreAuthors: Pennell PB and Meador KJ., Neurology 2016 Jun 14; 86:2224 Prospective cohort study raises concern about teratogenic potential of this neuropsychiatric medication. Pregabalin is used on- and off-label for various neuropsychiatric conditions (e.g., seizure disorder, neuropathic pain, restless leg syndrome). Researchers sought to determine risk associated with pregabalin use during early pregnancy. A cohort of 683 […]
Read MoreAuthors: Jecko Thachil, M.D., M.R.C.P., F.R.C.Path. Anesthesiology 7 2016, Vol.125, 230-236. Anesthesiologists may encounter patients with disseminated intravascular coagulation, a potential complication of severe sepsis or major trauma. This practical guide discusses the clinical approach, laboratory diagnosis, and current management of this condition. The Clinical Scenario A 46-yr-old woman is admitted to the critical care unit […]
Read MoreAuthors: Forbes HJ et al., Neurology 2016 Jul 5; 87:94 In a large prospective database study, increased risks were seen in older patients and those with severe immunosuppression. Postherpetic neuralgia (PHN) following acute herpes zoster remains a significant cause of neuropathic pain, especially in older patients. Treatment results of this severe and long-lasting pain syndrome are often […]
Read MoreAuthors: Aziz MF et al., Br J Anaesth 2016 Jul 117:118 In a study of operating room intubations with acute-angled videolaryngoscopes, “sniffing” head position, reduced mouth opening, and attending intubators were associated with prolonged intubation times. To identify predictors of difficult or prolonged intubation with hypercurved video laryngoscopes, investigators conducted a secondary analysis of a randomized controlled […]
Read MoreAuthors: Jessica M. Booth, M.D. et al Anesthesiology published on 7 2016. Background: It is unclear whether recognition of epidural catheter failures is delayed with combined spinal epidural technique (CSE) compared to traditional epidural technique (EPID) when used for labor analgesia. The authors hypothesized that recognition of failed catheters is not delayed by CSE. Methods: Anesthetic, obstetric, and […]
Read MoreAuthors: Hagen Bomberg, M.D. et al Anesthesiology published on 7 2016 Background Catheter-related infection is a serious complication of continuous regional anesthesia. The authors tested the hypothesis that single-dose antibiotic prophylaxis is associated with a lower incidence of catheter-related infections. Methods: Our analysis was based on cases in the 25-center German Network for Regional Anesthesia database recorded between […]
Read MorePolicies discouraging the use of methadone for treating pain have apparently reduced the number of U.S. overdose deaths associated with the drug, according to findings in MMWR. Federal researchers examined changes in methadone’s distribution and illegal diversion, as well as its role in opioid-overdose deaths, for the years 2002–2014. The analysis was limited to methadone used […]
Read MoreBreast cancer survivors with persistent fatigue could benefit from a course of acupressure, a JAMA Oncology study suggests. Some 270 women who’d completed breast cancer treatment at least 12 months earlier and still had fatigue were randomized to perform self-administered acupressure daily or to receive usual care for 6 weeks. At baseline, women assigned to acupressure were […]
Read MoreAuthors: Beatrice Beck-Schimmer, M.D. et al Anesthesiology 8 2016, Vol.125, 313-321. Background: One-lung ventilation during thoracic surgery is associated with hypoxia–reoxygenation injury in the deflated and subsequently reventilated lung. Numerous studies have reported volatile anesthesia–induced attenuation of inflammatory responses in such scenarios. If the effect also extends to clinical outcome is yet undetermined. We hypothesized that volatile […]
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