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Authors: Daniel S. Rubin, M.D. et al Anesthesiology p ublished on 6 2016 Background: Perioperative ischemic optic neuropathy (ION) causes visual loss in spinal fusion. Previous case–control studies are limited by study size and lack of a random sample. The purpose of this study was to study trends in ION incidence in spinal fusion and risk factors […]
Read MoreAuthors: Daniel L. Helsten, M.D. et al Anesthesiology published on 06 2016. Background: The impact of surgery on health is only appreciated long after hospital discharge. Furthermore, patients’ perceptions of postoperative health are not routinely ascertained. The authors instituted the Systematic Assessment and Targeted Improvement of Services Following Yearlong Surgical Outcomes Surveys (SATISFY-SOS) registry to evaluate patients’ […]
Read MoreAuthors: Gargiulo G et al., Ann Intern Med 2016 Jun 7; The mortality comparisons had wide confidence intervals, however, signaling inconclusive results. Transcatheter aortic valve implantation (TAVI) is a better option than medical therapy for people with severe aortic stenosis who cannot undergo surgical aortic valve replacement (SAVR). However, there are some conflicting results regarding whether TAVI […]
Read MoreAuthors: Paul S. Myles, M.B.B.S., M.P.H., M.D. et al Anesthesiology 7 2016, Vol.125, 39-45. Background: Several quality of recovery (QoR) health status scales have been developed to quantify the patient’s experience after anesthesia and surgery, but to date, it is unclear what constitutes the minimal clinically important difference (MCID). That is, what minimal change in score would […]
Read MoreAuthors: Thomas T. Joseph, M.D., Ph.D. et al Anesthesiology 7 2016, Vol.125, 105-114. Background: Awake intubation is the standard of care for management of the anticipated difficult airway. The performance of awake intubation may be perceived as complex and time-consuming, potentially leading clinicians to avoid this technique of airway management. This retrospective review of awake intubations at […]
Read MoreCoprescribing naloxone to people who take opioids for chronic pain is both feasible and has clinical benefit, according to a study in the Annals of Internal Medicine. Six San Francisco primary care clinics that had lost patients to opioid overdose in recent years implemented a protocol emphasizing naloxone coprescription for patients with chronic pain. Of nearly […]
Read MoreBMC Anesthesiol. 2016;16(11) Authors: I. J. Higginson et al Background: With increasingly intensive treatments and population ageing, more people face complex treatment and care decisions. We explored patterns of the decision-making processes during critical care, and sources of conflict and resolution. Methods: Ethnographic study in two Intensive Care Units (ICUs) in an inner city hospital comprising: non-participant observation […]
Read MoreWith growing public support and promising, but inconclusive, signs of therapeutic benefits in the use of herbal cannabis, medical marijuana laws are marching full steam ahead across the United States, prompting the American Pain Society (APS) to issue a white paper to assist in cannabis-related clinical issues that pain physicians are increasingly facing. “Cannabis is […]
Read MoreDespite being at the front lines in the nation’s battle against opioid addiction as the first to treat chronic pain, and opioid overuse, few primary care and family physicians use the one drug available to them to treat addiction, buprenorphine, experts say. “Sublingual buprenorphine is the only treatment for opioid addiction that can be provided […]
Read MoreLithium (Li) absorption systems are equal to calcium (Ca) absorbers in their ability to scavenge nitrogen dioxide (NO2) when nitric oxide (NO) is administered via anesthesia systems in the cardiac lab or operating room, research suggests. The anesthesia systems are “semiclosed” to conserve anesthetic agents and require carbon dioxide (CO2) absorption to allow recirculation. As […]
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