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Authors: J. Lance Lichtor, M.D. et al Anesthesiology 6 2016, Vol.124, 1404-1407. Due to the potentially unforgiving nature of epiglottitis and supraglottitis, the clinician should have a firm understanding of the presentation, work up, and management of a patient presenting with worrisome symptoms. George Washington, the United States’ first president, 2 yr after leaving office on […]
Read MoreAuthors: Christopher Uhlig, M.D. et al Anesthesiology 6 2016, Vol.124, 1230-1245. Background: It is not known whether modern volatile anesthetics are associated with less mortality and postoperative pulmonary or other complications in patients undergoing general anesthesia for surgery. Methods: A systematic literature review was conducted for randomized controlled trials fulfilling following criteria: (1) population: adult patients undergoing general […]
Read MoreThe FDA has approved a buprenorphine implant as a maintenance treatment for opioid dependence. Probuphine, made up of four inch-long rods placed subdermally on the inside of the upper arm, is designed to deliver a steady dose of buprenorphine over a 6-month period. The implant is approved for patients who are already on low-to-moderate doses […]
Read MoreOpioids commonly are used for pain management in patients with osteoarthritis. However, a new study has found that reducing opioid use by half prior to surgery may lead to better functional outcomes. By Thomas G. Ciccone and Forest Tennant, MD, DrPH Interview with Kevin J. Bozic, MD, MBA Managing pain from knee or hip osteoarthritis (OA) is oftentimes […]
Read MoreNumerous peer-reviewed studies have attempted to validate a correlation between patient pain and meteorological conditions, but documenting any sort of repeatable linkage remains a scientific enigma. By Mark A. Young, MD, MBA, FACP and Brandon Bukovitz, BS Patients suffering from chronic pain frequently attribute their symptoms to changes in the weather. In fact, a study revealed that a […]
Read MoreAuthors: Beatrice Beck-Schimmer, M.D. et al Anesthesiology published on 5 2016. Abstract 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 […]
Read MoreA bupivacaine injection along the tract of the nephrostomy site at the time of percutaneous nephrolithotomy (PCNL) reduces postoperative pain as well as the need for narcotic medication, according to study results presented at the 2016 Annual Meeting of the American Urological Association (AUA). Lead author James Mason, MD, University of Florida, Gainesville, Florida, speaking […]
Read MoreAuthors: Pierre Bouzat, M.D., Ph.D. et al Anesthesiology published on 5 2016. Background: To assess the performance of transcranial Doppler (TCD) in predicting neurologic worsening after mild to moderate traumatic brain injury. Methods: The authors conducted a prospective observational study across 17 sites. TCD was performed upon admission in 356 patients (Glasgow Coma Score [GCS], 9 to 15) […]
Read MoreA federal judge sentenced a 76-year-old physician to 25 years in prison for the deaths of three patients who overdosed on pain medications he prescribed, according to the Tampa Bay Times. The physician, Edward Neil Feldman, and his 66-year-old wife and office manager, Kim Feldman, were convicted during a February trial of financial conspiracy and of […]
Read MoreAuthors: Glenn S. Murphy, M.D. et al Anesthesiology 6 2016, Vol.124, 1246-1255. Background: Opportunities for anesthesia research investigators to obtain consent for clinical trials are often restricted to the day of surgery, which may limit the ability of subjects to freely decide about research participation. The aim of this study was to determine whether subjects providing same-day […]
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