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Source: DGNews Liposomal bupivacaine (LB) is at least as effective as femoral nerve block (FNB) for managing pain after anterior cruciate ligament (ACL) reconstruction, researchers said here on March 1 at the 2016 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). Femoral nerve block is the mainstay for pain management after knee surgery, but […]
Read MoreSource: Eur Spine J AUTHORS: Weng W, Wu H et PURPOSE Sagittal spinopelvic malalignment has been reported in spinal disorders such as low back pain (LBP), and restoration of normal alignment is targeted when treating these disorders. Abnormal sagittal spinal-pelvic-leg alignment has been reported in patients with severe hip osteoarthritis (OA), who have a high prevalence […]
Read MoreFrailty can be easily assessed in aortic valve surgery patients using variables that are typically at the behest of most anesthesiologists, and the assessment can predict morbidity, mortality and hospital length of stay (LOS) in this fragile patient population. “Previous research has shown that frailty is an independent risk factor for predicting morbidity and mortality […]
Read MoreA retrospective study of anesthesiologists at a large academic medical center has shown a significant difference between perceived work hours per shift and actual worked hours per shift. According to data presented at the 2016 American Society of Anesthesiologists Practice Management meeting, the study also demonstrated a 5,686-hour shortfall in actual work hours to expected […]
Read MoreA study involving a specially modified pupillometer has shown a correlation between pupillary unrest under ambient light (PUAL) and pain response to opioid medications, suggesting that this instrument could one day help physicians determine the risk/benefit of giving patients additional opioids. “In this study, decreased levels of pupillary unrest were associated with decreased responsiveness to […]
Read MoreAnesthesia & Analgesia: May 2016 – Volume 122 – Issue 5 – p 1646–1653 AUTHORS: Naik, Bhiken I. MBBCh et al BACKGROUND: Adult deformity correction spine surgery can be associated with significant perioperative pain because of inflammatory, muscular, neuropathic, and postsurgical pain. α-2 Agonists have intrinsic antinociceptive and antihyperalgesic properties that can potentially reduce both […]
Read MoreOn Wednesday the Centers for Medicare and Medicaid Services (CMS) released the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) proposed rule. The document, 962 pages long, includes CMS proposals on how the law creating a new Medicare physician payment system will be implemented beginning in 2017. MACRA, passed by Congress in April 2015, ends […]
Read MoreAuthors: Zheng Z et al., N Engl J Med 2016 May 5; 374:1744 This approach did not decrease the incidence of postoperative atrial fibrillation or perioperative myocardial damage. Cardiac surgery has shown many recent advances, but postoperative complications in patients undergoing bypass surgery remain a challenge. Investigators in China evaluated the effectiveness of perioperative rosuvastatin (20 mg/day) […]
Read MoreAuthors: Woon-Seok Kang, MD et al Anesthesiology published on 4 2016 Background: The aim of study was to evaluate the effect of mechanical ventilation mode type, pressure-controlled ventilation (PCV), or volume-controlled ventilation (VCV) on intra- and postoperative surgical bleeding in patients undergoing posterior lumbar interbody fusion (PLIF) surgery. Methods: This was a prospective, randomized, single-blinded, and parallel study […]
Read MoreAuthors: Wan-Jie Gu, M.D. et al Anesthesiology published on 4 2016 Background: The relationship between annualized case volume and mortality in patients with sepsis is not fully understood. The authors performed a dose–response meta-analysis to assess the effect of annualized case volume on mortality among patients with sepsis in the intensive care unit, emergency department, or hospital, […]
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