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Anesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 570–577 AUTHORS: Fabbro, Michael II DO et al BACKGROUND: The inflated costs and documented deleterious effects of excess perioperative transfusion have led to the investigation of targeted coagulation factor replacement strategies. One particular coagulation factor of interest is factor I (fibrinogen). Hypofibrinogenemia […]
Read MoreA study published in PLOS ONE shows that symptoms of chronic fatigue syndrome can be provoked by imposing a mild to moderate strain to the muscles and nerves. The study included 80 individuals, 60 with CFS and 20 without CFS, who reported their levels of fatigue, body pain, lightheadedness, concentration difficulties, and headache every 5 […]
Read MoreHi. I’m Art Caplan, PhD from the Division of Medical Ethics and the New York University (NYU) Langone Medical Center. A former student of mine, who is now in medical school, asked me a question that comes up again and again. I have not talked about it here, but I think it does merit some […]
Read MoreAmong adults with opioid dependence maintaining abstinence with a stable dose of sublingual buprenorphine, the use of buprenorphine implants, compared with continued sublingual buprenorphine, did not result in an inferior likelihood of remaining a responder, according to a study published in the July 19 issue of JAMA. Opioid dependence is a growing public health concern […]
Read MoreIf you work in a hospital these days, you’ve probably gotten the invitation: Take a survey about how well you, your team and your hospital do at protecting patients from harm, and how empowered you feel to do the right thing. It’s all in the name of gauging “patient safety culture.” But a new study […]
Read MorePeople who undergo certain common surgeries are more likely to use opioids chronically, even if they do not receive the analgesics for postoperative pain, according to a new study. Researchers at Stanford University School of Medicine, in California, looked for an association between common surgical procedures and the risk for chronic use of opioids. They […]
Read MoreHaving additional OR personnel during the intraoperative period is not associated with an increased risk for surgical site infections (SSIs), according to a recent retrospective case control trial. Surgical site infections are a significant source of patient morbidity and medical costs; prior studies have suggested that intraoperative traffic and the number of OR personnel might […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 493–500 AUTHORS: Grevstad, Ulrik MD, PhD et al BACKGROUND: Single-injection adductor canal block (ACB) provides analgesia after knee surgery. Which nerves that are blocked by an ACB and what influence—if any—local anesthetic volume has on the effects remain undetermined. We hypothesized that […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 445–451 AUTHORS: van Eijk, Ruben P. A. MD et al BACKGROUND: Variability in operating room (OR) time causes overutilization and underutilization of the available ORs. There is evidence that for a given type of procedure, the surgeon is the major source of […]
Read MoreAuthors: Andreas Ranft, M.D. et al Anesthesiology published on September 15, 2016. Background: The neural correlates of anesthetic-induced unconsciousness have yet to be fully elucidated. Sedative and anesthetic states induced by propofol have been studied extensively, consistently revealing a decrease of frontoparietal and thalamocortical connectivity. There is, however, less understanding of the effects of halogenated ethers […]
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