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Anesthesia & Analgesia: May 13, 2016 AUTHORS: Tawfik, Mohamed Mohamed MD et al BACKGROUND: Preprocedural ultrasound may improve the efficacy and safety of epidural catheterization, especially in difficult cases. Most studies of ultrasound-assisted epidural catheterization in the obstetric population are dated and nonblinded with inconsistent designs. This double-blind, randomized controlled study aimed to compare the […]
Read MoreAnesthesia & Analgesia: May 13, 2016 Authors: Tusman, Gerardo MD et al Pulse oximetry is an undisputable standard of care in clinical monitoring. It combines a spectrometer to detect hypoxemia with a plethysmograph for the diagnosis, monitoring, and follow-up of cardiovascular diseases. These pulse oximetry capabilities are extremely useful for assessing the respiratory and circulatory […]
Read MoreAUTHORS: Dilmen O et al Clinical Neurology and Neurosurgery 146 90-95 (May 2016) OBJECTIVES The prevalence of moderate to severe pain is high in patients following craniotomy. Although optimal analgesic therapy is mandatory, there is no consensus regarding analgesic regimen for post-craniotomy pain exists. This study aimed to investigate the effects of morphine and non-opioid […]
Read MoreQuality Queries and Quandaries: Confusion surrounds quality reporting for anesthesia providers. The use of acronyms by the government, such as PQRS, MAV, VM, QRUR, QCDR, MACRA and MIPS, only adds to the problem. The “alphabet soup” of government quality programs is bewildering and complex, and even experienced policy wonks struggle to understand them. Many anesthesia […]
Read MoreThe expansion of prescription drug monitoring programs (PDMPs) across state lines is an important tool in preventing individuals from “doctor shopping” for multiple opioid prescriptions, and could have a huge effect on the battle against opioid misuse, abuse and diversion, according to pain medicine experts and state officials. “Right now, we are in the midst […]
Read MoreContinuous ketamine infusion may be a safe and effective adjunct to sedation in mechanically ventilated critically ill patients, and could be a potential alternative to the continuous infusion of benzodiazepines. “Ketamine is a rapid-acting anesthetic with both sedative and analgesic properties,” said Lara Groetzinger, PharmD, of the medical ICU of the University of Pittsburgh Medical […]
Read MoreA Systematic Review Authors: Yunkun Deng et al BMC Anesthesiol. 2016;16(12) Background: The management of neuropathic pain (NP) is challenging despite it being the recent focus of extensive research. A number of clinical practice guidelines (CPGs) for the management of NP have been published worldwide over the past 2 decades. This study aimed to assess the quality […]
Read MoreA 2-day interdisciplinary treatment program including cognitive behavioral therapy (CBT), exercise, and education about fibromyalgia (FM) reduced pain and improved health status as effectively as a 10-week program, researcher report in an article published April 7 in Rheumatology International. However, the shorter program may not have been as effective at reducing fatigue and improving physical function. […]
Read MoreAnesthesia & Analgesia: June 2016 – Volume 122 – Issue 6 – p 1957–1962 AUTHORS: Gokhale, Priyanka BS et al BACKGROUND: The primary objective of this study was to assess the risk of perioperative anesthesia-related complications in a cohort of obese and non-obese women undergoing outpatient surgical abortion under IV sedation without tracheal intubation. METHODS: […]
Read MoreA Systematic Review of Comparative-Effectiveness Research Authors: R. L. Johnson et al Br J Anaesth. 2016;116(2):163-176. Background: This systematic review evaluated the evidence comparing patient-important outcomes in spinal or epidural vsgeneral anaesthesia for total hip and total knee arthroplasty. Methods: MEDLINE, Ovid EMBASE, EBSCO CINAHL, Thomson Reuters Web of Science, and the Cochrane Central Register of Controlled Trials from […]
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