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With the perioperative surgical home model — in which an anesthesiologist manages a patient’s surgical experience in collaboration with the patient, the patient’s family, and other healthcare providers — hospital stays are shorter and rates of discharge home are higher, according to a new study. The findings show that the program has a promising future beyond its […]
Read MoreI thought this was interesting so I wanted to share it with our readers. The use of low-dose ketamine as an adjunct to opioids for pain control in the emergency department led to reductions in pain scores, total opioid dosing, and frequency of opioid dosing, results from a randomized, placebo-controlled trial indicate. “The reduced frequency […]
Read MoreAnesthesia & Analgesia:November 2015 – Volume 121 – Issue 5 – p 1231–1239 Authors: Patrick MD et al BACKGROUND: The use of an intraoperative lung-protective ventilation strategy through tidal volume (TV) size reduction and positive end-expiratory pressure (PEEP) has been increasingly investigated. In this article, we describe the current intraoperative lung-protective ventilation practice patterns and […]
Read MoreAnesthesia & Analgesia: Nov 2045 Vol 121 zissue 5 p1215-1221 Authors: Kopp, Sandra L. MD et al BACKGROUND: Surgical site infection (SSI) is one of the most challenging and costly complications associated with total joint arthroplasty. Our primary aim in this case-controlled trial was to compare the risk of SSI within a year of surgery […]
Read MoreAnesthesia & Analgesia: Nov 2015 Vol 121 issue 5 p 1194-1201 Authors: Bresson Julie MD et al BACKGROUND: NeuroSENSE is a depth of anesthesia monitor that uses automated electroencephalogram quantification. The Wavelet-based Anesthetic Value for Central Nervous System (WAVCNS) index calculated by this monitor is based on wavelet analysis of a normalized electroencephalogram signal in […]
Read MoreThe objective of this study was to report a case of new onset refractory pain from intrapleural migration of a spinal catheter five months after the implantation of an intrathecal drug delivery system (IDDS). A 57-year-old man had intractable pain because of multiple intradural spinal explorations for tethered cord release. His pain was effectively treated […]
Read MoreJ Cardiothorac Vasc Anesth 2015 Oct;29(5):1172-9. Authors: Jia L et al OBJECTIVE To compare the effects of propofol, sevoflurane, and the combination of the 2 on circulating lymphocytes in patients undergoing off-pump coronary artery bypass graft (OPCAB) surgery. DESIGN: A prospective, randomized study. SETTING: A university hospital. PARTICIPANTS: One hundred five patients undergoing elective OPCAB surgery. […]
Read MoreJ Cardiothorac Vasc Anesth 2015 Oct;29(5):1285-90. Authors: Conway A et al OBJECTIVES: To identify the prevalence of and risk factors for inadvertent hypothermia after procedures performed with procedural sedation and analgesia in a cardiac catheterization laboratory. DESIGN: A single-center, prospective observational study. SETTING: A tertiary-care private hospital in Australia. PARTICIPANTS: 399 patients undergoing elective procedures with procedural […]
Read MoreHigh opioid exposure is a prognostic factor for shorter overall survival, according to a study presented here at the 2015 American Society of Clinical Oncology (ASCO) Palliative Care in Oncology Symposium. The study involved patients with stage IV non-hematologic malignancies. For these and other patients with advanced cancer, pain is a challenging problem. “Opioids are […]
Read MoreInt Orthop 2015 Sep 15. Authors: Sanel S et al AIM: There are many alternatives for post-operative pain relief in patients who have had general anaesthesia. The aim of this study was to evaluate the efficacy of intra-articular bupivacaine + morphine and bupivacaine + tenoxicam applications in post-operative pain control in patients undergoing knee arthroscopy with general […]
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