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Neural blockade of the thoracolumbar nerves supplying the anterior abdominal wall through transversus abdominis plane (TAP) has been investigated for different applications mainly for the acute pain management following abdominal surgical procedures. The role of this block for chronic pain syndromes is still to be discovered, and its value in chronic abdominal pain needs to […]
Read MoreA recent CDC report found that deaths from opioid overdoses reached a record high in 2014. So, what are safe prescribing practices for opioids? Opioids and muscle relaxants do not provide additional pain relief for patients with acute low back pain who are on NSAIDs, according to a new study. The FDA issued a warning that pain […]
Read MoreTo block or not to block during breast cancer surgery: That is the question two experts debated at the 2016 International Symposium of Ultrasound for Regional Anesthesia. “There is enough evidence of short- and long-term benefits with paravertebral block [PVB] to encourage this as standard practice,” said Faraj Abdallah, MD, assistant professor in the Department […]
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Read MoreAuthors: Sebastien Perbet et al Crit Care. 2015;19(1) Abstract Introduction: Severe cardiovascular collapse (CVC) is a life-threatening complication after emergency endotracheal intubation (ETI) in the ICU. Many factors may interact with hemodynamic conditions during ETI, but no study to date has focused on factors associated with severe CVC occurrence. This study assessed the incidence of severe CVC […]
Read MoreWhat Is Now Available and Efficacious? Authors: J. W. Sear et al Br J Anaesth. 2015;115(3):333-336. Publication, in 2008, of the results of POISE, the largest randomized controlled trial (RCT) of perioperative beta-blockade, confirmed previous studies that had shown beta-blockade to offer cardiac protection in patients with, or at risk for, coronary heart disease.[1] However, this protection […]
Read MoreThis might be worth trying in RR since it works in ER. Authors: Beadle KL et al., Ann Emerg Med 2015 Dec 8; Breathing with an alcohol wipe in front of the nose was more effective than breathing with a saline wipe. Prior research has found antiemetics to be no more effective than placebo in emergency department […]
Read MoreAuthors: Pradeep Suri, MD, MS et al Spine. 2015;40(17):1363-1370. Abstract Study Design. Secondary analysis of data from a double-blind randomized controlled trial. Objective. To identify mediators of the effect of lumbar epidural injections of corticosteroid plus lidocaine on patient satisfaction at 6 weeks postinjection in patients with lumbar spinal stenosis. We hypothesized that short-term (≤3 wk) change in […]
Read MoreAuthors. Tamas Fekete, MD et Study Design. Retrospective analysis of data from patients participating in the Lumbar Spinal Stenosis Outcome Study (LSOS). Objective. The aim of LSOS was to assess clinical outcomes after surgical or nonoperative treatment in patients with and without prior epidural steroid injections. Summary of Background Data. Epidural steroid injections (ESI), a common treatment modality, […]
Read MoreA Double-Blind Randomised Controlled Trial Authors: Ravichandra Balakrishnamoorthy et al Emerg Med J. 2015;32(7):525-530. Objective To assess the effect of a single dose of intravenous dexamethasone in addition to routine treatment on visual analogue scale (VAS) pain scores at 24 h in emergency department (ED) patients with low back pain with radiculopathy (LBPR). Methods Double-blind randomised controlled trial […]
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