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Published in Paediatr Anaesth 2015 Dec;25(12):1248-53. Authors: Jain D et al BACKGROUND: Studies that have compared and quantified the oropharynageal leak pressure (OPLP) and adequacy of ventilation with supraglottic airway devices in different head and neck positions have been done in adult populations. The effects of head-neck position changes on the functioning of I-gel(™) in pediatric population […]
Read MorePublished in Paediatr Anaesth, 2015 Sep;25(9):897-905. Authors: Lundblad M et al BACKGROUND: Adult meta-analysis has identified dexmedetomidine as a potentially useful adjunct to prolong the duration of peripheral nerve blocks. However, no data exist regarding the adjuvant use of dexmedetomidine in the setting of pediatric peripheral nerve blocks. METHODS: Using a prospective, randomized, double-blind design, children (1½-8 […]
Read MorePublished in Paediatr Anaesth, 2015 Sep;25(9):906-10. Authors: Wang H et al BACKGROUND: Sevoflurane is widely used in pediatric anesthesia. However, a high incidence of emergence agitation (EA) after general anesthesia with sevoflurane has been reported and pain has been regarded as a significant contributing factor. The objective of this prospective randomized, placebo-controlled trial was to determine whether […]
Read MorePublished in J Clin Anesth, 2015 Dec;27(8):658-64. Authors: Bugada D et al STUDY OBJECTIVE: The study objective is to identify differences in postoperative pain management according to different analgesic treatments, targeting 2 main pathways involved in pain perception. DESIGN: The design is a randomized, parallel groups, open-label study. SETTING: The setting is in an operating room, postoperative […]
Read MorePublished in J Clin Anesth, 2015 Authors: Khan JS et al STUDY OBJECTIVE: There exists no commonly accepted regimen for an intravenous lidocaine infusion (IVLI). This study aims to determine an appropriate end time for an IVLI during bowel surgery. DESIGN: A systematic search for randomized controlled trials assessing IVLI for bowel surgery was conducted using Ovid […]
Read MorePublished in J Clin Anesth, 2015 Sep Authors: Erdogan Ari D et al STUDY OBJECTIVE: To evaluate the effectiveness of 0.125% bupivacaine compared to 0.25% bupivacaine for ultrasound-guided transversus abdominis plane (TAP) block in patients undergoing open inguinal hernia repair. DESIGN: Randomized, double-blind study. SETTING: Educational and research hospital. PATIENTS: Forty adult patients of American Society of […]
Read MoreAnesthesia & Analgesia: November 2015 Vol 121 Issue 5 p 1157-1164 Authors: Kleine-Brueggeney, Maren MD et al BACKGROUND: Evidence suggests that cannabinoids can prevent chemotherapy-induced nausea and vomiting. The use of tetrahydrocannabinol (THC) has also been suggested for the prevention of postoperative nausea and vomiting (PONV), but evidence is very limited and inconclusive. To evaluate […]
Read MorePain Med,2015 Sep 23. Authors: Perloff MD et al OBJECTIVE: Gabapentin (GBP), originally an antiepileptic drug, is more commonly used in the treatment of pain, including headache disorders. Off-label GBP is used in headache disorders with some success, some failure, and much debate. Due to this ambiguity, a clinical evidence literature review was performed investigating GBP’s […]
Read MoreCrit Care, 2015 Sep 23;19(1):295. Authors: Pluims WA et al Endotracheal intubation is frequently complicated by laryngeal edema, which may present as postextubation stridor or respiratory difficulty or both. Ultimately, postextubation laryngeal edema may result in respiratory failure with subsequent reintubation. Risk factors for postextubation laryngeal edema include female gender, large tube size, and prolonged intubation. Although […]
Read MoreMedications play an important role in managing patients with opioid use disorders, but there are not enough physicians with the knowledge and ability to use these often-complex treatments. New evidence-based recommendations on the use of prescription medications for the treatment of opioid addiction are published in the October/November issue of the Journal of Addiction Medicine, the […]
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