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While the dangers of addiction have led healthcare providers to take a hard look at their prescribing practices, there’s another potential downside to using opioids to treat pain. Opioid therapy for neuropathic pain does not appear to help patients restore physical function, according to a new study published in Pain Medicine. “Pain is very complex, and people experience pain at very […]
Read MoreAuthors: Hayes-Bradley C et al., Ann Emerg Med 2015 Dec 31; Adding nasal cannula to nonrebreather mask or bag-valve-mask preoxygenation improved end-tidal oxygen levels. Preoxygenation is used to fill the lungs with oxygen and wash out nitrogen before emergency endotracheal intubation. Investigators assessed the contribution of supplemental nasal cannula–delivered oxygen to end-tidal oxygen levels in a randomized […]
Read MoreAuthors: Stavros G. Memtsoudis, M.D., Ph.D, et al Anesthesiology published on 1 2016. Background: Differences in health care represent a major health policy issue. Despite increasing evidence on the mediating role of anesthesia type used for surgery on perioperative outcome, there is a lack of data on potential care differences in this field. The authors aimed to […]
Read MoreAuthors: Jie Zhang, M.B.B.S. et al Anesthesiology published on 1 2016. Background: Hypotension is a common side effect of general anesthesia induction, and when severe, it is related to adverse outcomes. Ultrasonography of inferior vena cava (IVC) is a reliable indicator of intravascular volume status. This study investigated whether preoperative ultrasound IVC measurements could predict hypotension after […]
Read MoreAuthors: Unni Dokkedal, M.P.H. et al Anesthesiology 2 2016, Vol.124, 312-321. Background: Postoperative cognitive dysfunction is common, but it remains unclear whether there are long-term adverse cognitive effects of surgery combined with anesthesia. The authors examined the association between exposure to surgery and level of cognitive functioning in a sample of 8,503 middle-aged and elderly twins. Methods: Results […]
Read MoreAnesthesia & Analgesia: December 2015 – Volume 121 – Issue 6 – p 1500–1507 Authors: Panjasawatwong, Krit MD et al BACKGROUND: Intraoperative hypotension is associated with complications that might be ameliorated by earlier intervention. We therefore tested the primary hypothesis that a supplemental decision support alert for critically low systolic blood pressure (SBP) decreases the […]
Read MoreAuthors: Nan Lin, M.D. et al Anesthesiology Published on 1 2016. Background: Sedation is commonly used in neurosurgical patients but has been reported to produce transient focal neurologic dysfunction. The authors hypothesized that in patients with frontal–parietal–temporal brain tumors, focal neurologic deficits are unmasked or exacerbated by nonspecific sedation independent of the drug used. Methods: This was a […]
Read MoreExercise, especially when combined with education, was shown to help reduce lower-back pain, but shoe insoles, back belts, ergonomic interventions, or education alone had little effect, researchers reported. Exercise reduced the risk of lower-back pain episodes by 35% and the risk of sick leave over lower-back pain by 78%, and when combined with education, the […]
Read MoreAuthors: Kamboj M et al., Infect Control Hosp Epidemiol 2015 Dec 36:1401 Using antiseptic barrier caps for intravenous catheter ports reduced rates of central-line–associated bloodstream infections and blood culture contamination in a high-risk cancer unit. “Reducing to zero” the rate of central-line–associated bloodstream infections (CLABSIs) requires optimizing not only the approach to catheter insertion, but also the […]
Read MorePrescriptions for combination drugs containing hydrocodone (e.g., Vicodin) dropped after the U.S. Drug Enforcement Administration enacted tighter controls by moving them from Schedule III to Schedule II in 2014. Researchers published their findings in JAMA Internal Medicine. Using data on dispensed retail prescriptions, the researchers examined the number of prescriptions filled for hydrocodone-containing products for the […]
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