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The use of therapeutic hypothermia to reduce intracranial pressure in patients with traumatic brain injury leads to worse outcomes than if the procedure were avoided altogether, a new study suggests. Their findings, published in The New England Journal of Medicine 2015 Oct. were so striking that the team from Scotland stopped the study before it was completed, when […]
Read MoreAuthors: Ganapathy S et al European Journal of Anaesthesiology 32 (11), 797-804 BACKGROUND We recently described a lateral-to-medial approach for transversus abdominis plane (LM-TAP) block, which may permit preoperative initiation of the block. OBJECTIVE Our objective was to evaluate the feasibility of continuous LM-TAP blocks in clinical practice in comparison with thoracic epidural analgesia (TEA). DESIGN […]
Read MoreAuthors: Sauter A et al European Journal of Anaesthesiology 32 (11), 764-70 (Nov 2015) BACKGROUND The Shamrock technique is a new method for ultrasound-guided lumbar plexus blockade. Data on the optimal local anaesthetic dose are not available. OBJECTIVE The objective of this study is to estimate the effective dose of ropivacaine 0.5% for a Shamrock […]
Read MoreWorld J Gastroenterol. 2015 Nov 21; 21(43): 12448–12456. Authors: Samira M Sadowski et al AIM: To study the safety of epidural anesthesia (EA), its effect on pancreatic perfusion and the outcome of patients with acute pancreatitis (AP). METHODS: From 2005 to August 2010, patients with predicted severe AP [Ranson score ≥ 2, C-reactive protein > […]
Read MoreAbout 1 in 20 patients who undergo emergency general surgery (EGS) find themselves back in a hospital within 30 days, according to a study published in JAMA Surgery. In addition, patients with high comorbidity scores were 2.26 times more likely to be readmitted than those with low scores, and one in five readmitted patients went to a different […]
Read MoreRacial disparities exist in how children are treated for moderate and severe pain. Several studies have documented racial inequality in pain treatment among hospitalized adults. However, according to findings from a receivent study (JAMA Pediatr Sep 14, 2015. doi:10.1001/jamapediatrics.2015.1915, black children are less likely to receive any pain medication for moderate pain or opioids for severe […]
Read MoreA novel methodology for identifying the sciatic nerve before blockade has been developed. That task is often challenging, particularly in morbidly obese patients. Blockade of the sciatic nerve, necessary for complete analgesia of the lower extremity using peripheral nerve blocks, usually relies on ultrasound to identify the sciatic nerve; however, ultrasound is technically difficult in […]
Read MoreOlder women appear to be at higher risk than older men for deterioration in neurologic and cognitive functioning as well as ventricular brain volumes following the administration of general anesthesia and surgery. That was the conclusion of a study that tracked cognitive aging in more than 500 elderly people over time. Elderly women and men […]
Read MoreNearly half of the observed surgeries and approximately 5% of perioperative medication administrations included a medication error (ME) and/or adverse drug event (ADE), according to a prospective study. This observed rate is much higher than rates reported previously from retrospective surveys. In addition, the new study showed that not only did all of the MEs […]
Read MoreAuthors: McCarthy ML et al., Ann Emerg Med 2015 Oct 13; A large trial shows that ultrasound helps with moderate or difficult anticipated IV access when lines are placed by emergency department technicians. Multiple small studies since 2005 have shown that ultrasound guidance improves success of peripheral intravenous (IV) line placement when access is difficult. These researchers […]
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