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Anesthesia & Analgesia: December 2015 – Volume 121 – Issue 6 – p 1627–1631 Authors: Benzon, Hubert A. MD, MPH et al BACKGROUND: Tonsillectomy is a frequently performed surgical procedure in children; however, few multimodal analgesic strategies have been shown to improve postsurgical pain in this patient population. Systemic magnesium infusions have been shown to […]
Read MoreSurgery. 2015 Oct Authors: Namekawa T et al BACKGROUND: Although the perioperative management of patients with pheochromocytoma has been improving recently, severe hypotensive episodes can occur that require postoperative catecholamine support and are challenging to manage. Our aim was to identify the clinical factors that predict prolonged postresection hypotension in patients after laparoscopic adrenalectomy for pheochromocytoma. […]
Read MoreIntravenous ibuprofen appears to offer no analgesic or bleeding-related benefit over intravenous ketorolac in elective primary or repeat Caesarean delivery, according to a study presented here at ANESTHESIOLOGY 2015, the Annual Meeting of the American Society of Anesthesiologists (ASA). “We expected less bleeding with ibuprofen than ketorolac based on the degree to which each drug […]
Read MoreJust one out of every 100 U.S. doctors is responsible for 32 percent of the malpractice claims that result in payments to patients, according to a comprehensive study of 15 years’ worth of cases. And when a doctor has to pay out one claim, the chances are good that the same physician will soon be […]
Read MorePregabalin combined with antioxidants provides significant improvement in pain over placebo for patients with pancreatitis experiencing pain recurrence after endotherapy and/or surgery for ductal clearance, according to results of a prospective study presented at United European Gastroenterology (UEG) Week 2015. Patients with chronic pancreatitis undergo recurrent intractable abdominal pain and exocrine and endocrine dysfunction. This […]
Read MoreAdding pectoral nerve blocks to general anaesthesia reduces immediate postoperative pain in patients undergoing breast cancer surgery, according to a study presented here at the ANESTHESIOLOGY 2015, the Annual Meeting of the American Society of Anesthesiologists (ASA). Despite the recent shift toward less invasive procedures, breast cancer surgery is still associated with moderate-to-severe acute postoperative […]
Read MoreLewis S. Coleman, MD Visalia, California Drs. Muller and Healy have provided an excellent review that illustrates the inherent shortcomings of prevailing induction practice, but they overlooked the utility of mask induction (Anesthesiology NewsAirway Management 2015;s17-s23). Elective mask induction and intubation without paralysis optimize anesthetic safety by incorporating preoxygenation and denitrogenation, eliminating unexpected airway collapse and […]
Read MoreDaniela Smith, MD Staff Anesthesiologist Laurel Regional Hospital Laurel, Maryland Douglas G. Martz, MD Associate Professor Department of Anesthesiology University of Maryland School of Medicine Baltimore, Maryland Brugada syndrome (BrS) is a rare cardiac channelopathy that describes patients with a structurally normal heart at risk for ventricular arrhythmias and sudden death.1 First identified in 1992, […]
Read MoreDepartment of Profundity A wise person once observed that there are three types of learning. The most problematic type is to go out in the world and make a mistake, but not learn from this experience and make it again. This is not very smart. The second type is to make a mistake but learn […]
Read MoreIn TKA, but superiority does not linger A meta-analysis of local infiltration analgesia (LIA) has shed more light on its efficacy and utility in the postoperative setting. A multicenter research team concluded that although LIA reduces short-term pain compared with femoral nerve block, this effect is reversed by the first postoperative day. “We know local […]
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