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Preliminary data shows no significant difference in postoperative opioid consumption with a single intraoperative dose of methadone or magnesium bolus versus remifentanil alone following posterior spinal fusion, according to a study presented here at ANESTHESIOLOGY 2015, the Annual Meeting of the American Society of Anesthesiologists (ASA). Furthermore, bolus dosing of magnesium may interfere with monitoring […]
Read MoreA novel, patient-controlled sublingual analgesic is as effective for postop pain as intravenous morphine, independent of body mass index (BMI), according to a study presented here at Obesity Week 2015. With more and more patients undergoing surgery for obesity-related conditions, such as knee and hip arthroplasty, the physiological differences between obese and normal-weight patients may […]
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: Björn Knutsson, MD Spine. 2015;40(18):1451-1456. Study Design. A prospective cohort study that used a Swedish nationwide occupational surveillance program for construction workers (period of registration from 1971 to 1992). In all, 364,467 participants (mean age at baseline 34 yr) were included in the study. Objective. To determine whether overweight and obesity are associated with a higher risk […]
Read MoreWhile 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 […]
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