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The news media frames the prescription opioid abuse crisis largely as a criminal issue rather than as a public health problem or treatable health condition, new research suggests. And that’s a problem, lead investigator Emma E. McGinty, PhD, of Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland said. “The way that the news media […]
Read MoreAuthors: Groombridge C et al., Acad Emerg Med 2016 Jan 4; The BVM achieved FeO2 concentrations similar to an anesthesia circuit in healthy volunteers. Preoxygenation is critical prior to intubation, especially in the emergency department (ED), where this reservoir of oxygen can help mitigate unexpected hurdles encountered during intubation. There are a number of different techniques available […]
Read MoreThis simple, inexpensive procedure may provide a relatively low-risk option for the treatment of chronic migraines. Authors: Soma Sahai-Srivastava, MD and Kellie Spector, BS Migraine is a common cause of disability leading to significant financial, societal, and personal burden, along with a diminished quality of life.1,2 According to the World Health Organization, migraine ranks in the top 20 […]
Read MoreAnesthesiology published on 2 2016 Authors: Karim S. Ladha, M.D., M.Sc. et al Background: Practice guidelines for perioperative pain management recommend that multimodal analgesic therapy should be used for all postsurgical patients. However, the proportion of patients who actually receive this evidence-based approach is unknown. The objective of this study was to describe hospital-level patterns in […]
Read MoreAnesthesiology published on 2 2016 Authors: Elaina E. Lin, M.D. et al Background: Bedside ultrasound has emerged as a rapid, noninvasive tool for assessment and monitoring of fluid status in children. The inferior vena cava (IVC) varies in size with changes in blood volume and intrathoracic pressure, but the magnitude of change to the IVC with inhalational […]
Read MoreAnesthesiology published on 2 2016 Authors: Derryn A. Gargiulo, M.Pharm.Clin., Reg.Pharm.N.Z. et al Background: The aseptic techniques of anesthesiologists in the preparation and administration of injected medications have not been extensively investigated, but emerging data demonstrate that inadvertent lapses in aseptic technique may be an important contributor to surgical site and other postoperative infections. Methods: A prospective, open, […]
Read MoreAnesthesiology 2 2016, Vol.124, 396-403 Authors: Karim S. Ladha, M.D. et al Background: Opioids play a crucial role in providing analgesia throughout the perioperative period; however, patients may become persistent users of these medications months after surgery. Epidurals have been posited to prevent the development of persistent pain, but there are little data on the effect of […]
Read MoreWhile opioids may alleviate pain in some chronic pain patients, their effectiveness when it comes to restoring physical function in patients with neuropathic pain could be considered finite. Published in Pain Medicine, a new study, conducted by researchers from the University of Alberta, revealed that prescription painkillers—such as morphine, codeine and Tylenol 3—do not provide additional improvements in physical […]
Read MoreThe FDA announced a multi-pronged approach to ending the prescription opioid abuse epidemic last week. Experts in pain, addiction, and health policy Today their view of the intended reforms. “As physicians we have treated both the intense suffering caused by acute pain and chronic pain… But we have also witnessed the devastating results of opioid […]
Read MoreAnesthesiology published on 1 2016 Authors: Kyle R. Kirkham, M.D. et al Background: Increasing attention has been focused on low-value healthcare services. Through Choosing Wisely campaigns, routine laboratory testing before low-risk surgery has been discouraged in the absence of clinical indications. The authors investigated rates, determinants, and institutional variation in laboratory testing before low-risk procedures. Methods: Patients who […]
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