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Knee Surg Sports Traumatol Arthrosc, 2015 Jun Authors: Zhou Y et al PURPOSE: The purpose of this study was to appraise the efficacy and safety of single-dose intra-articular ropivacaine administered for pain relief after arthroscopic knee surgery. METHODS: PubMed, Embase, and Cochrane Library databases were searched in October 2014 to identify randomized controlled trials of single-dose intra-articular […]
Read MoreInt J Cardiovasc Imaging 2015 Jun Authors: Treskatsch S et al Abstract Monoplane hemodynamic TEE (hTEE) monitoring (ImaCor® ClariTEE®) might be a useful alternative to continuously evaluate cardiovascular function and we aimed to investigate the feasibility and influence of hTEE monitoring on postoperative management in cardiac surgery patients. After IRB approval we reviewed the electronic data of cardiac […]
Read MoreRespiratory depression (RD) often strikes patients within 24 hours of surgery and causes death or brain damage in the most serious of these cases, yet these injuries are often preventable, a new study from the Anesthesia Closed Claims Project and Anesthesia Quality Institute found. More than 88% of the RD events that led to malpractice […]
Read MoreDavid Hardman, MD, MBA Professor of Anesthesiology Vice Chair for Professional Affairs Department of Anesthesiology University of North Carolina at Chapel Hill Chapel Hill, North Carolina The risk for permanent or severe nerve injury after peripheral nerve blocks (PNBs) is extremely low, irrespective of its etiology (ie, related to anesthesia, surgery or the patient). […]
Read MoreAuthors: Paul Picton, MB, Ch B MRCP, FRCA et al Anesthesiology published August 2015 Background:: Beach chair positioning during general anesthesia is associated with cerebral oxygen desaturation. Changes in cerebral oxygenation resulting from the interaction of inspired oxygen fraction (Fio2), end-tidal carbon dioxide (PETco2), and anesthetic choice have not been fully evaluated in anesthetized patients in the beach […]
Read MoreAs you may already be aware, there was a “whistleblower” suit in Missouri claiming that the anesthesiologists were only doing “supervision,” not “medical direction” because the anesthesiologists were physically present in the operating room at the time of “emergence.” The case was based on there being a definition of “emergence” and in this case no […]
Read MoreAuthors: Hagiwara Y et al., Am J Emerg Med 2015 Jun 19; A Japanese registry study suggests the score has fair sensitivity and specificity. The LEMON score is a mnemonic for predicting difficult intubation. It stands for Look, Evaluate the 3-3-2 rule, Mallampati score, Obstruction, and Neck mobility (NEJM JW Emerg Med Mar 2005 and Emerg Med J 2005; 22:99). […]
Read MoreBMC Anesthesiol. 2015;15(18) Authors: Ram Bhakta Koju et al Background Intrathecal morphine is commonly used for post caesarean analgesia. However, their use is frequently associated with the incidence of troublesome side effects such as nausea, vomiting and pruritus. Various mechanisms have been postulated for the opioid-induced pruritus, with a variety of medications with different mechanisms […]
Read MoreClin J Pain. 2015 May 8 Authors: Raskin P1 et al OBJECTIVES: To evaluate pregabalin’s efficacy and safety versus placebo to reduce pain in subjects with diabetic peripheral neuropathy (DPN) using a concomitant nonsteroidal anti-inflammatory drug (NSAID). METHODS: In a randomized, double-masked, 14-week, 2-period, crossover study, subjects with painful DPN using an NSAID for non-DPN-related […]
Read MoreClin J Pain. 2015 May 8. Authors: Gauntlett-Gilbert J1 et al OBJECTIVES: Opioid prescription for non-malignant pain is increasing in Europe and the US. Research and guidance have focused on the potential for dependency and medical side effects with high doses. In contrast, benzodiazepines have received little attention in the chronic pain literature, despite evidence […]
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