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Authors: Paul A van Beest et al BMC Anesthesiol. 2014;14(122) Background Tissue hypoperfusion occurs frequently during surgery and may contribute to postoperative organ dysfunction. There is a need for perioperative treatment protocols aiming at improving tissue oxygenation (StO2). We hypothesised that intra-operative optimisation of StO2 improves tissue perfusion and thus reduces postoperative complications. Furthermore, we evaluated the feasibility […]
Read MorePublished in Cochrane Database Syst Rev. 2015 Mar 29 Authors: Mkontwana N et al BACKGROUND: Oral analgesia is a convenient and widely used form of pain relief following caesarean section. It includes various medications used at different doses alone or in adjunction to other form of analgesia. OBJECTIVES: To determine the effectiveness, safety and cost-effectiveness of […]
Read MoreExtended-release liposomal bupivacaine provides no benefit over standard bupivacaine for pain control after total knee replacement (TKA), according to a study presented here at the 2015 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS). William C. Schroer, MD, DePaul Hospital, St. Louis, Missouri, and colleagues randomised 111 patients undergoing primary TKA to receive […]
Read MoreThe current gold standard for shoulder surgery pain management is a single-shot nerve block to reduce pain during and after surgery, which is still performed under general anaesthetic. Doctors had thought that this freezing, coupled with oral painkillers, would manage pain and keep patients comfortable for the first 24 to 48 hours after surgery. However, […]
Read MorePublished in Anesthesia & Analgesia: May 2015-Volume 120 Issue 5 page 1114-1129 Authors: Abdallah, Faraj W. MD et al BACKGROUND: Interscalene block (ISB) can provide pain relief after shoulder surgery, but a reliable quantification of its analgesic benefits is lacking. This meta-analysis examines the effect of single-shot ISB on analgesic outcomes during the first 48 […]
Read MoreAnesthesia & Analgesia: March 2015 Authors: Zanaty, Ola MD PhD et al BACKGROUND: This study was designed to evaluate and compare the efficacy and safety of nebulized dexmedetomidine, nebulized ketamine, and the combination of these drugs for premedication in pediatric outpatient dental surgeries. METHODS: A prospective, randomized, double-blinded study was conducted in the Alexandria Main […]
Read MoreLocal anaesthetic infiltration added intraoperatively to standard care provides significant improvement of long-term pain relief for patients with chronic post-surgical pain after total hip replacement, according to research presented at the World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO). The same effect is not observed for total knee replacement. Rachael Gooberman-Hill, PhD, School of […]
Read MorePublished in Anesthesia & Analgesia:March 2015 Authors: Ortmann, Erik MD DEAS et al BACKGROUND: Administration of coagulation factor concentrates to treat bleeding after cardiac surgery with cardiopulmonary bypass might be a strategy for reducing allogeneic blood transfusions, particularly for patients treated with warfarin preoperatively. We performed an exploratory analysis on whether the use of prothrombin […]
Read MoreUsing special magnetic resonance imaging (MRI), researchers have identified which patients will go on to develop chronic pain, disability, and post-traumatic stress disorder (PTSD) 1 to 2 weeks following whiplash injuries. This is the earliest these patients have ever been identified, according to James Elliott, MD, Northwestern University Feinberg school of Medicine, Chicago, Illinois, and […]
Read MoreInfants who undergo surgery fare better if they receive regional anesthesia instead of general anesthesia, researchers have found, though more training is needed for providers to administer infant spinal anesthesia. Two new studies, published in the journal Anesthesiology, examined the effectiveness of the two methods among infant patients undergoing hernia surgery. In one of the studies, […]
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