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Authors: Sebastien Perbet et al Crit Care. 2015;19(1) Abstract Introduction: Severe cardiovascular collapse (CVC) is a life-threatening complication after emergency endotracheal intubation (ETI) in the ICU. Many factors may interact with hemodynamic conditions during ETI, but no study to date has focused on factors associated with severe CVC occurrence. This study assessed the incidence of severe CVC […]
Read MoreWhat Is Now Available and Efficacious? Authors: J. W. Sear et al Br J Anaesth. 2015;115(3):333-336. Publication, in 2008, of the results of POISE, the largest randomized controlled trial (RCT) of perioperative beta-blockade, confirmed previous studies that had shown beta-blockade to offer cardiac protection in patients with, or at risk for, coronary heart disease.[1] However, this protection […]
Read MoreThis might be worth trying in RR since it works in ER. Authors: Beadle KL et al., Ann Emerg Med 2015 Dec 8; Breathing with an alcohol wipe in front of the nose was more effective than breathing with a saline wipe. Prior research has found antiemetics to be no more effective than placebo in emergency department […]
Read MoreAuthors: Pradeep Suri, MD, MS et al Spine. 2015;40(17):1363-1370. Abstract Study Design. Secondary analysis of data from a double-blind randomized controlled trial. Objective. To identify mediators of the effect of lumbar epidural injections of corticosteroid plus lidocaine on patient satisfaction at 6 weeks postinjection in patients with lumbar spinal stenosis. We hypothesized that short-term (≤3 wk) change in […]
Read MoreAuthors. Tamas Fekete, MD et Study Design. Retrospective analysis of data from patients participating in the Lumbar Spinal Stenosis Outcome Study (LSOS). Objective. The aim of LSOS was to assess clinical outcomes after surgical or nonoperative treatment in patients with and without prior epidural steroid injections. Summary of Background Data. Epidural steroid injections (ESI), a common treatment modality, […]
Read MoreA Double-Blind Randomised Controlled Trial Authors: Ravichandra Balakrishnamoorthy et al Emerg Med J. 2015;32(7):525-530. Objective To assess the effect of a single dose of intravenous dexamethasone in addition to routine treatment on visual analogue scale (VAS) pain scores at 24 h in emergency department (ED) patients with low back pain with radiculopathy (LBPR). Methods Double-blind randomised controlled trial […]
Read MoreAuthors: Angela K.M. Lipshutz et al BMC Anesthesiol. 2015;15(93) Background: Learning from adverse events and near misses may reduce the incidence of preventable errors. Current literature on adverse events and near misses in the ICU focuses on errors reported by nurses and intensivists. ICU near misses identified by anesthesia providers may reveal critical events, causal mechanisms and […]
Read MoreAuthors: Ana Fernandez-Bustamante et al BMC Anesthesiol. 2015;15(56) Abstract The perioperative use and relevance of protective ventilation in surgical patients is being increasingly recognized. Obesity poses particular challenges to adequate mechanical ventilation in addition to surgical constraints, primarily by restricted lung mechanics due to excessive adiposity, frequent respiratory comorbidities (i.e. sleep apnea, asthma), and concerns of […]
Read MoreAuthors: Huanwei Jiang et al BMC Anesthesiol. 2015;15(94) Background: We herein provide an analysis of lumbar epidural catheterization, which outlines a detailed anatomical description of the epidural anatomy, and may improve the success rate of neuraxial cannulation. Methods: Lumbar epidural catheters were placed in 50 adult embalmed cadavers. After catheterization, the lumbar dura and connecting structures between the […]
Read MoreHigh opioid exposure is a prognostic factor for shorter overall survival, according to a study presented here at the 2015 American Society of Clinical Oncology (ASCO) Palliative Care in Oncology Symposium. The study involved patients with stage IV non-hematologic malignancies. For these and other patients with advanced cancer, pain is a challenging problem. “Opioids are […]
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