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Published in Pain Med 2015 Mar 20 Authors: Lakhan SE et al OBJECTIVES: Painful diabetic neuropathy (PDN) is a debilitating complication of diabetes that greatly affects the quality of life of those afflicted. There are many treatment options for neuropathic pain. Recent studies show a promising analgesic effect using botulinum toxin-A (BTX-A) for neuropathic pain. METHODS: […]
Read MorePublished in Clinical Journal of Pain (Mar 2015) Authors: Chen L et al OBJECTIVES Transcutaneous electrical nerve stimulation (TENS) has been reported to relieve pain and improve function in patients with knee osteoarthritis. The purpose of this systematic review and meta-analysis was to evaluate the efficacy of TENS for the management of knee osteoarthritis. METHODS […]
Read MorePublished in Acta Anaesthesiologica Scandinavica (Mar 2015) Authors: Kim Y et al BACKGROUND Intravenous or volatile agents reduce respiratory function, which can result in respiratory complications in geriatric patients. We hypothesised that there would be no differences in lung function between anaesthesia established using either drug. METHODS Elderly patients were randomly assigned to receive either […]
Read MorePublished in Acta Anesthesiol Scand 2015 May;59(5):632-9. doi: 10.1111/aas.12509. Epub 2015 Mar 18. Authors: Larsen KR et al BACKGROUND: Pain after Caesarean section is often treated with opioids with a risk of side effects. Wound infiltration with local anaesthetics is effective and has few side effects, but volume vs. dose concentration has not been examined. METHODS: […]
Read MoreAuthors: Monserrate AE et al., JAMA Neurol 2015 Mar 72:325 Factors that acutely lower cerebrospinal fluid pressure may produce early post–lumbar puncture headache, but other factors affect headache persistence. Diagnostic lumbar punctures aid in the diagnosis of infections and diseases of the central nervous system. Life-threatening events from lumbar punctures are rare, but post–lumbar (dural) puncture headaches […]
Read MorePatients with severe chronic pain who undergo implantation with an investigational high-frequency spinal cord stimulation (SCS) device show twice the magnitude of pain relief and remission compared with those receiving a conventional, lower-frequency SCS device, according to results from the first randomized clinical study of the technology. “Spinal cord stimulation has been used for approximately […]
Read MoreAuthors: Mehmet Aksoy et al Published in BMC Anesthesiol. 2014;14(99) Background Our aim is to compare the hemodynamic effects of combined psoas compartment-sciatic nerve block (PCSNB) with continuous spinal anaesthesia (CSA) in elderly high-risk patients undergoing hip replacement surgery. Methods Seventy patients over the age of 60 with ASA III or IV physical status were randomly allocated to […]
Read MoreForty-eight percent of hip fracture patients, aged 65 years and older, experienced delirium before, during and after surgery, resulting in significantly longer hospital stays and higher costs for care (Paper 308), Michael G. Zywiel, MD, reported at the 2015 annual meeting of the American Academy of Orthopaedic Surgeons (AAOS). “As reimbursement schemes evolve toward greater […]
Read MoreOngoing evidence continues to support the finding that postoperative pain remains the greatest concern for patients presenting for surgery.1 In fact, recent surveys demonstrate that patients continue to suffer moderate to severe pain postoperatively.2,3 Additionally, patient satisfaction is becoming an increasingly important aspect of health care reimbursements reported via the Hospital Consumer Assessment of Healthcare Providers […]
Read MoreThe depth of sedation provided by propofol during colonoscopy may be greater than necessary, according to researchers who objectively monitored it in their patients. The study was prompted by a recent population-based analysis (JAMA Intern Med2013;173:551-556) suggesting that complications—especially aspiration pneumonia—are increased during cases with anesthesia assistance. “No studies have measured the depth of sedation […]
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