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The opioid tramadol is an effective analgesic for patients with clinically suspected acute appendicitis, according to the results of a prospective study presented at the 2015 Annual Meeting of the American College of Surgeons (ACS). “Tramadol…can provide significant reduction in abdominal pain and tenderness without altering the diagnostic confidence of the surgeon…in patients with suspected […]
Read MoreJ Clin Anesth, 2015 Sep 28. Authors: Pakpirom J et al OBJECTIVE: The purpose of this study was to compare the length of postanesthetic care unit (PACU) stay and recovery profiles of elderly patients after general anesthesia between sevoflurane and desflurane. DESIGN: Randomized, double-blind, controlled clinical trial. SETTING: Tertiary care hospital, university hospital. PATIENTS: Eighty elderly patients […]
Read MoreAuthors: Moore RA et al BACKGROUND: This is an updated version of the original Cochrane overview published in Issue 9, 2011. That overview considered both efficacy and adverse events, but adverse events are now dealt with in a separate overview.Thirty-nine Cochrane reviews of randomised trials have examined the analgesic efficacy of individual drug interventions in […]
Read MoreJ Clin Anesth, 2015 Sep 28. Authors: Kim HY et al STUDY OBJECTIVE: To compare analgesic efficacy of ultrasound (US) guidance alone and US guidance combined with nerve stimulation (NS) for continuous femoral nerve block (CFNB) in patients undergoing total knee arthroplasty (TKA). DESIGN: Prospective, randomized double-blind trial. SETTING: Postanesthesia care unit and general ward. PATIENTS: Fifty […]
Read MoreClinicians seeking greater understanding of the neural activity behind pain can turn to the results of a University of Western Ontario study, which identified variations in neural activity associated with pain processing between control and neuropathic pain groups. These differences in signal activity—particularly in regions critical to endogenous analgesia—may represent a key step in elucidating […]
Read MorePeter J. Papadakos, MD, FCCM, FAARC Director of Critical Care Medicine University of Rochester Medical Center School of Medicine and Dentistry Rochester, New York Editorial Advisory Board Member Anesthesiology News Keith M. Franklin, MD Department of Anesthesiology University of Rochester Medical Center School of Medicine and Dentistry Rochester, New York Systemic hypertension is an extremely […]
Read MoreEmpty blood units piled on the operating room floor after a trauma. A large retrospective analysis has uncovered a previously unnoticed linear relationship between mortality and units of blood transfused, namely, that there is a 10% increase in mortality for every additional 10 units of blood transfused—what has been dubbed “the 50/50 rule.” Morbidities were […]
Read MoreVery Large Database Finds: Anesthesiologists are working harder to better understand preoperative risks that may influence perioperative care. According to one intriguing study of surgical risks, preoperative low blood pressure—as opposed to high blood pressure—is a risk factor for death. The study, conducted by researchers in the United States and United Kingdom, looked at data […]
Read MoreA collaborative, checklist-driven, multimodal protocol called the ComfortSafe anesthetic technique can provide effective postoperative pain relief and enhanced recovery after surgery (ERAS) while preventing complications associated with opioid analgesics. Getting anesthesiologists to adopt a less narcotic-heavy view of analgesia has become a crusade for one of the researchers who devised the protocol. “We’ve been using […]
Read MoreContinued use of beta-blockers for hypertension during noncardiac surgery can raise the risk of major adverse cardiac events (MACE) and all-cause mortality within 30 days in a relatively low-risk population, suggests new research that is in line with earlier studies that generally included higher-risk patients. A Danish cohort of more than 55,000 low-risk hypertension patients […]
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