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Anesth Analg 2015 Dec;121(6):1640-54. Authors: Baeriswyl M et al BACKGROUND: Previous meta-analyses of the transversus abdominis plane (TAP) block have examined a maximum of 12 articles, including fewer than 650 participants, and have not examined the effect of ultrasound-guided techniques specifically. Recently, many trials that use ultrasound approaches to TAP block have been published, which report conflicting […]
Read MoreI wish everyone and their family a very Merry Christmas!
Read MoreAuthors: Timothy J Wigmore, MA, FRCA FFICM FCICM et al Anesthesiology 1 2016, Vol.124, 69-79. Background: Surgical resection remains the best option for long-term survival in many solid tumors. Surgery can, however, lead to tumor cell release into the circulation. Data have suggested differential effects of anesthetic agents on cancer cell growth. This retrospective analysis investigated the association […]
Read MoreOverdose deaths from opioids — both prescription opioids and heroin — reached an all-time high in 2014, according to the CDC. Following a relative plateau around 16,000 deaths per year, prescription opioid overdose deaths shot up 16% in 1 year to 18,893 dealths in 2014 Rose Rudd, MSPH, of the CDC, and colleagues reported in Morbidity […]
Read MoreAuthors: Ishigaki S et al., Anesth Analg 2015 Nov 23; In a randomized trial, patients receiving rocuronium followed by a saline flush had an earlier onset of neuromuscular blockade than those receiving rocuronium alone. Reliable, rapid onset of neuromuscular blockade is critical for successful emergency rapid sequence intubation (RSI). Rocuronium has a slower onset than succinylcholine. The […]
Read MoreAuthors: Yannick Le Manach, MD, PhD Anesthesiology published on 12 2015. Background: An accurate risk score able to predict in-hospital mortality in patients undergoing surgery may improve both risk communication and clinical decision making. The aim of the study was to develop and validate a surgical risk score based solely on preoperative information, for predicting in-hospital mortality. […]
Read MoreThere’s a prescription drug abuse problem sweeping the U.S., but fixing it will require a systematic change focused on how most health professionals prescribe drugs, rather than changing the practices of a few bad apples. At least, that’s the recommendation put forth in a research letter published in JAMA Internal Medicine. Researchers examined Medicare claims from […]
Read MoreSome 3.6% of patients with Crohn disease (CD) and 5.3% of patients with ulcerative colitis (UC) died after emergent intestinal resection, but for patients with either disease, postoperative mortality risk decreased significantly with elective surgery, according to a meta-analysis published in the October issue of Gastroenterology. “The setting in which the surgery was performed had the […]
Read MoreOA study has confirmed that in both sleep clinic patients and surgical patients, the higher the score on the STOP-Bang questionnaire, the greater the probability that patients will suffer from moderate-to-severe or severe obstructive sleep apnea (OSA). Frances Chung, MBBS, professor of anesthesiology at the University Health Network, University of Toronto, Ontario, and the developer […]
Read MoreHospitals across the country are increasingly turning to hydromorphone over morphine to treat pain, triggering an increase in opioid-related adverse events and higher readmission rates, new research has found. At a time when there is growing concern about opioid abuse, hospitals are increasingly embracing a much more powerful painkiller without clear benefits, explained Padma Gulur, […]
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