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Authors: Lomonte AB et al. J Rheumatol 2015 Sep. Triamcinolone and methylprednisolone worked equally well in a double-blind trial. Symptomatic knee osteoarthritis (OA) occurs in as many as 6% of adults older than 30, and the prevalence of OA rises with increasing age. Treatment of patients with symptomatic knee OA includes physical therapy, analgesics (including nonsteroidal anti-inflammatory […]
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 MoreAn intensive biopsychosocial chronic pain and recovery program shows significant reductions in opiate use along with pain reduction, researchers report. “We have found that 63% of our chronic pain patients who come in on opiates are leaving without opiates and with a 25% reduction in pain,” lead author Bruce Singer, PsyD, director of the Chronic […]
Read MoreDischarge Readiness After Tricompartment Knee Arthroplasty: Adductor Canal Versus Femoral Continuous Nerve Blocks—A Dual-Center, Randomized Trial Authors: Machi AT, Sztain JF, Kormylo NJ, et al Anesthesiology. 2015;123:444-456 Study Summary This prospective randomized trial studied patients undergoing primary, unilateral knee arthroplasty to determine whether using a catheter to deliver a continuous adductor canal block reduced the interval […]
Read MoreClin Ther. 2015 Nov 1;37(11):2468-75. Authors: Bista SR et al PURPOSE: Fentanyl is widely used to relieve cancer pain. However there is great interpatient variation in the dose required to relieve pain and little knowledge about the pharmacokinetic and pharmacodynamic (PK/PD) relationship of fentanyl and pain control. Patients with cancer are fragile and there is reluctance on […]
Read MoreAnesthesia & Analgesia: September 2015 Authors: Castro-Alves, Lucas J. MD et al BACKGROUND: Postsurgical quality of recovery is worse in female than that in male patients. Duloxetine has been used successfully for the treatment of chronic pain conditions, but its use for preventing acute postoperative pain has been limited to a single previous study. More […]
Read MoreAnesthesia & Analgesia: September 2015 Authors: Ahn, Hyun Joo MD, PhD et BACKGROUND: Fluid is restricted in thoracic surgery to reduce acute lung injury, and hydroxyethyl starches (HES) are often administered to reduce fluid amount. This strategy may contribute to the development of acute kidney injury (AKI). We evaluated the incidence, risk factors, and prognosis […]
Read MoreAnesthesia & Analgesia: September 2015 Authors: Fritz, Bradley A. MD et al BACKGROUND: Postoperative delirium is a common complication associated with increased morbidity and mortality, longer hospital stays, and greater health care expenditures. Intraoperative electroencephalogram (EEG) slowing has been associated previously with postoperative delirium, but the relationship between intraoperative EEG suppression and postoperative delirium has […]
Read MoreIdentifying a child presenting with a difficult airway may not be quite as easy as pediatric anesthesiologists believe, according to a chart review by a Canadian research team. Investigators at The Hospital for Sick Children, in Toronto, found that nearly 20% of difficult airways were unanticipated and more than half occurred in patients with no […]
Read MoreAnesthesia & Analgesia: Oct 2015 Volume 121 Issue 4 p 981-987 Authors: Bauchat, Jeanette R. MD et al BACKGROUND: Neuraxial analgesic techniques are the most effective form of labor analgesia. Small studies (9–21 patients), conducted 10 to 20 years ago, demonstrated successful neuraxial labor analgesia in only 50% to 66% of patients with surgical correction […]
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