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Department of Profundity A wise person once observed that there are three types of learning. The most problematic type is to go out in the world and make a mistake, but not learn from this experience and make it again. This is not very smart. The second type is to make a mistake but learn […]
Read MoreIn TKA, but superiority does not linger A meta-analysis of local infiltration analgesia (LIA) has shed more light on its efficacy and utility in the postoperative setting. A multicenter research team concluded that although LIA reduces short-term pain compared with femoral nerve block, this effect is reversed by the first postoperative day. “We know local […]
Read MoreJ Neurosurg Spine. 2015 Oct 13:1-7. Authors: Lu CH et al OBJECT Anesthesia techniques can contribute to the reduction of anesthesia-controlled time and may therefore improve operating room efficiency. However, little is known about the difference in anesthesia-controlled time between propofol-based total intravenous anesthesia (TIVA) and desflurane (DES) anesthesia techniques for prolonged lumbar spine surgery under […]
Read MoreIsocapnia can be maintained during hyperventilation by administering carbon dioxide (CO2) through a modern anesthesia circuit without disconnecting it, a study has found. The study, performed by a team of anesthesiologists from the Institute for Clinical Sciences, Sahlgrenska Academy, at Gothenburg University in Sweden, used a mechanical lung model set to 50 mL/cm H2O and […]
Read MoreConsider administering a single-shot interscalene nerve block following shoulder surgery, which provides an excellent quality of recovery when combined with multimodal oral analgesia. Researchers in the United Kingdom, using the recently developed Quality of Recovery-15 (QoR-15) score, found that those receiving the nerve block were functioning at or slightly above preoperative levels at 24 and […]
Read MoreHarendra Arora, MD Professor, Anesthesiology Program Director, Anesthesiology Residency Section Head, Vascular and Transplant Anesthesia UNC School of Medicine University of North Carolina at Chapel Hill Chapel Hill, North Carolina The use of anticoagulant and antiplatelet agents has been increasing, primarily as a result of improved life expectancy, the aging population, prevalence of cardiovascular disease, […]
Read MoreAdductor canal catheters provide better pain control on postoperative day 1 prior to, during, and after patients’ first physical therapy session following total knee arthroplasty (TKA), compared with intra-articular catheters, according to a study presented here at the ANESTHESIOLOGY 2015, the Annual Meeting of the American Society of Anesthesiologists (ASA). Furthermore, adductor canal catheters significantly […]
Read MoreElective induction of labor in first-time mothers with an unfavorable cervix increased the rate of cesarean deliveries compared with women who received expectant management in a randomized clinical trial, but the differences were not statistically significant. Although retrospective studies comparing elective induction with expectant management do not show an increased risk for cesarean delivery, and […]
Read MoreClin Otolaryngol. 2015 Oct 30. Authors: Syed MI et al 1 OBJECTIVE: To ascertain the efficacy of a new analgesic regimen introduced in children undergoing (adeno)tonsillectomy in view of the ban on codeine use in children <12 years by the European Medicines Agency (EMA) and UK Medicines and Healthcare Products Regulatory Agency (MHRA). DESIGN: Prospective pilot […]
Read MoreAdductor canal catheters provide better pain control on postoperative day 1 prior to, during, and after patients’ first physical therapy session following total knee arthroplasty (TKA), compared with intra-articular catheters, according to a study presented here at the ANESTHESIOLOGY 2015, the Annual Meeting of the American Society of Anesthesiologists (ASA). Furthermore, adductor canal catheters significantly […]
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