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Anaesth Intensive Care. 2015 Jul;43(4):454-60 Authors: Olive DJ et al Abstract This randomised controlled trial compared three analgesia regimens following primary unilateral total knee joint replacement: continuous femoral nerve block (CFNB), intrathecal morphine (ITM), and both. The primary outcome was pain ratings over the first 24 hours. Secondary outcomes included morphine consumption, nausea, pruritus and […]
Read MoreAnaesth Intensive Care. 2015 Jul;43(4):468-72. Authors: Bharti N et al Abstract This prospective, randomised, observer-blinded study was conducted to compare the ease of performance and surgical effectiveness of interscalene block below the C6 nerve root with supraclavicular and infraclavicular techniques of brachial plexus block for upper arm and forearm surgery. Sixty adult patients of American […]
Read MoreReg Anesth Pain Med. 2015 Sep-Oct;40(5):559-67 Authors: Sztain JF et al BACKGROUND: We tested the hypothesis that, following unicompartment knee arthroplasty, a continuous adductor canal block decreases the time to reach 4 discharge criteria compared with a continuous femoral nerve block. METHODS: Subjects were randomized to either an adductor canal or femoral perineural catheter (2-day […]
Read MoreReg Anesth Pain Med. 2015 Jul-Aug;40(4):344-8 Authors: Terkawi AS et al INTRODUCTION: Hypotension is the most common complication after subarachnoid anesthesia for cesarean delivery. Several therapeutic and preventive measures are used to attenuate this side effect. Serotonin receptor-blocking drugs have been suggested as one such approach. We sought to determine whether prophylactically administered intravenous ondansetron […]
Read MoreReg Anesth Pain Med. 2015 Jul-Aug;40(4):337-43 Authors: Sivashammugan T et al OBJECTIVES: The optimal site for local anesthetic injection during an ultrasound-guided supraclavicular brachial plexus block (BPB) is not known. We tested the hypothesis that local anesthetic injected deep to the “brachial plexus sheath” during supraclavicular BPB would produce faster onset of surgical anesthesia than an injection […]
Read MoreCochrane Database Syst Rev. 2015 Jul 15 Authors: Basurto Ona X et al BACKGROUND: This is an updated version of the original Cochrane review published in Issue 8, 2011, on ‘Drug therapy for treating post-dural puncture headache’.Post-dural puncture headache (PDPH) is the most common complication of lumbar puncture, an invasive procedure frequently performed in the emergency room. […]
Read MoreJAMA Surg 2015 Jul 8. doi: 10.1001/jamasurg.2015.1530. Authors: Gough AE et al IMPORTANCE: Laparoscopic ventral hernia repair (LVHR) using mesh is a well-established intervention for ventral hernia, but pain control can be challenging. OBJECTIVE: To determine whether instillation of a long-acting local anesthetic between the mesh and the peritoneum after LVHR reduces pain or narcotic requirements. DESIGN, […]
Read MoreProspective Cohort Study Authors: Kentaro Ouchi et al BMC Anesthesiol. 2015;15(34) Background We investigated the impact of the type of neurological disorder on the required propofol dose for anesthesia and the time to emerge from anesthesia during dental treatment in patients with autism (AU), cerebral palsy (CP), and intellectual disability (ID), some of whom also had epilepsy. […]
Read MorePhysicians must become better prepared to answer patients’ questions about cannabis because its use in medicine is exploding, according to a leading researcher. “It’s high time we got up to speed with the language and the issues around communication on this,” said Mark Ware, MBBS, MSc, from McGill University Health Centre in Montreal, Quebec, Canada. […]
Read MorePrompt resumption of angiotensin receptor blocker (ARB) therapy after surgery slashes 30-day mortality risk, particularly among younger patients, according to a national cohort study published June 4 in Anesthesiology. Although clinicians commonly discontinue ARBs before surgery to prevent intraoperative hypotension, there is little evidence to guide optimal timing for resumption of therapy, write lead author Susan […]
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