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PUBLISHED: BJOG. 2015 Jan 5. doi: 10.1111/1471-0528.13249 AUTHORS: Fleet J el at OBJECTIVE: To compare the efficacy of fentanyl administered via the subcutaneous (s.c.) or intranasal (i.n.) route with intramuscular (i.m.) pethidine in labouring women requesting analgesia. DESIGN: A randomised controlled trial three-armed, parallel-design. SETTING: A regional hospital and the largest tertiary maternity centre in South […]
Read MorePublished in J Clin Anesth. 2015 May;27(3):226-32 AUTHORS: Delfino AE et al STUDY OBJECTIVE: The study objective was to establish the impact of acute hypertension on morphine’s requirements after laparoscopic cholecystectomy. DESIGN: The design was a randomized, simple blinded study. SETTING: The settings were operating room, postoperative recovery area, and first postoperative day. PATIENTS: There were […]
Read MorePublished in J Clin Anesth. 2015 Mar;27(2):105-10 AUTHORS: Pinar HU et al STUDY OBJECTIVE: To investigate the effect of 6% hydroxyethyl starch (HES) (130/0.4) infusion on ischemia-reperfusion determinants in minor lower extremity operations with tourniquet application. DESIGN: Prospective, randomized, clinical trial. SETTING: University hospital operation room. PATIENTS: American Society of Anesthesiologists I and II 40 patients […]
Read MoreThis is another post for our pain providers to read. The study was published in Drug and Alcohol Dependence. As users of heroin and other opioids get older, their risk for overdose death increases dramatically, a new study of age trends in excess deaths shows. Although male users had almost double the rate of drug-related poisoning in early […]
Read MoreAfter tonsillectomy, ibuprofen in combination with acetaminophen provides safe, effective analgesia for children. In contrast, morphine can cause life-threatening oxygen desaturation in certain children, and therefore its use should be avoided when possible. Lauren E. Kelly, PhD, from Western University, London, Ontario, Canada, and colleagues published the results of their prospective clinical trial in Pediatrics. Their study […]
Read MorePublished in Eur J Anaesthesiol. 2015 Jan 17 Authors: Woo JH et al BACKGROUND: Dexamethasone prolongs the duration of single-shot interscalene brachial plexus block (SISB). However, dose-dependency of dexamethasone as an adjuvant for SISB remains insufficiently understood. OBJECTIVE: The objective of this study is to evaluate the effect of different doses of dexamethasone on the duration […]
Read MorePatients older than 80 years have been found to do well after noncardiac surgery, with surprisingly few complications, according to a study from Japan. However, there are several factors that predict postoperative adverse events, including preoperative hypoalbuminemia, intraoperative blood transfusion, longer operative time and male gender. “The average life span has been rapidly increasing around […]
Read MoreThe findings appeared in the journal Digestive Diseases and Sciences. Patients who are fasting before upper endoscopy can safely chew gum up until the time of the procedure, researchers have found. Guidelines on preoperative fasting from the American Society of Anesthesiologists do not explicitly address gum chewing. However, many anesthesia departments prohibit sedation in such patients […]
Read MorePublished in Colorectal Dis. 2015 Apr;17(4):342-50 Authors: Fustran N et al AIM: The aim of this prospective double-blind randomized clinical trial was to determine whether preperitoneal continuous wound infusion (CWI) of the local anaesthetic ropivacaine after either laparotomy or video-assisted laparoscopy for colorectal surgery would reduce patient consumption of morphine. METHOD: Patients scheduled for colorectal surgery […]
Read MoreAlthough the association between primary and referred pain is generally not well characterized, a study by an Iowa research team has shed more light on the link between the two pain types. The investigators found that a threshold level of primary pain is necessary to induce referred pain, and that there is a progressive relationship […]
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