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Reviewed By: Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California San Francisco An intra-articular corticosteroid injection into the temporomandibular joint (TMJ) provides pain relief for some patients with juvenile idiopathic arthritis (JIA) whose orofacial symptoms haven’t responded to other pain management strategies. Note that the study identified considerable variation in terms of […]
Read MoreAnesthesia & Analgesia: Jan 2016 Vol 122 Issue 1 p226-233 Authors: Bombardieri, Anna Maria MD, PhD et al BACKGROUND: Hypotensive epidural anesthesia (HEA), as practiced at our institution, uses sympathetic blockade to achieve mean arterial blood pressure (MAP) of ≤50 mm Hg while administering epinephrine by infusion to support the circulation. HEA has not been associated […]
Read MoreAnesthesia & Analgesia:Dec 2015 Volume 121 Issue 6 p1443-1455 Authors: Zhou, Xuelong MD et al BACKGROUND: Previous studies have evaluated the efficacy of preoperative acute normovolemic hemodilution (PANH) in reducing the need for allogeneic blood transfusion. However, the results to date have been controversial. In this study, we sought to reassess the efficacy and safety […]
Read MoreAnesthesia & Analgesia: Dec 2045 Volume 121-Issue 6 p1500-1507 Authors: Panjasawatwong, Krit MD et al BACKGROUND: Intraoperative hypotension is associated with complications that might be ameliorated by earlier intervention. We therefore tested the primary hypothesis that a supplemental decision support alert for critically low systolic blood pressure (SBP) decreases the duration of intraoperative hypotension. METHODS: […]
Read MoreNeural blockade of the thoracolumbar nerves supplying the anterior abdominal wall through transversus abdominis plane (TAP) has been investigated for different applications mainly for the acute pain management following abdominal surgical procedures. The role of this block for chronic pain syndromes is still to be discovered, and its value in chronic abdominal pain needs to […]
Read MoreA recent CDC report found that deaths from opioid overdoses reached a record high in 2014. So, what are safe prescribing practices for opioids? Opioids and muscle relaxants do not provide additional pain relief for patients with acute low back pain who are on NSAIDs, according to a new study. The FDA issued a warning that pain […]
Read MoreTo block or not to block during breast cancer surgery: That is the question two experts debated at the 2016 International Symposium of Ultrasound for Regional Anesthesia. “There is enough evidence of short- and long-term benefits with paravertebral block [PVB] to encourage this as standard practice,” said Faraj Abdallah, MD, assistant professor in the Department […]
Read MoreWe want to wish all of our followers a Happy New Year!
Read MoreAuthors: Sebastien Perbet et al Crit Care. 2015;19(1) Abstract Introduction: Severe cardiovascular collapse (CVC) is a life-threatening complication after emergency endotracheal intubation (ETI) in the ICU. Many factors may interact with hemodynamic conditions during ETI, but no study to date has focused on factors associated with severe CVC occurrence. This study assessed the incidence of severe CVC […]
Read MoreWhat Is Now Available and Efficacious? Authors: J. W. Sear et al Br J Anaesth. 2015;115(3):333-336. Publication, in 2008, of the results of POISE, the largest randomized controlled trial (RCT) of perioperative beta-blockade, confirmed previous studies that had shown beta-blockade to offer cardiac protection in patients with, or at risk for, coronary heart disease.[1] However, this protection […]
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