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Published in Am J Emerg Med 2015 Mar 33:315 Authors: Duran-Gehring PE et al. Ultrasound can be used to visualize injected saline, localize the catheter tip, and detect pneumothorax. Investigators compared ultrasound to chest x-ray for confirmation of placement of supradiaphragmatic central lines and to rule out pneumothorax in 46 emergency department patients. Correct placement […]
Read MoreThis is another one for our pain providers to read. Patients receiving methadone for noncancer pain had a 46% increased risk for death compared with patients receiving morphine sustained release (SR), a new study shows. The increased risk occurred even with methadone doses as low as 20 mg/d. The study results support the message that […]
Read MoreThis is for our pain providers. Nevro Corp has received an “approvable” letter from the US Food and Drug Administration (FDA) for its spinal cord stimulation (SCS) system for treatment of chronic pain. The Senza SCS system delivers Nevro’s proprietary HF10therapy, “an advanced SCS therapy that provides electrical pulses to the spinal cord at a rate up to […]
Read MorePublished in BMC Anesthesiol. 2014;14(78) Authors: Serdar Demirgan et al Background: Hypothermia has been used in cardiac surgery for many years for neuroprotection. Mild hypothermia (MH) [body temperature (BT) kept at 32–35°C] has been shown to reduce both mortality and poor neurological outcome in patients after cardiopulmonary resuscitation (CPR). This study investigated whether patients who were […]
Read MorePublished in Acta Obstet Gynecol Scand. 2015 Mar;94(3):274-8 Authors: Røjskjaer JO et al OBJECTIVE: To assess the effect of bilateral ultrasound-guided transversus abdominis plane block with ropivacaine compared with placebo as part of a multimodal analgesic regimen. DESIGN: A randomized, double-blind, placebo-controlled trial following the CONSORT criteria. SETTING: Hvidovre University Hospital. PATIENTS: Forty-six women scheduled for […]
Read MorePublished in Anesthesiology on 4 2015. Authors: Brendan Silbert, MB, BS, FABZCA et al Background: This study investigated the prevalence of cognitive impairment in elderly noncardiac surgery patients and any association between preoperative cognitive impairment and postoperative cognitive dysfunction (POCD). Additionally, the incidence of cognitive decline at 12 months after surgery was identified. Methods: Three hundred patients for […]
Read MorePublished in European Journal of Anaesthesiology Authors: Evansa, Irina et al BACKGROUND: Epidural steroid injections are routinely performed under fluoroscopic guidance, but could also be performed using preprocedure ultrasound spine examination. OBJECTIVES: To compare ultrasound-assisted and fluoroscopy-controlled epidural steroid injections with regard to technical feasibility (accuracy, average procedure time) and outcome (pain relief and degree […]
Read MoreReferrals for medical workups prior to low-risk surgeries such as cataract removal needlessly raise costs for Medicare and other payers, researchers find. Despite guidelines in 2002 that advised against precautionary testing of patients before cataract surgery, which is considered to be a safe, quick procedure, 53% were referred for low-benefit and costly tests days before […]
Read MoreI included this for being important for our recoverery room patients. Published in Ann Emerg Med 2015 Apr 65:356 Authors: Brainard A et al. Normal volunteers tolerated a flow rate of 15 L/minute but found it more uncomfortable than 6 L/minute. A new technique called “apneic oxygenation” is purported to prevent desaturation by delivering high-flow oxygen […]
Read MoreAuthors: Anna I. Hårdemark Cedborg, M.D., Ph.D. et al Background: Drugs used for sedation in anesthesia and intensive care may cause pharyngeal dysfunction and increased risk for aspiration. In this study, the authors investigate the impact of sedative doses of morphine and midazolam on pharyngeal function during swallowing and coordination of breathing and swallowing. Methods: Pharyngeal function, […]
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