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This might be worth trying in RR since it works in ER. Authors: Beadle KL et al., Ann Emerg Med 2015 Dec 8; Breathing with an alcohol wipe in front of the nose was more effective than breathing with a saline wipe. Prior research has found antiemetics to be no more effective than placebo in emergency department […]
Read MoreAuthors: Pradeep Suri, MD, MS et al Spine. 2015;40(17):1363-1370. Abstract Study Design. Secondary analysis of data from a double-blind randomized controlled trial. Objective. To identify mediators of the effect of lumbar epidural injections of corticosteroid plus lidocaine on patient satisfaction at 6 weeks postinjection in patients with lumbar spinal stenosis. We hypothesized that short-term (≤3 wk) change in […]
Read MoreAuthors. Tamas Fekete, MD et Study Design. Retrospective analysis of data from patients participating in the Lumbar Spinal Stenosis Outcome Study (LSOS). Objective. The aim of LSOS was to assess clinical outcomes after surgical or nonoperative treatment in patients with and without prior epidural steroid injections. Summary of Background Data. Epidural steroid injections (ESI), a common treatment modality, […]
Read MoreA Double-Blind Randomised Controlled Trial Authors: Ravichandra Balakrishnamoorthy et al Emerg Med J. 2015;32(7):525-530. Objective To assess the effect of a single dose of intravenous dexamethasone in addition to routine treatment on visual analogue scale (VAS) pain scores at 24 h in emergency department (ED) patients with low back pain with radiculopathy (LBPR). Methods Double-blind randomised controlled trial […]
Read MoreAuthors: Angela K.M. Lipshutz et al BMC Anesthesiol. 2015;15(93) Background: Learning from adverse events and near misses may reduce the incidence of preventable errors. Current literature on adverse events and near misses in the ICU focuses on errors reported by nurses and intensivists. ICU near misses identified by anesthesia providers may reveal critical events, causal mechanisms and […]
Read MoreAuthors: Ana Fernandez-Bustamante et al BMC Anesthesiol. 2015;15(56) Abstract The perioperative use and relevance of protective ventilation in surgical patients is being increasingly recognized. Obesity poses particular challenges to adequate mechanical ventilation in addition to surgical constraints, primarily by restricted lung mechanics due to excessive adiposity, frequent respiratory comorbidities (i.e. sleep apnea, asthma), and concerns of […]
Read MoreAuthors: Huanwei Jiang et al BMC Anesthesiol. 2015;15(94) Background: We herein provide an analysis of lumbar epidural catheterization, which outlines a detailed anatomical description of the epidural anatomy, and may improve the success rate of neuraxial cannulation. Methods: Lumbar epidural catheters were placed in 50 adult embalmed cadavers. After catheterization, the lumbar dura and connecting structures between the […]
Read MoreHigh opioid exposure is a prognostic factor for shorter overall survival, according to a study presented here at the 2015 American Society of Clinical Oncology (ASCO) Palliative Care in Oncology Symposium. The study involved patients with stage IV non-hematologic malignancies. For these and other patients with advanced cancer, pain is a challenging problem. “Opioids are […]
Read MoreThe opioid tramadol is an effective analgesic for patients with clinically suspected acute appendicitis, according to the results of a prospective study presented at the 2015 Annual Meeting of the American College of Surgeons (ACS). “Tramadol…can provide significant reduction in abdominal pain and tenderness without altering the diagnostic confidence of the surgeon…in patients with suspected […]
Read MoreJ Clin Anesth, 2015 Sep 28. Authors: Pakpirom J et al OBJECTIVE: The purpose of this study was to compare the length of postanesthetic care unit (PACU) stay and recovery profiles of elderly patients after general anesthesia between sevoflurane and desflurane. DESIGN: Randomized, double-blind, controlled clinical trial. SETTING: Tertiary care hospital, university hospital. PATIENTS: Eighty elderly patients […]
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