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Multimodal perioperative analgesia with paravertebral nerve block (PVB) and gabapentin decreases the length of hospitalisation and narcotic usage in patients undergoing mastectomy compared to conventional postoperative management with on-demand postoperative medications (CPM), according to a study presented here at the 37th Annual San Antonio Breast Cancer Symposium (SABCS). The researchers say that the multimodality approach […]
Read MorePublished in J Clin Anesth. 2015 Mar;27(2):159-63 Authors: Kaur Makkar J et al STUDY OBJECTIVE: To evaluate the efficacy and safety profile of paracetamol in comparison with tramadol for pain relief during active labor. DESIGN: Prospective, randomized, double-blind study. SETTING: Maternity Wing of the Postgraduate Institute of Medical Education and Research, Chandigarh. PATIENT: Sixty laboring, […]
Read MorePublished in CMAJ. 2014 Dec 9;186(18):1358-63 Authors: Poonai N et al BACKGROUND: Recent warnings from Health Canada regarding codeine for children have led to increased use of nonsteroidal anti-inflammatory drugs and morphine for common injuries such as fractures. Our objective was to determine whether morphine administered orally has superior efficacy to ibuprofen in fracture-related pain. […]
Read MorePublished in Journal of Clinical Anesthesia (JCA) (Nov 2014) Authors: Zaphiratos V et al Anterior spinal artery syndrome has rarely been reported as a cause of permanent neurologic complications after neuraxial anesthesia in obstetric patients. A parturient developed anterior spinal artery syndrome after spinal anesthesia for cesarean delivery. A healthy 32-year-old parturient presented at 41(2/7) […]
Read MorePublished in Anaesthesia. 2015 Apr;70(4):429-33 Authors: Ishiyama T et al Abstract We measured the effect of Patent Blue dye on oxyhaemoglobin saturations after injection into breast tissue: 40 women had anaesthesia for breast surgery maintained with sevoflurane or propofol (20 randomly allocated to each). Saturations were recorded with a digital pulse oximeter, in arterial blood […]
Read MorePain in ambulatory cancer patients with solid tumors is complex and dynamic, and adequate pain management requires constant monitoring and therapeutic intervention when needed. The Eastern Cooperative Oncology Group (ECOG) conducted a multicenter study to assess pain symptoms. Outpatient oncology patients from 38 (six academic and 32 community) centers completed the MD Anderson Symptom Inventory […]
Read MoreThoracic ultrasound is a viable alternative to fiber-optic bronchoscopy for verifying the correct position of a double-lumen endotracheal tube (DLET) before one-lung ventilation, a study has found. Andrea Saporito, MD, a consultant anesthetist at Bellinzona Regional Hospital, in Bellinzona, Switzerland, and the study’s principal investigator, noted that thoracic ultrasound is noninvasive and cheaper than fiber-optic […]
Read MoreA low-dose (5 or 10 mg) formulation of the nonsteroidal anti-inflammatory drug (NSAID) meloxicam achieved significantly greater pain relief than placebo in patients with osteoarthritis (OA), according to results of a Phase III study presented at the European League Against Rheumatism (EULAR) Annual European Congress of Rheumatology. Osteoarthritis of the knee and hip are common […]
Read MoreThe risk for neurologic injury associated with regional anesthesia is very low, but there are steps that anesthesiologists can take to further reduce that risk, according to anesthesiologists who spoke at the International Symposium of Ultrasound for Regional Anesthesia, Pain Medicine & Perioperative Applications. “What we do is very safe, but this allows us to […]
Read MoreFood and Drug Administration Press Release AUDIENCE: Pharmacy, Risk Manager, Nursing ISSUE: Baxter International Inc. is voluntarily recalling select lots of intravenous (IV) solutions to the hospital/user level due to the potential presence of particulate matter. Intravenous administration of a solution containing sterile particulate matter may lead to adverse health consequences. The extent and severity […]
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