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Published in Anaesthesia. 2015 Apr;70(4):445-51. Calderon AL et al Abstract The aim of this prospective, double-centre, observational study performed in 116 patients was to describe a new anterior approach of ultrasound-guided intermediate cervical plexus block for carotid endarterectomy. The median (IQR [range]) volume of ropivacaine 0.5% administered was 30 (25-30 [20-45]) ml. Supplemental local anaesthesia […]
Read MoreThis is for our chronic pain management providers. Surveillance of opioid prescribers, designed to prevent opioid overdose deaths, may actually be having the opposite effect, new research suggests. The qualitative study, aimed at assessing doctor-patient interactions after a prescription monitoring program (PMP) known as “I-STOP,” which was mandated by New York State in 2013, showed […]
Read MorePhysical therapy may achieve the same symptom relief as surgical decompression in patients with lumbar spinal stenosis, according to a study in the Annals of Internal Medicine. Some 170 stenosis patients aged 50 or older who were candidates for surgery were randomized to surgical decompression or physical therapy (2 PT visits per week for 6 […]
Read MorePublished in Ann Emerg Med 2015 Mar 26; Authors: Motov S et al. Subdissociative-dose ketamine was as effective as morphine for acute pain in emergency department patients. Interest in ketamine as an analgesic has been growing. To evaluate the analgesic effect and safety of ketamine in an emergency department (ED) setting, investigators conducted a randomized, […]
Read MorePublished in Am J Emerg Med 2015 Mar 25; Authors: Deaton T et al. In a small randomized trial, nebulized fentanyl produced better pain relief and satisfaction than intravenous morphine. Fentanyl, a potent opioid with minimal hemodynamic effects, can be delivered by a variety of routes. In a randomized trial, investigators compared nebulized fentanyl (2 […]
Read MorePublished in Anesthesia & Analgesia (Nov 2014) Authors: Esper T et al BACKGROUND: The blood/gas partition coefficient of a certain volatile anesthetic is of clinical importance because it determines its velocity of uptake into and elimination from the body of a patient and thus its pharmacokinetic behavior. To date, the blood/gas partition coefficients of isoflurane, […]
Read MorePublished in Anesthesia & Analgesia (Nov 2014) Authors: Guzzetta N et al BACKGROUND: Neonates undergoing cardiac surgery are especially prone to the hemostatic alterations of cardiopulmonary bypass (CPB) and are at high risk for post-CPB bleeding. An immature coagulation system, significant hemodilution from the CPB prime, long CPB times at low temperatures, and extensive suture […]
Read MorePublished in Paediatr Anaesth Author(s): Olischar M et al. BACKGROUND Tramadol is used following neonatal cardiac and general surgery. However, its ability to opioid-spare or facilitate earlier extubation in postoperative neonates is unquantified. OBJECTIVE This randomized placebo-controlled trial aimed to assess whether tramadol’s addition to standard analgesia resulted in earlier extubation or reduced analgesic/sedative requirements […]
Read MorePublished in Emerg Med J 2014 Nov 27 Authors: Reavley P et al. The fascia iliaca and 3-in-1 femoral nerve blocks were equally effective for reducing pain from femoral neck fractures. Both the 3-in-1 block and fascia iliaca block (FIB) provide effective analgesia for patients with femoral neck fractures; however, they have never been directly […]
Read MoreTramadol appears to be associated with an increased risk of hospitalisation for hypoglycaemia, according to a report published by JAMA Internal Medicine. Jean-Pascal Fournier, MD, Jewish General Hospital, Montreal, Quebec, and colleagues examined whether tramadol, compared with codeine, was associated with an increased risk of hypoglycaemia severe enough to send patients to the hospital. The […]
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