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Anesthesia & Analgesia: Nov 2015 Vol 121 Issue 5 p 1165-1175 Authors: Estrup Olesen, Anne PhD et al BACKGROUND: The analgesic effect of opioids is often based on subjective one dimensional measurements. Electroencephalography (EEG) offers a possibility to objectively quantify the brain’s activity before and after the administration of opioids. The aim of this study […]
Read MoreAuthors: Olivind Jans, MD, PhD et al Anesthesiology 12 2015, Vol.123, 1292-1300. Background: Early postoperative mobilization is essential for rapid recovery but may be impaired by orthostatic intolerance (OI) and orthostatic hypotension (OH), which are highly prevalent after major surgery. Pathogenic mechanisms include an insufficient postoperative vasopressor response. The oral α-1 agonist midodrine hydrochloride increases vascular resistance, and […]
Read MoreAuthors: Michael R. King, et al Anesthesiology published on 11 2015 Background: N-methyl-d-aspartate receptor antagonists have been shown to reduce perioperative pain and opioid use. The authors performed a meta-analysis to determine whether the use of perioperative dextromethorphan lowers opioid consumption or pain scores. Methods: PubMed, Web of Science, Cochrane Database of Systematic Reviews, Cochrane Central Register of […]
Read MoreAuthors: Miklos D. Kertai, MD, PhD et al Anesthesiology published on 11 2015 Background: Cardiac surgery requiring cardiopulmonary bypass is associated with platelet activation. Because platelets are increasingly recognized as important effectors of ischemia and end-organ inflammatory injury, the authors explored whether postoperative nadir platelet counts are associated with acute kidney injury (AKI) and mortality after coronary artery […]
Read MoreMedicine: August 2015 – Volume 94 – Issue 31 – p e1288 Authors: Chen, Hsuan-Yu MD et al Abstract: Bilateral diaphragmatic paralysis (BDP) manifests as respiratory muscle weakness, and its association with critical illness polyneuropathy (CIP) was rarely reported. Here, we present a patient with BDP related to CIP, who successfully avoided tracheostomy after diagnosis […]
Read MoreMedicine: July 2015 – Volume 94 – Issue 30 – p e1262 Authors: Zhang, Lin MD, PhD et al This study was supported by National Natural Science Foundation of China (Grant No. 81273336) and Fundamental Research Funds for the Central Universities, HUST (Grant No. 0118515020). Abstract: Pneumatic lithotripsy is a minimally invasive technique mainly for […]
Read MorePrescribing opioids and muscle relaxants to acute low back pain (LBP) patients who are already on nonsteroidal anti-inflammatory drugs (NSAIDs) does not provide additional pain relief, a new study suggests. There are more than 2.5 million acute LBP-related visits to emergency departments in the United States annually, where patients are often treated with a combination […]
Read MoreFrom now through December 16, 2015, physician anesthesiologists and other providers who believe they have received an incorrect assessment under PQRS or the Value Modifier program may request an informal review from CMS. In 2016, the Centers for Medicare and Medicaid Services (CMS) will apply a negative payment adjustment to eligible professionals (EPs) who did not […]
Read MoreWritten by Samuel Metz, MD Contrary to what talk show hosts may tell us, single-payor health care was not created by foreign socialists intent on destroying the fabric of our American free enterprise system. Henry J. Kaiser, an American capitalist watching his construction workers labor in the wilderness of the Pacific Northwest, had three innovative […]
Read MoreAnesthesiologists at Massachusetts General Hospital, in Boston, have documented the positive results from a mid-2013 switch to a “morphine first” policy, which they implemented in the wake of mounting reports of serious adverse events from hydromorphone that were highlighted in a 2012 alert by the Massachusetts State Board of Medicine. At the end of June […]
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