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After tonsillectomy, ibuprofen in combination with acetaminophen provides safe, effective analgesia for children. In contrast, morphine can cause life-threatening oxygen desaturation in certain children, and therefore its use should be avoided when possible. Lauren E. Kelly, PhD, from Western University, London, Ontario, Canada, and colleagues published the results of their prospective clinical trial online January 26 in Pediatrics. […]
Read MorePublished in Clinical Interventions in Aging 10 1-11 (2015) Authors: Guerriero F et al PURPOSE Chronic pain is highly prevalent in older adults. Increasing evidence indicates strong opioids as a valid option for chronic pain management in geriatrics. The aim of this study was to evaluate efficacy and safety of low-dose oral prolonged-release oxycodone-naloxone (OXN-PR) […]
Read MorePublished in Anaesthesist. 2015 Feb;64(2):159-74 Authors: Juratli TA et al BACKGROUND: Traumatic brain injury (TBI) is a leading cause of death and permanent disability and a common and important global problem. The contribution of secondary posttraumatic brain damage to overall disability in TBI is significant, underlining the importance of prompt and comprehensive treatment for affected patients. […]
Read MorePublished in Neurology 2014 Oct 22 Authors: Schievink WI et al. Possibly, based on findings of a small case-control study Spontaneous intracranial hypotension is a highly disabling syndrome that most commonly presents with severe, disabling orthostatic headache. Although spinal meningeal cysts are often visible in these patients, and conditions such as Ehler-Danlos syndrome have been […]
Read MorePublished in West J Emerg Med 2014 Oct 28 Authors: Tiah L et al. Patients who were intubated had similar outcomes to those who had a supraglottic airway device inserted. To compare outcomes for prehospital cardiac arrest patients whose airways are managed with endotracheal intubation or insertion of a supraglottic airway device, researchers performed a […]
Read MorePublished in Ann Emerg Med 2014 Oct 22 Authors: Slessor D and Hunter S. About 1% survive overall, but survival approaches 0% if no vital signs are present. Emergency department (ED) thoracotomy is considered a viable option after penetrating trauma, with good outcomes in more than 5% of patients. To determine its effect on survival […]
Read MoreI know this is about emergency medicine residents but it shoud be the same for anesthesia providers. Published in West J Emerg Med 2014 Oct 29 Authors: Sakles JC et al. Over the course of training, emergency medicine residents showed improved first-pass success with the GlideScope video laryngoscope but no improvement with the direct laryngoscope. […]
Read MorePublished in Acad Emerg Med 2014 Nov 21:1240 Authors: Borgialli DA et al. Children with a seat belt sign had a tenfold increased risk for undergoing therapeutic laparotomy. To determine the association between the seat belt sign (a continuous area of erythema, ecchymosis, or abrasion across the abdomen) and intra-abdominal injuries among children in motor […]
Read MorePublished in Ann Intern Med 2014 Oct 21; 161:607 Authors: Taichman DB. Many providers are unaware of central lines in their patients. A key strategy to prevent complications from central venous catheters (CVCs; triple-lumen catheters or peripherally inserted central catheters [PICCs]) is to remove lines when they are no longer needed. The first step in […]
Read MorePublished in Resuscitation 2014 Sep 17 Authors: Tessaro MO et al. Ultrasound visualization of a saline-filled cuff at the level of the suprasternal notch was accurate for confirming correct tube depth. Investigators evaluated the accuracy of the tracheal rapid ultrasound saline test (TRUST) to confirm proper endotracheal tube (ETT) depth in children ages 3 months […]
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