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Published in International Journal of Pediatric Otorhinolaryngology 78 (10), 1735-41 (Oct 2014) Authors: Tong Y et al OBJECTIVES Peri-operative ketamine peritonsillar infiltration in children can reduce the incidence of postoperative nausea and vomiting (PONV), but its postoperative analgesic time is short. A previous meta-analysis in 2011 was inconclusive due to insufficient data. Consequently, we updated […]
Read MorePublished in Pain Medicine (Oct 2014) Authors: Webster L et al OBJECTIVE To investigate effects of extended-release (ER) hydromorphone dosing time (morning, QAM; evening, QPM) on sleep physiology in patients with chronic low back pain. DESIGN Randomized, double-blind, placebo-controlled, crossover trial. SETTING Clinical research site. PATIENTS Fifteen patients with moderate-to-severe chronic low back pain requiring […]
Read MoreEditor’s Note: As part of its effort to facilitate responsible opioid prescribing, the American Academy of Addiction Psychiatry(AAAP) hosts a listserv where clinicians can submit clinical questions and receive responses from a rotating panel of pain experts. In conjunction with the AAAP selected 10 of the most common questions or topics related to opioid use […]
Read MoreMore than five years after the single-payer system was scrapped from ObamaCare policy debates, just over 50 percent of people say they still support the idea, including one-quarter of Republicans, according to a new poll. The single-payer option – also known as Medicare for all – would create a new, government-run insurance program to replace […]
Read MoreAlthough previous research has shown that anesthesia workstations and equipment often are sources of hospital-acquired infections, cleaning up their proverbial act may come from something as simple as a standardized system to increase workstation turnover. Indeed, a Massachusetts General Hospital study has found that implementing such a system improves providers’ perception of workstation cleanliness and […]
Read MoreThe Association of Operating Room Nurses (AORN) recently published updated recommendations for operating room (OR) attire,1 causing managers to promulgate new rules, nurses to complain, doctors to rebel and everyone to play a new round of the clothing games. Because rules for attire are based on expert beliefs, not scientific studies, anyone who wears scrubs […]
Read MorePublished in Paediatr Anaesth. 2014 Oct Authors: Tschiedel E et al BACKGROUND: Open muscle biopsies in children are generally performed under general anesthesia. Alternatively, deep sedation and analgesia may be required. OBJECTIVES: The aim of our study was to compare the Bispectral Index (BIS) and Comfort Score (CS) with respect to their clinical significance for […]
Read MoreMajor gastrointestinal (GI) surgery promotes a specific gene expression pattern that upregulates the anti-inflammatory cytokine interleukin (IL)-10 while depressing proinflammatory immune pathways. Blood transfusions likely exacerbate this immune response, which also is associated with an increase in infectious complications. The finding raises the possibility that risk stratification for postoperative complications might use immunologic factors for […]
Read MoreTae W. Kim, MD Professor and Director of Quality Improvement Department of Anesthesiology University of Minnesota School of Medicine Staff Anesthesiologist University of Minnesota Children’s Hospital Minneapolis, Minnesota Henry Rosenberg, MD Director, Department of Medical Education and Clinical Research Saint Barnabas Medical Center Livingston, New Jersey President, Malignant Hyperthermia Association of the United States Sherburne, […]
Read MorePublished in Paediatr Anaesth. 2015 Feb;25(2):180-5 Authors: Rhondali O et al OBJECTIVE/AIM: To assess the impact of sevoflurane and anesthesia-induced hypotension on brain perfusion in children younger than 6 months. BACKGROUND: Safe lower limit of blood pressure during anesthesia in infant is unclear, and inadequate anesthesia can lead to hypotension, hypocapnia, and low cerebral perfusion. […]
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