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Authors: Monserrate AE et al., JAMA Neurol 2015 Mar 72:325 Factors that acutely lower cerebrospinal fluid pressure may produce early post–lumbar puncture headache, but other factors affect headache persistence. Diagnostic lumbar punctures aid in the diagnosis of infections and diseases of the central nervous system. Life-threatening events from lumbar punctures are rare, but post–lumbar (dural) puncture headaches […]
Read MorePatients with severe chronic pain who undergo implantation with an investigational high-frequency spinal cord stimulation (SCS) device show twice the magnitude of pain relief and remission compared with those receiving a conventional, lower-frequency SCS device, according to results from the first randomized clinical study of the technology. “Spinal cord stimulation has been used for approximately […]
Read MoreAuthors: Mehmet Aksoy et al Published in BMC Anesthesiol. 2014;14(99) Background Our aim is to compare the hemodynamic effects of combined psoas compartment-sciatic nerve block (PCSNB) with continuous spinal anaesthesia (CSA) in elderly high-risk patients undergoing hip replacement surgery. Methods Seventy patients over the age of 60 with ASA III or IV physical status were randomly allocated to […]
Read MoreForty-eight percent of hip fracture patients, aged 65 years and older, experienced delirium before, during and after surgery, resulting in significantly longer hospital stays and higher costs for care (Paper 308), Michael G. Zywiel, MD, reported at the 2015 annual meeting of the American Academy of Orthopaedic Surgeons (AAOS). “As reimbursement schemes evolve toward greater […]
Read MoreOngoing evidence continues to support the finding that postoperative pain remains the greatest concern for patients presenting for surgery.1 In fact, recent surveys demonstrate that patients continue to suffer moderate to severe pain postoperatively.2,3 Additionally, patient satisfaction is becoming an increasingly important aspect of health care reimbursements reported via the Hospital Consumer Assessment of Healthcare Providers […]
Read MoreThe depth of sedation provided by propofol during colonoscopy may be greater than necessary, according to researchers who objectively monitored it in their patients. The study was prompted by a recent population-based analysis (JAMA Intern Med2013;173:551-556) suggesting that complications—especially aspiration pneumonia—are increased during cases with anesthesia assistance. “No studies have measured the depth of sedation […]
Read MoreAuthors: Schmidt-Hansen MN et al Published in Cochane Database Syst Rev 2015 Feb BACKGROUND: Many patients with cancer experience moderate to severe pain that requires treatment with strong opioids, of which oxycodone and morphine are examples. Strong opioids are, however, not effective for pain in all patients, nor are they well-tolerated by all patients. The aim […]
Read MoreAuthors: Schnabel A et al Published in Cochrane Database Syst Rev 2015 Mar BACKGROUND: According to current recommendations a multimodal approach is believed to be the gold standard for postoperative pain treatment in children. However, several surveys in the last few years demonstrated that postoperative pain in children is still a serious problem, mainly because opioids […]
Read MoreAuthors: Lewis SR et al Published in Cochrane Database Syst Rev 2015 Mar 22;3:CD010824 BACKGROUND: Electrical cardioversion is an effective procedure for restoring normal sinus rhythm in the hearts of patients with irregular heart rhythms. It is important that the patient is not fully conscious during the procedure, as it can be painful and distressing. The […]
Read MoreAuthors: Jerath A et al Publsihed in Crit Care Med. 2015 May;43(5):1062-9. OBJECTIVE: To evaluate the differences in extubation times in a group of cardiac surgical patients who were anesthetized and sedated with either IV propofol or inhaled volatile anesthetic agents. DESIGN: This was a prospective randomized controlled trial performed between September 2009 and August 2011. […]
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