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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 in Pediatrics. Their study […]
Read MorePublished in Eur J Anaesthesiol. 2015 Jan 17 Authors: Woo JH et al BACKGROUND: Dexamethasone prolongs the duration of single-shot interscalene brachial plexus block (SISB). However, dose-dependency of dexamethasone as an adjuvant for SISB remains insufficiently understood. OBJECTIVE: The objective of this study is to evaluate the effect of different doses of dexamethasone on the duration […]
Read MorePatients older than 80 years have been found to do well after noncardiac surgery, with surprisingly few complications, according to a study from Japan. However, there are several factors that predict postoperative adverse events, including preoperative hypoalbuminemia, intraoperative blood transfusion, longer operative time and male gender. “The average life span has been rapidly increasing around […]
Read MoreThe findings appeared in the journal Digestive Diseases and Sciences. Patients who are fasting before upper endoscopy can safely chew gum up until the time of the procedure, researchers have found. Guidelines on preoperative fasting from the American Society of Anesthesiologists do not explicitly address gum chewing. However, many anesthesia departments prohibit sedation in such patients […]
Read MorePublished in Colorectal Dis. 2015 Apr;17(4):342-50 Authors: Fustran N et al AIM: The aim of this prospective double-blind randomized clinical trial was to determine whether preperitoneal continuous wound infusion (CWI) of the local anaesthetic ropivacaine after either laparotomy or video-assisted laparoscopy for colorectal surgery would reduce patient consumption of morphine. METHOD: Patients scheduled for colorectal surgery […]
Read MoreAlthough the association between primary and referred pain is generally not well characterized, a study by an Iowa research team has shed more light on the link between the two pain types. The investigators found that a threshold level of primary pain is necessary to induce referred pain, and that there is a progressive relationship […]
Read MorePublished in Am J Emerg Med 2015 Mar 33:315 Authors: Duran-Gehring PE et al. Ultrasound can be used to visualize injected saline, localize the catheter tip, and detect pneumothorax. Investigators compared ultrasound to chest x-ray for confirmation of placement of supradiaphragmatic central lines and to rule out pneumothorax in 46 emergency department patients. Correct placement […]
Read MoreThis is another one for our pain providers to read. Patients receiving methadone for noncancer pain had a 46% increased risk for death compared with patients receiving morphine sustained release (SR), a new study shows. The increased risk occurred even with methadone doses as low as 20 mg/d. The study results support the message that […]
Read MoreThis is for our pain providers. Nevro Corp has received an “approvable” letter from the US Food and Drug Administration (FDA) for its spinal cord stimulation (SCS) system for treatment of chronic pain. The Senza SCS system delivers Nevro’s proprietary HF10therapy, “an advanced SCS therapy that provides electrical pulses to the spinal cord at a rate up to […]
Read MorePublished in BMC Anesthesiol. 2014;14(78) Authors: Serdar Demirgan et al Background: Hypothermia has been used in cardiac surgery for many years for neuroprotection. Mild hypothermia (MH) [body temperature (BT) kept at 32–35°C] has been shown to reduce both mortality and poor neurological outcome in patients after cardiopulmonary resuscitation (CPR). This study investigated whether patients who were […]
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