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This is for our providers who treat pain patients. Guideline-discordant management of headache — for example, use of advanced imaging and referral to other physicians — roughly doubled from 1999 to 2010, according to a study in the Journal of General Internal Medicine. Using data from two national surveys, researchers studied nearly 9400 outpatient visits for […]
Read MorePublished in International Anesthesiology Clinics:Winter 2015 – Volume 53 – Issue 1 – p 23–38 Authors: Stippler, Martina MD et al Epidemiology Traumatic brain injury (TBI) is a leading cause of morbidity and mortality in developed nations and accounts for almost one-third of all trauma-related deaths. Currently, 50,000 Americans die of TBI-related complications annually, and […]
Read MoreAuthors: Richman JS et al., JAMA Surg 2014 Oct 149:1031 Another observational study suggests that patients who already take β-blockers should continue to receive them perioperatively. Based on several observational studies, a 2014 guideline from the American College of Cardiology and the American Heart Association (ACC/AHA) recommends that patients who take β-blockers chronically and who undergo noncardiac […]
Read MoreThe overuse of cardiac stress testing with imaging has led to unnecessary healthcare spending, as well as increased patient exposure to radiation, according to a study in the Annals of Internal Medicine. For the purposes of the study, Joseph Ladapo, an assistant professor in the departments of medicine and population health at NYU Langone Medical Center, and colleagues […]
Read MoreThis is for our pain providers. Early spine imaging for low back pain in seniors is not associated with better clinical outcomes, according to a JAMA study. Researchers prospectively enrolled patients aged 65 and older presenting to primary or urgent care with low back pain. Roughly 1200 patients who underwent radiography within 6 weeks of presentation and […]
Read MorePublished in American Journal of Therapeutics: January/February 2015 – Volume 22 – Issue 1 – p 2–10 Authors: Singla, Neil K. MD et al Abstract Inadequate control of postoperative pain after orthopedic procedures may trigger complications that increase morbidity. Multimodal analgesia is used to manage pain effectively after surgical procedures and reduce the need for […]
Read MorePublish in A&A Case Reports: 1 February 2015 – Volume 4 – Issue 3 – p 37–38 Authors: Lam, Humphrey MD et al A 3-year-old male with isovaleric acidemia presented for dental rehabilitation under general anesthesia. In times of stress, such as in the perioperative period, patients with isovaleric acidemia are at greater risk for […]
Read MorePublished in Journal of Neurosurgical Anesthesiology January 2015 – Volume 27 – Issue 1 – p 1–6 Authors: Ghoneim, Ayman A. MD et al Background: The aim of this prospective, comparative, randomized study was to compare the inhalational anesthetics isoflurane, sevoflurane, and desflurane in pediatric patients undergoing craniotomy for excision of supratentorial tumors. We assessed […]
Read MoreAuthors: Wei Gao, M.D. et al Anesthesiology Published 3 2015. Background: One-lung ventilation (OLV) can result in local and systemic inflammation. This prospective, randomized trial was to evaluate the effect of therapeutic hypercapnia on lung injury after OLV. Method: Fifty patients aged 20 to 60 yr undergoing lobectomy were randomly provided with air or carbon dioxide (partial pressure […]
Read MoreThis is for our pain providers. Authors: Lipton RB et al., Neurology 2015 Jan 21; Ineffective acute treatment is associated with progression from episodic to chronic migraine, but a causal relationship cannot be assumed. Using population-based data from the American Migraine Prevalence and Prevention Study, the authors examined whether efficacy of acute migraine treatment predicted progression from […]
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