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Commonly prescribed, older drugs for arthritis and pain may increase the risk of death from stroke, according to a study published in the journal Neurology. The drugs examined in the study, COX-2 inhibitors, include older drugs diclofenac, etodolac, nabumeton and meloxicam, as well as newer drugs, including celecoxib and rofecoxib. The study also looked at […]
Read MorePublished in Crit Care. 2014;18 Authors: Vance Beck et al Introduction: Despite recent advances in the management of septic shock, mortality remains unacceptably high. Earlier initiation of key therapies including appropriate antimicrobials and fluid resuscitation appears to reduce the mortality in this condition. This study examined whether early initiation of vasopressor therapy is associated with […]
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 BMC Anesthesiol. 2014;14(44) Authors: James M Blum et al Background: The impact of anesthetic equipment on clinical practice parameters associated with development of acute respiratory distress syndrome (ARDS) has not been extensively studied. We hypothesized a change in anesthesia machines would be associated with parameters associated with lower rates of ARDS. Methods: We […]
Read MoreRoger Chou, MD, Charles E. Argoff, MD Editor’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, Medscape has selected 10 of the […]
Read MoreI wanted to share this due to we might see these patients in surgery. Authors: Romero-Gómez M et al., J Hepatol 2015 Feb 62:437 This review article stresses the importance of providing intensive care, identifying precipitating events, and administering selective treatments. Hepatic encephalopathy (HE) is one of the major complications of cirrhosis, and recent evidence […]
Read MorePublished in The Journal of the American Society of Anesthesiologists on 1 2015. Authors: Warwick D. Ngan Kee, M.B.Ch.B., M.D., F.A.N.Z.C.A., F.H.K.A.M. et al Background: During spinal anesthesia for cesarean delivery, phenylephrine can cause reflexive decreases in maternal heart rate and cardiac output. Norepinephrine has weak β-adrenergic receptor agonist activity in addition to potent α-adrenergic […]
Read MoreFor patients with fibromyalgia, treatment should be individualized and include nonpharmacologic approaches, which are often more effective than drugs, according to an expert in the field. “There is no magic drug against fibromyalgia and, in my opinion, there will never be. Psychotherapists don’t work miracles, but psychotherapy can help and, in a few cases, turn […]
Read MoreDaniel J. Clauw, MD, Philip J. Mease, MD, Bret S. Stetka, MD Editor’s Note: In response to a number of recent advances in the understanding, diagnosis, and management of fibromyalgia (FM), Medscape recently spoke with Daniel J. Clauw, MD, Professor of Anesthesiology, Medicine (Rheumatology), and Psychiatry at the University of Michigan; and Philip J. Mease, […]
Read MorePublished in Current Opinion in Anaesthesiology: February 2015 – Volume 28 – Issue 1 – p 2–9 Authors: Kozian, Alf et al Purpose of review: The mean age of patients presenting for thoracic surgery is rising steadily, associated with an increased demand for thoracic surgical treatments by geriatric patients. With increasing age, physiologic changes and […]
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