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AUTHORS: Murugaiyan, Abishek MD et al Anesthesia & Analgesia November 01, 2022. BACKGROUND: Postoperative sore throat (POST) is a distressing complaint in adults after endotracheal intubation. This study aimed to evaluate the effect of topical application of a eutectic mixture of local anesthetics (EMLA) cream over the endotracheal tube (ETT) cuff on the incidence and severity […]
Read MoreNEJM Journal Watch Neil H. Winawer, MD, SFHM, reviewing Owen AR et al. J Bone Joint Surg Am 2022 Sep 7 Patients who received spinal anesthesia had less pain and opioid use and fewer intensive care admissions. The optimal choice of anesthesia — spinal or general — often is debated for patients undergoing total hip arthroplasty (THA). Mayo […]
Read MoreAUTHORS: Dankert, André MD et al Anesthesia & Analgesia October 29, 2022. Abstract BACKGROUND: Pulmonary function tests (PFTs) such as spirometry and blood gas analysis have been claimed to improve preoperative pulmonary risk assessment, but the scientific literature is conflicting. The Preoperative Diagnostic Tests for Pulmonary Risk Assessment in Chronic Obstructive Pulmonary Disease (PREDICT) […]
Read MoreNEJM Journal Watch Patricia Kritek, MD In two trials, restrictive fluid resuscitation was adequate and even preferable to more-aggressive resuscitation. Resuscitation is a central part of the care of many critically ill patients, including those with septic shock and severe pancreatitis. For years, emphasis was placed on rapid administration of large volumes of fluid to […]
Read MoreDG News Spinal anaesthesia was associated with more pain in the first 24 hours after hip fracture surgery and more prescription analgesic use at 60 days compared with general anaesthesia, according to a study published in the Annals of Internal Medicine. “In our study, patients who got spinal anaesthesia did get fewer opioids in the operating […]
Read MoreThis is for our readers who treat pain DG News Arginine administered intravenously resulted in changes in biomarkers that signalled less oxidative stress in patients with sickle cell disease who were hospitalised with vaso-occlusive pain, and arginine also led to a trend in decreased opioid use, according to a study presented at the 64th Annual […]
Read MoreAuthor: Lalitha Sundararaman, MBBS, MD ASA Monitor January 2023, Vol. 87, 29. OPIOID CRISIS I have had the privilege of being part of the ASA Monitor Editorial Board for a few years, and one article that has touched my heart is the wrenching story of Dr. Bonnie Milas and her efforts in collaboration with the ASA Committee on […]
Read MoreThe US Centers for Disease Control and Prevention (CDC) said that a crackdown on opioids is harming patients who need them Opioid prescriptions and overdoses quadrupled from 1999 to 2010. Amid criticism that they had over-prescribed opioids, doctors approved 44% fewer opioid prescriptions between 2012 and 2020 The CDC now says that people with intense pain are being […]
Read MoreAuthor: Beth Sissons MedicalNewsToday People with migraine have an increased risk of depression. In addition, depression can also increase the risk of migraine. Although there is no clear explanation for the link between migraine and depression, they may share similar causes. Genetic factors, changes in the brain, and alterations of chemicals in the body can […]
Read MoreDG Journal Club AUTHORS: Helena Xiang et al Acta Anaesthesiol Scand. 2022 Dec 12 INTRODUCTION Prolonged QTc interval has been linked to risk of arrhythmias and mortality in the general population. Preoperative electrocardiography (ECG) is often obtained for patient-and procedural cardiovascular risk assessment. The aim of this study was to investigate the association of preoperative […]
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