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DG News Reducing the standard dose of IV-administered ketamine in half is as effective as the larger, standard dose in reducing pain in adults with acute pain, according to a study published in the journal Academic Emergency Medicine. Ketamine is known to provide pain relief comparable to opioid medications, which are highly addictive. For the current […]
Read MoreAuthor: Marc Arginteanu MD KevinMD.com I consult on many patients because they are suffering from pain. In fact, their pain is so severe that they are considering spinal surgery. More than 100,000 Americans decide to undergo surgery, and millions more have invasive procedures for low back pain or sciatica every year. You almost certainly know […]
Read MoreDG Journal Club AUTHORS: Rui Li, Donna A Kreher et al. J Pain. 2021 Mar 21 Despite emerging evidence of associations between dysmenorrhea, enhanced pain sensitivity, and functional neuroimaging patterns consistent with chronic pain, it is unknown whether dysmenorrhea is prospectively associated with chronic pain development. Gaining a better understanding of this relationship could inform […]
Read MoreDG Journal Club AUTHORS: Ying Zha, Xun Gong et al. Medicine (Baltimore). 2021 Mar ABSTRACT Recent research has suggested that 6 cm of cervical dilation should be the threshold for the active labor phase, and it has confirmed that epidural analgesia (EA) is a safe method of pain relief during labor. However, the evidence provided for […]
Read MoreAUTHORS: Cobert, Julien MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 512-523 BACKGROUND: Anesthesiologists caring for patients with do-not-resuscitate (DNR) orders may have ethical concerns because of their resuscitative wishes and may have clinical concerns because of their known increased risk of morbidity/mortality. Patient heterogeneity and/or emphasis on […]
Read MoreDG News Most surgical patients with a history of penicillin allergy can safely be given the guideline-recommended antibiotic cefazolin to prevent infection instead of several penicillin alternatives that are less effective and more expensive, according to a study published in JAMA Surgery. The study found that the frequency of allergies to both penicillins and cefazolin was […]
Read MoreDG Alerts Among patients with coronavirus disease 2019 (COVID-19) and moderate-to-severe hypoxemia, treatment with helmet noninvasive ventilation, compared with high-flow nasal oxygen, resulted in no significant difference in the number of days free of respiratory support within 28 days, according to a study published in JAMA. Between October 13 and December 13, 2020, researchers led by […]
Read MoreDG Journal Club AUTHORS: Zhong-En Li, Shi-Bao Lu et al. BMC Musculoskelet Disord. 2021 Mar 17; 22(1): 283 BACKGROUND Enhanced recovery after surgery (ERAS) program is an evidence-based improvement over non-ERAS traditional care. The aim of the present study was to analyze the safety, feasibility, and efficacy of an ERAS program in patients over 70 years […]
Read MoreAUTHORS: Varobieff, Maxime MD et al Anesthesia & Analgesia: February 2021 – Volume 132 – Issue 2 – p 556-565 BACKGROUND: Nerve damage can occur after peripheral nerve block (PNB). Ultrasound guidance does not eliminate the risk of intraneural injection or nerve injury. Combining nerve stimulation and injection pressure (IP) monitoring with ultrasound guidance has been […]
Read MoreDG Journal Club AUTHORS: Amy L Holmstrom, Ryan J Campagna et al. Gastrointest Endosc. 2021 Mar BACKGROUND AND AIMS The functional luminal imaging probe (FLIP) is a novel catheter-based device that measures esophagogastric junction (EGJ) distensibility index (DI) in real-time. Previous studies have demonstrated DI to be a predictor of post-treatment clinical outcomes in patients […]
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