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AUTHORS: Adam, Elisabeth H. MD et al Anesthesia & Analgesia: May 2020 – Volume 130 – Issue 5 – p 1389-1395 BACKGROUND: Cardiothoracic surgery is associated with major blood loss and allogeneic transfusion of red blood cell concentrates. To minimize allogeneic red blood cell (RBC) transfusion, intraoperative cell salvage has been effectively used for years. […]
Read MoreAUTHORS: DelPizzo, Kate MD et al Anesthesia & Analgesia: February 2020 BACKGROUND: Spinal anesthesia is known to have numerous benefits, including reductions in nausea and opioid consumption; however, postdural puncture headache (PDPH) remains a significant risk associated with this technique. The literature specifically examining this complication in adolescents is scarce. Our primary objective was therefore […]
Read MoreAuthor: Shefali Luthr Kaiser Health News Dr. Nora Volkow, who heads the National Institute on Drug Abuse, explains how emerging science points to added challenges for these patient populations and the public health system. In 2018, opioid overdoses claimed about 47,000 American lives. Last year, federal authorities reported that 5.4 million middle and high school students vaped. And just two […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Among chronic opioid users, having surgery seems to be associated with a faster time to opioid discontinuation—contrary to popular belief. A study by Toronto researchers concluded that several factors were associated with reduced odds of opioid discontinuation in this patient population, including oxycodone use, higher opioid doses, and diagnoses of […]
Read MoreAUTHORS: Allan Riis et al BMC Musculoskeletal Disorders BACKGROUND According to clinical guidelines, advice to stay active despite experiencing pain is recommended to patients with non-specific low back pain (LBP). However, not all patients receive guideline-concordant information and advice, and some patients still believe that activity avoidance will help them recover. The purpose was to […]
Read MoreMany older patients with new episodes of low back pain receive care inconsistent with current guidelines, including high use of opioids and advanced imaging tests, according to a study published in Medical Care. Results of the study showed that opioids were prescribed to nearly one-third of older adults with new and persistent low back pain — […]
Read MoreAuthor: Michael Vlessides Anesthesiology News The ongoing debate surrounding the efficacy of perioperative gabapentinoids in adult patients may be over, at least for the management of acute postoperative pain. A team of Canadian researchers concluded that perioperative use of gabapentinoids yields no clinically significant analgesic effect, and comes with an increased risk for adverse events. […]
Read MoreAUTHORS: Sahinovic, Marko M. MD, PhD et al Anesthesia & Analgesia: February 2020 BACKGROUND: Clinicians can optimize propofol titration by using 2 sources of pharmacodynamic (PD) information: the predicted effect-site concentration for propofol (Ceprop) and the electroencephalographically (EEG) measured drug effect. Relation between these sources should be time independent, that is, perfectly synchronized. In reality, […]
Read MorePatients with active cannabis dependence and abuse were nearly twice as likely to suffer a myocardial infarction (MI) after surgery, according to a study published in Anesthesiology. The study also found that the prevalence of cannabis dependence or abuse recorded among surgical patients increased significantly over the last decade. For the study, Li Ka Shing, MD, […]
Read MoreNon-drug therapies given to patients with chronic pain may reduce the risk of long-term adverse outcomes, such as alcohol and drug disorder and self-induced injuries, including suicide attempts, according to a study published in the Journal of General Internal Medicine. The study found that service members with chronic pain who received non-drug therapies while in the […]
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