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Anesthesiology News The FDA released a new report on the causes of the ongoing drug shortages in the U.S. health care system, according to the agency. A multiagency task force—made up of the Centers for Medicare & Medicaid Services and the Department of Veterans Affairs, among others—conducted the report, which analyzed 163 drugs that were in […]
Read MoreAUTHORS: Hariri K et al Obesity Surgery June 2019 INTRODUCTION There has been a recent increased interest in the use of non-steroidal anti-inflammatory drugs (NSAIDs) such as ketorolac for post-operative pain management to minimize opioid use and decrease hospital length of stay (LOS). Although NSAID use has been controversial following bariatric surgery due to anecdotal […]
Read MoreAUTHORS: Schipper I et al Obesity Surgery June 2019 BACKGROUND Several studies have shown a reduction in postoperative pain and length of hospital stay when using intraperitoneal local anesthetics during laparoscopic surgery. In morbidly obese patients, respiratory depression due to opioid use is a serious side effect. Any different type of analgesia is therefore clinically […]
Read MoreAuthors: Lieber SR et al. Clin Gastroenterol Hepatol 2019 Oct 14 Although anesthesia-directed sedation is safe overall, specific risks for adverse anesthesia-related events are identifiable. The use of anesthesia services for endoscopic procedures has increased steadily in the U.S.; it is the dominant method of endoscopic sedation. The popularity of anesthesia-directed sedation (ADS), including with propofol, […]
Read MoreAUTHORS: Lamer T et al Mayo Clinic Proceedings July 2019 OBJECTIVE To synthesize the evidence regarding the effect of spinal stimulation (SS) vs medical therapy (MT) and the effect of newer SS technologies vs conventional SS on pain reduction in patients with intractable spine or limb pain. METHODS A comprehensive literature search was conducted by […]
Read MoreBabies whose mothers underwent surgery before pregnancy have an increased risk of opioid withdrawal symptoms at birth, according to a study published in CMAJ. “Use of opioids for pain control after surgery may increase the risk of opioid dependence in women and withdrawal in their newborns,” said Nathalie Auger, MD, University of Montreal Hospital Research Centre, […]
Read MoreI thought this was interesting so I wanted to share with our readers. A colleague who always thinks they’re right can be extremely frustrating. There are a few ways to keep the relationship productive and professional. The next time you find yourself in a debate with this person, don’t fight back — escalating an argument […]
Read MoreAUTHORS: Tao, Bingdong MD, PhD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 482-486 BACKGROUND: GlideScope video laryngoscope (GS) has been widely used to facilitate tracheal intubation in adults and pediatric patients because it can improve glottic view. Several investigations performed in pediatric patients have shown that GS provides […]
Read MoreAUTHORS: Bombardieri, Anna Maria MD, PhD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 487-492 BACKGROUND: Prone positioning (PP) is necessary for surgical access during posterior spine procedure. However, physiological changes occur in the PP. Typical findings are a decrease in arterial blood pressure and in cardiac output that could […]
Read MoreAUTHORS: Simpao, Allan F. MD, MBI et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 477-481 BACKGROUND: The migration of pediatric thoracic epidural catheters via a thoracic insertion site has been described. We assessed the migration of caudally threaded thoracic epidural catheters in neonates and infants at our institution. METHODS: The […]
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