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A specialised pain management program for patients who underwent robotic surgery for urologic cancers resulted in just 8% going home with narcotics after discharge, compared with 100% who would have received them without this enhanced recovery protocol. What’s more, the group of patients who did receive narcotics went home with fewer medications than they would […]
Read MoreAUTHORS: Nirvik Pal, MD et al Journal of Cardiothoracic and Vascular Anesthesia Objective An increasing number of patients undergoing heart transplantation are being bridged with left ventricular assist devices (LVADs). Bridge-to-transplantation (BTT) LVAD has improved wait list survival remarkably. Historically, post-heart transplantation survival in BTT-LVAD patients, however, has remained inferior to that of primary heart […]
Read MoreAuthors: aj Parikh et al Annals of Intensive Care volume 9, Article number: 124 (2019) Background Bedside ultrasound helps to estimate volume status in critically ill patients and has traditionally relied on diameter, respiratory variation, and collapsibility of the inferior vena cava (IVC) to reflect fluid status. We evaluated collapsibility of the internal jugular vein (IJ) with ultrasound and correlated […]
Read MoreAuthors: Huafeng Wei, M.D.,Ph.D. et al Anesthesiology 2019 We compared the effects and mechanisms of sevoflurane vs. propofol at equipotent dose (1 MAC vs 2 µM) on cell survival, proliferation and migration, intracellular calcium homeostasis in different types of human breast normal or cancer cells. Methods We used estrogen receptor positive (MCF7) and estrogen receptor […]
Read MoreCommon antidepressants interact with tramadol to make it less effective for pain relief, according to a study published in Pharmacotherapy. The findings have important implications for the opioid epidemic, suggesting that some patients suspected of drug-seeking may in fact be under-medicated and just are seeking more effective pain relief. The results of the study could also […]
Read MoreThe Food and Drug Administration is recommending manufacturers put a warning label on their breast implant devices so women are more aware of the risks of serious complications. The big picture: Thousands of women who received implants have reported severe muscle and joint pain, weakness, cognitive difficulties and fatigue, the New York Times reports. This and a few recalls […]
Read MoreAuthors: E. Keogh et al European Journal of Pain Oct 29, 2019 Background Gender beliefs help explain the variation found in pain amongst men and women. Gender norms and expectations are thought to affect how men and women report and express pain. However, less is known about how such beliefs are related to pain outside […]
Read MoreAUTHORS: Reynolds, J. Wells MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 536-542 BACKGROUND: Axillary pain is common after arthroscopic shoulder surgery with an open subpectoral biceps tenodesis. We hypothesized that adding a pectoral nerve block II (Pecs II) to an interscalene block (ISB) would improve postoperative analgesia […]
Read MoreAuthors: Chunyuan Qiu, M.D., M.Sc. et al Anesthesiology 2019 Introduction: Enhanced recovery after surgery (ERAS) has enjoyed tremendous success in changing surgical outcomes .1 However, the value for same day surgery has not been well studied, partially due to the difficulty in actuating additional safety, quality, and cost in the ambulatory setting. By using the ERAS principles, […]
Read MoreAuthors: Shadi Gadalla, M.B.,Ch.B.et al Anesthesiology 2019 INTRODUCTION: Patients undergoing colorectal surgery may experience high rates of complications. In addition to superior analgesia, the purported benefits of perioperative thoracic epidural analgesia (TEA) include the reduction in the incidence of pulmonary morbidity, namely pneumonia and myocardial events. Historical series have estimated upwards of 10% of patients […]
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