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Patients who receive a post-surgery prescription of ibuprofen with a rescue prescription of acetaminophen/oxycodone use less opioids than those only prescribed acetaminophen/oxycodone, according to a study presented at the 2019 American Orthopaedic Society for Sports Medicine Annual Meeting. “The current opioid epidemic demands [that] physicians seek ways to decrease patients’ requirements of narcotic medications without […]
Read MoreAUTHORS: Kim, David H. MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 526-535 BACKGROUND: Periarticular injections (PAIs) are becoming a staple component of multimodal joint pathways. Motor-sparing peripheral nerve blocks, such as the infiltration between the popliteal artery and capsule of the posterior knee (IPACK) and the adductor […]
Read MoreAUTHORS: Nomura, Yohei MD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 507-514 BACKGROUND: Frailty is a geriatric syndrome thought to identify the most vulnerable older adults, and morbidity and mortality has been reported to be higher for frail patients after cardiac surgery compared to nonfrail patients. However, the […]
Read MoreAUTHORS: Park, Jin-Woo MD, PhD et al Anesthesia & Analgesia: August 2019 – Volume 129 – Issue 2 – p 500-506 BACKGROUND: During induction of general anesthesia, proper mask ventilation is crucial for supplying sufficient oxygen to unconscious patients. Midazolam has a relaxing effect on airway muscles. We hypothesized that sedative premedication with midazolam would facilitate […]
Read MoreAuthors: Lmagama S et al Spine (Jun 2019) MINI: In multivariate logistic regression analysis in 1,128 elderly people, NeP(+) (odds ratio (OR): 3.01), positive spinal inclination (OR: 1.14), and high VAS for LBP (OR: 1.04) were identified as risk factors for low physical QOL, and NeP(+) (OR: 5.32) was the only significant risk factor for […]
Read MoreAnesthesiology 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 […]
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