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Anesthesiology News Written by: David Ermak, DO Reviewed by: Sonia Vaida, MD Case Presentation A 22-year-old woman, with a body mass index of 35 kg/m2, presented to the emergency department with altered consciousness, 6 days after the uneventful delivery of a full-term healthy infant. According to her husband, less than 1 hour before admission, she […]
Read MoreAuthor: Michael Vlessides Anesthesiology News There is now a tool to help predict which patients are at greatest risk for unplanned readmission after ambulatory surgery. “Readmission is often regarded as a measure of poor perioperative patient care and can also be a significant economic burden for both hospitals and patients,” said Maria PatrocÍnio, MD, a […]
Read MorePregabalin does not appear to be effective for controlling pain in patients with chronic post-traumatic peripheral neuropathic pain (PTNP), according to a study published in the Journal of Neurology. Pregabalin, an alpha2-delta ligand, is approved in the US for the treatment of neuropathic pain associated with diabetic peripheral neuropathy and spinal cord injury, and for postherpetic neuralgia. […]
Read MoreAuthors: Albrecht E et al Anesth Analg. 2018 Oct BACKGROUND: Both dexamethasone and dexmedetomidine are effective peripheral nerve block (PNB) perineural adjuncts that prolong block duration. However, each is associated with side effects. With paucity of head-to-head comparisons of these adjuncts, the question of the best adjunct to mix with local anesthetics (LA) for PNB is unanswered. This meta-analysis aims to inform current practice and future research by […]
Read MoreWhile people who are morbidly obese are more likely to undergo moderately difficult intubation, they do not have an increased rate of severely difficult intubation, according to a study presented here at the 2018 Annual Meeting of the American Society of Anesthesiologists (ASA). “Morbidly obese patients have changes in their anatomy and pulmonary physiology that […]
Read MorePatients undergoing robotic hysterectomy were found to report comparable pain scores when receiving celecoxib perioperatively or ketorolac postoperatively — both as part of a multimodal pain management plan — in a study published in Gynecologic Oncology. In addition, treatment that included celecoxib was associated with lower postoperative opioid use. Celecoxib, a COX-2 inhibitor with anti-inflammatory properties, is not […]
Read MoreThe use of a vibrating kinetic anesthesia device (KAD) may be well-tolerated and effective in reducing pain associated with infiltrative lidocaine injections for biopsy and excisional surgery, according to the results of an open-label randomized controlled trial published in the Journal of the American Academy of Dermatology. Healthy adults who could tolerate lidocaine injections were randomly assigned to […]
Read MoreI thought this was interesting since anesthesia often uses IV acetaminophen Intravenous (IV) hydromorphone may provide greater analgesic effect compared with IV acetaminophen in adult patients presenting to the emergency department with severe acute pain, according to a study published in the Annals of Emergency Medicine. For this double-blind, randomized prospective trial, which was carried out in 2 […]
Read MoreA study published in Pain Medicine found that people undergoing surgery at the Veterans Health Administration were 11 times more likely to experience opioid overdose in the first 30 days postdischarge than during the remaining days of the year following surgery. This retrospective cohort study sought to determine the association between postdischarge opioid use (ongoing […]
Read MoreClinical Pain Advisor Although there has been an increasing focus on addressing opioid use disorders (OUDs) in outpatient settings, there is a dearth of research regarding perioperative pain management in people with a history of OUD. Opioid tolerance and medications used for OUD treatment present significant challenges in this setting. “Patients with OUD have been […]
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