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Telephone-based pain management can improve symptoms in patients with chronic musculoskeletal pain, according to a study conducted at Veterans Affairs primary care clinics and published in JAMA. Some 250 patients with musculoskeletal pain lasting at least 3 months were randomized to a telecare intervention or usual care. The intervention included frequent automated symptom monitoring (via […]
Read MoreAuthors: Ilyas S et al., Anaesthesia 2014 Aug 2; Better laryngoscopic views with video laryngoscopy do not equal intubation success. Intubating a trauma patient with cervical spine immobilization can be difficult. Prior studies in this population have shown that video laryngoscopy improves laryngoscopic view and reduces intubation difficulty (NEJM JW Emerg Med Mar 14 2008). […]
Read MoreAuthors: van Loon K et al., Anesth Analg 2014 Jul 119:49 Hypoxic events occurred in similar numbers of patients with and without CO2 monitoring. Undetected hypoventilation is associated with complications in propofol sedation. To evaluate whether capnography reduces episodes of hypoxia during propofol sedation, researchers in the Netherlands randomized 427 healthy women undergoing deep sedation […]
Read MoreAuthors: Drake FT et al. Ann Surg 2014 Aug. In an observational study, oral contrast did not improve accuracy in patients who received intravenous contrast. In three single-center, randomized trials, oral contrast — given in addition to intravenous (IV) contrast — did not improve the diagnostic accuracy of computed tomographic (CT) scanning for suspected appendicitis. […]
Read MoreAuthors: Lockey D et al., Br J Anaesth 2014 Aug 15; 113:220 Intubation was successful in 99% of patients, and all surgical airways were successful in this large retrospective series. To assess airway management of trauma patients in a physician-led prehospital system in England, researchers conducted a retrospective database review of 7256 prehospital trauma intubations […]
Read MoreAuthor: KRAIG S. DE LANZAC, MD A guest column by the American Society of Anesthesiologists Daily, and often several times a day, I am asked by patients about my role as a physician anesthesiologist. Occasionally the answer involves reiterating to patients that an anesthesiologist is a physician. Once we get into the discussion, patients are […]
Read MoreNew research linking epidural anaesthesia during childbirth to reduced risk for postpartum depression suggests that pain control during labor and delivery may lower women’s risk of developing the serious mood disorder. To examine the relationship between pain during labor and postpartum depression, Ting Ding, MD, from the Department of Anesthesiology and the Department of Surgical […]
Read MoreThe economics of market consolidation usually are clear: The fewer entities dominating a given market, the more power those players have in determining pricing and payment for their goods and services. But when it comes to the health care industry and anesthesiologists in particular, the effects of market consolidation are far less straightforward. Recent research […]
Read MoreKetamine does not increase intracranial pressure, increase risk for death, or extend intensive care unit length of stay compared with drugs commonly used to intubate adult patients in the emergency department (ED), new data indicate. In a systematic review, Lindsay Cohen, MD, from the Royal College Emergency Medicine Residency Training Program, University of British Columbia, […]
Read MoreOwing to increases in life expectancy, the patients presenting for surgery are older, and have more co-morbidities. Worldwide, 3–4% of patients die within 2 months of major surgery, with increased mortality and morbidity in high-risk surgical candidates, including the elderly and medically unwell. In Australia and New Zealand, older patients having non-cardiac surgery have a […]
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