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Published in Ann Surg Oncol. 2014 Jul 18 Authors: Fahy AS et al BACKGROUND: Mastectomy is associated with postoperative nausea and pain. We evaluated whether paravertebral block (PVB) use altered opioid use, antiemetic use, and length of stay in patients undergoing mastectomy. METHODS: We performed a retrospective cohort analysis of all patients who underwent mastectomy […]
Read MoreParacetamol is no better than placebo at speeding recovery from acute episodes of lower back pain or improving pain levels, function, sleep, or quality of life, according to a study published in The Lancet. Low-back pain is the leading cause of disability worldwide. National clinical guidelines universally recommend paracetamol as the first choice analgesic for […]
Read MoreA simplified anaesthesia procedure may enable more widespread use of preoperative testing to demonstrate the cause of airway obstruction in patients with severe sleep apnoea, according to a study published in the journal Anesthesia & Analgesia. Researchers have developed a new “ramp control” anaesthetic technique for putting patients to sleep briefly-just enough to show the […]
Read MoreAnesthesiologists are fleeing private practice and there are now two more reasons why this trend is likely to continue or even accelerate: Governmental audits and breaches of protected health information (PHI). Audits and PHI are on the rise in physician’s practices which are threatening revenue streams at levels never seen before due to fines and […]
Read MoreThe US Food and Drug Administration (FDA) has approved an injectable form of dantrolene sodium (Ryanodex, Eagle Pharmaceuticals) for rapid treatment of malignant hyperthermia (MH), along with the appropriate supportive measures, the company announced in a news release. MH is a potentially fatal inherited disorder triggered by exposure to certain drugs used for general anesthesia, […]
Read MoreLumbar surgery is effective 12 months after in all but 13.8% of patients—a statistic obtained, along with predictors of poor outcome, from the National Neurosurgery Quality and Outcomes Database (N2QOD), a two-year-old, nationwide, prospective, longitudinal outcomes registry that spans 43 sites. For this study, N2QOD provided data on 12-month surgical outcomes for patients with lumbar […]
Read MoreSometimes, when negatives seem to outweigh the positives for your budding business, you feel like you’ll never crawl out of your rut. What’s the best way to push forward? Face the problem head on. Here are five ways to take action on your problems today: 1. Set smaller goals You’re capable of conceiving incredible, detailed […]
Read MoreAuthors: P. E. Marik, J. Lemson Published in Br J Anaesth. 2014;112(4):617-620. Decisions regarding fluid therapy, whether this be in the operating theatre (OT), intensive care unit (ICU), emergency department (ED), or general ward, are among the most challenging and important tasks that clinicians face on a daily basis. Specifically, almost all clinicians would agree […]
Read MoreMost hospital administrators do not understand anesthesia economics very well, so convincing them of the need for financial support is an uphill battle. Unfortunately at the same time anesthesia groups often do not have a very good handle on their own financial situation. The two sides enter negotiations with very different ideas about the level […]
Read MoreNew study sheds light on day-to-day practice versus guidelines, with variations in practice related to indications, the duration of conservative treatment before initiating injections, and the time between injections. There are several evidence-based (EB) guidelines that address the use of epidural injections for the treatment of low back pain. But how influential are these guidelines […]
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