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This is a letter I received from the ASA Dear Fellow ASA members It is with great pride that I announce that the National Anesthesia Clinical Outcomes Registry (NACOR), maintained for our specialty by the Anesthesia Quality Institute (AQI), has been designated by the Centers for Medicare and Medicaid Services (CMS) as a Qualified […]
Read MorePublished in JAMA Psychiatry April 16, 2014 The first evidence from a randomized clinical trial that the anesthetic agent ketamine may provide rapid symptom reduction in patients with chronic posttraumatic stress disorder (PTSD) when delivered intravenously has been published. An N-methyl-D-asparate (NMDA) glutamate receptor, ketamine has made headlines in recent years because several trials conducted […]
Read MoreA Randomized Trial of the Effects of Antibiotic Prophylaxis on Epidural-Related Fever in Labor Sharma SK, Rogers BB, Alexander JM, McIntire DD, Leveno KJ Anesth Analg. 2014;118:604-610 Study Summary This is a double-blind study of 400 healthy nulliparous women requesting epidural analgesia at Parkland Hospital at the University of Texas Southwestern Medical Center. The participants […]
Read MoreThe higher you rise up the corporate ladder, the more often you tackle tough issues. High-impact issues are thorny and complex. They require deep focus to unravel their ambiguity. They require time. But unfortunately, as the value of your strategic insight and expertise grows, so does the number of people who can lay legitimate claim […]
Read MorePublished in Eur Arch Otorhinolaryngol. 2014 Apr Authors: Haksever M et al., Abstract The objective of this study is to compare the topical administration of bupivacaine hydrochloride, saline and bupivacaine hydrochloride infiltration on post-tonsillectomy pain in children. Sixty children undergoing tonsillectomy were enrolled in the study. Patients were randomized into three groups using sealed […]
Read MorePublished in Paediatr Anaesth. 2014 Mar Authors: Coulter FL et al., Abstract BACKGROUND: Propofol mixed with racemic ketamine (or ‘ketofol’) is popular for short procedural sedation and analgesia. Use is creeping into anesthesia, yet neither the optimal combination nor infusion rate is known. The EC50 of propofol’s antiemetic effect is reported to be […]
Read MorePublished in Paediatr Anaesth. 2014 Mar 26 Authors: Sun Y et al., BACKGROUND: In the current published literature, there are controversial results regarding the effectiveness of dexmedetomidine compared with midazolam as premedication in children. The aim of this meta-analysis was to compare the use of dexmedetomidine as a premedication in pediatric patients with that […]
Read MorePublished in Spine (Phila Pa 1976). 2014 Apr 11 Authors: Lisi AJ et al., Abstract Study Design. This work compared administrative data obtained from Department of Veterans Affairs (VA) databases with structured chart review.Objective. We set out to determine whether a decision tool using administrative data could be used to discriminate acute from […]
Read MorePublished in Eur J Pain. 2014 Apr Authors: Kamboj SK et al., BACKGROUND: The effects of opioid medication on cognitive functioning in patients with cancer and non-cancer pain remain unclear. METHOD: In this mechanistic randomized, double-blind, placebo-controlled, cross-over study of patients (n = 20) receiving sustained-release and immediate-release opioid medication as part of their palliative care, we […]
Read MorePublished in Eur J Pain. 2014 Mar Authors: Jensen TS et al., BACKGROUND: Application of the capsaicin 8% patch is associated with treatment-related discomfort. Consequently, pretreatment for 60 min with anaesthetic cream is recommended; however, this may be uncomfortable and time consuming. METHODS: We conducted a multicentre, randomized (1:1), assessor-blinded study in patients with […]
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