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NEJM Journal Watch Patricia Kritek, MD In two trials, restrictive fluid resuscitation was adequate and even preferable to more-aggressive resuscitation. Resuscitation is a central part of the care of many critically ill patients, including those with septic shock and severe pancreatitis. For years, emphasis was placed on rapid administration of large volumes of fluid to […]
Read MoreDG News Spinal anaesthesia was associated with more pain in the first 24 hours after hip fracture surgery and more prescription analgesic use at 60 days compared with general anaesthesia, according to a study published in the Annals of Internal Medicine. “In our study, patients who got spinal anaesthesia did get fewer opioids in the operating […]
Read MoreThis is for our readers who treat pain DG News Arginine administered intravenously resulted in changes in biomarkers that signalled less oxidative stress in patients with sickle cell disease who were hospitalised with vaso-occlusive pain, and arginine also led to a trend in decreased opioid use, according to a study presented at the 64th Annual […]
Read MoreAuthor: Lalitha Sundararaman, MBBS, MD ASA Monitor January 2023, Vol. 87, 29. OPIOID CRISIS I have had the privilege of being part of the ASA Monitor Editorial Board for a few years, and one article that has touched my heart is the wrenching story of Dr. Bonnie Milas and her efforts in collaboration with the ASA Committee on […]
Read MoreThe US Centers for Disease Control and Prevention (CDC) said that a crackdown on opioids is harming patients who need them Opioid prescriptions and overdoses quadrupled from 1999 to 2010. Amid criticism that they had over-prescribed opioids, doctors approved 44% fewer opioid prescriptions between 2012 and 2020 The CDC now says that people with intense pain are being […]
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