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Although documented as an effective analgesic technique for major knee surgeries, the adductor canal block provides only minor analgesic benefit after ambulatory arthroscopic knee surgery, a study has concluded. In addition, a systematic review and meta-analysis found that the role of the block in anterior cruciate ligament (ACL) reconstruction also may be limited. “Adductor canal […]
Read MorePediatric Anesthesia Oct 2017 Authors Jennifer Herzog-Nieseryet et al Background Sevoflurane is commonly used for inhalational inductions in children, but the personnel’s exposure to it is potentially harmful. Guidance to reduce gas pollution refers mainly to technical aspects, but the impact of the child’s behavior has not yet been studied. Aims The purpose of this […]
Read MoreIn patients undergoing total joint arthroplasty who are already receiving multimodal analgesia, there may be added benefit to incorporating intrathecal morphine. According to a recent retrospective study, the addition of intrathecal morphine to a multimodal analgesic regimen improved analgesia after surgery and reduced postoperative opioid consumption and postoperative nausea and vomiting (PONV). “These data suggest […]
Read MoreAuthors: Friedman BW et al. Neurology 2017 Oct 18. Intravenous hydromorphone is a poor choice for first-line migraine treatment in the emergency department. Unfortunately, despite extensive evidence specifically demonstrating lack of efficacy, parenteral opioids are commonly used to treat migraine headaches in the emergency department (ED). In a randomized double-blind trial, researchers compared the efficacy of intravenous […]
Read MoreComing to an operating room (OR) near you: a child with autism spectrum disorder. Will you be ready to give them the personalized treatment they need? This was the message from a McMaster University research team, whose pilot study demonstrated the feasibility of multidisciplinary perioperative care plans that reduce anxiety and agitation in this special […]
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