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A new initiative to identify preoperative patients who may be predisposed to developing dependence on opioid analgesics could facilitate treatment plans that reduce their exposure to opioids and mitigate that risk. The joint endeavor by specialty pharmaceutical manufacturer Pacira Pharmaceuticals and therapeutic management firm GeneAlign has incorporated behavioral histories and pharmacogenetic and pharmacogenomic testing into […]
Read MoreAlthough anesthesiologists have been performing regional blocks with nerve stimulation for years, the introduction of ultrasound guidance has improved efficiency dramatically, leading to faster block placement and onset in skilled hands. These advancements have come at an opportune time, said Sonia Szlyk, MD, as opioid-related adverse events have become an increasing burden on the health […]
Read MoreBy SANJAY SAINT and MOLLY HARROD A good relationship between a patient and his or her physician is the cornerstone of superb medical care. That relationship is important when you know the doctor well. It may be even more important when you don’t, say when you are in the hospital. Growing competition for new customers is inspiring American hospitals […]
Read MoreAuthors: Jacqueline M. Leung, M.D., M.P.H. et al Anesthesiology 10 2017, Vol.127, 633-644. Background: Postoperative pain and opioid use are associated with postoperative delirium. We designed a single-center, randomized, placebo-controlled, parallel-arm, double-blinded trial to determine whether perioperative administration of gabapentin reduced postoperative delirium after noncardiac surgery. Methods: Patients were randomly assigned to receive placebo (N = 347) or […]
Read MoreThe observations of Karen Sullivan Sibert, MD a Los Angeles anesthesiologist The longer you practice a profession, the easier it is not to bother to learn the next new thing. We may think we’re doing just fine without that new drug, or that new piece of expensive equipment. We’ve seen how the new drug sometimes turns out […]
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