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There are headaches, and then there is post–dural puncture headache (PDPH)—a severe and debilitating side effect of spinal and epidural anesthesia that may last three weeks or more without treatment. Epidural steroid injections are regarded as a safe and effective treatment for PDPH, but minor complications such as wrong-site tissue injection and dural puncture can […]
Read MoreThe Cardiac Surgery Score (CASUS), which includes parameters for mechanical circulatory support, appears to be an accurate predictor of mortality in patients admitted to the ICU after cardiac surgery. “CASUS is essentially a sequential organ failure score modified for unique pathophysiologies and therapies seen in patients admitted to the ICU after cardiac surgery,” said Brock […]
Read MoreThe patch used in the study is approved in the United States for postherpetic neuralgia and in Europe for PNP arising from any etiology. Results from the ASCEND study recently published in BioMed Central Neurology indicate that an 8% capsaicin patch is effective in relieving peripheral neuropathic pain resulting from a wide range of etiologies.1 […]
Read MorePresurgical factors that were predictive of chronic postsurgical pain included presurgical pain intensity, child anxiety and pain coping efficacy, and parental pain catastrophizing. According to a meta-analysis published in the Journal of Pain, an estimated 20% of children have chronic postsurgical pain (CPSP) 12 months after surgery; several presurgical factors predict CPSP in these patients.1 Between 10% and […]
Read MoreThe term clearance implies that a patient can proceed with surgery and will have no risk for complications — which is a fictional state. As a cardiologist, I am often asked to perform preoperative cardiovascular “clearance” — whatever that means — on patients prior to elective procedures. The term clearance implies that a patient can proceed with […]
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