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Different ropivacaine concentrations in transversus abdominis plane (TAP) block for post-cesarean analgesia yield unpredictably varying analgesic benefits and wide confidence intervals in morbidly obese women, according to a randomized clinical trial. The results have served to add fuel to the fire over the controversy of the block’s efficacy. “At our institution, morbidly obese parturients do […]
Read MoreAUTHORS: Kleiman, Amanda M. MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1440–1444 BACKGROUND: Transesophageal echocardiography (TEE) is a valuable monitor for patients undergoing cardiac and noncardiac surgery as it allows for evaluation of cardiovascular compromise in the perioperative period. It is challenging for anesthesiology residents and medical […]
Read MoreAuthor: Lewis Coleman, MD Anesthesiology News recently reported on a study that promoted the laryngeal mask (LM) in prone position to “avoid intubation, reduce use of relaxants and minimize airway trauma.”1 This study reflects increasing confusion in a complex subject that can be understood best in terms of anesthesia history. Lacking IV access, early practitioners evolved a […]
Read MoreFrom 1992 to 2014 there was a decrease in the rate of malpractice claims paid on behalf of physicians in the United States, but mean compensation amounts increased, according to a study published in JAMA Internal Medicine.1 Adam C. Schaffer, MD, from Brigham and Women’s Hospital and Harvard Medical School in Boston, and colleagues analyzed all […]
Read MoreSerotonin affects the part of the brain involved in drug reward and cue reactivity, particularly through the serotonin 2C receptors. A recent study published in ACS Chemical Neuroscience reported that a prescription weight-loss drug reduced the urge to use opiates like oxycodone.1 Current treatments to reduce opiate misuse operate by occupying opioid receptors in the brain to […]
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