New research provides insight into a long-observed, but little-understood connection between chronic pain and anxiety and offers a potential target for treatment. The findings, published in Biological Psychiatry, showed that increased expression of a peptide neurotransmitter the body releases in response to stress — pituitary adenylate cyclase activating polypeptide (PACAP) — is also increased in […]
Read MoreAnesthesia & Analgesia: August 29, 2016 AUTHORS: Nasr, Viviane G. MD et al BACKGROUND: Although there have been numerous attempts to predict perioperative mortality in adults, an objective model to predict mortality in children has not been developed. In this study, we aimed to develop a Pediatric Risk Assessment (PRAm) score to predict perioperative mortality […]
Read MoreThe various predictive scoring systems range from fair to only moderately good, according to a new study in the journal Ambulatory Anesthesia. According to the authors multimodal approaches emphasizing prophylactic strategies that incorporate antiemetic medication, intravenous hydration and nonnarcotic analgesia appear promising, having been shown to reduce PONV from a norm of 20-30% to below 10%. The […]
Read MoreIncidence and Clinical Characteristics Authors: Hashem Abu-Arafeh; Ishaq Abu-Arafeh Objective To study the clinical and epidemiological characteristics of complex regional pain syndrome (CRPS) in children. Patients and methods All children and adolescents under 16 years of age with a new diagnosis of CRPS who were reported to the Scottish Paediatric Surveillance Unit were included. Patients’ […]
Read MoreIn Total Shoulder Arthroplasty: A large, retrospective study from Mayo Clinic has concluded that the addition of clonidine to a single-shot interscalene block does not improve the quality of analgesia in patients undergoing total shoulder arthroplasty. The study has helped clarify an issue that has had its supporters and detractors. The investigators noted, however, that […]
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