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As “awake” surgical procedures become more common, surgeons increasingly find themselves in the potentially awkward position of being overheard by patients. A new study suggests that surgeons who work with awake patients are very aware that the patients are listening, and are thus careful to limit their communication with trainees and staff. These patient safeguards […]
Read MoreAnesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 758–761 AUTHORS: Gabriel, Rodney A. MD et al The interscalene block (ISB) is a common adjunct to general anesthesia for total shoulder arthroplasty (TSA). The aim of the study was to report the current national demographics of the patients who are receiving […]
Read MoreAnesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 749–757 AUTHORS: Turan, Alparslan MD et al BACKGROUND: Clonidine is an α2-adrenoceptor agonist, which has analgesic properties. However, the analgesic efficacy of perioperative clonidine remains unclear. We, therefore, tested the hypothesis that clonidine reduces both pain scores and cumulative opioid consumption during […]
Read MoreAnesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 684–689 AUTHORS: Zaphiratos, Valerie MD, MSc BACKGROUND: Combined spinal-epidural (CSE) analgesia is widely used for delivering labor analgesia. Epidural volume extension (EVE) involves the injection of fluid into the epidural space compressing the dural sac, causing cephalad shift of the cerebral spinal […]
Read MoreClark W et al. Lancet 2016 Aug 17. Hirsch JA and Chandra RV. Lancet 2016 Aug 17. The procedure benefitted some highly selected patients when performed a few weeks after vertebral fracture. Vertebroplasty is injection of polymethylmethacrylate “cement” into a fractured vertebral body to reduce pain and disability. The popularity of this procedure declined after 2009, when two randomized, sham-controlled […]
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