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Roughly 3 in 4 physicians said in a Medscape Medical News poll that they lean toward adopting the stricter guidelines on prescribing opioids for chronic pain that the Centers for Disease Control and Prevention (CDC) issued in March to combat an epidemic of addiction and overdose deaths. The guidelines, aimed at primary care prescribers, state […]
Read MoreBr J Anaesth. 2016;116(2):163-176. Authors: R. L. Johnson et al A Systematic Review of Comparative-Effectiveness Research Background: This systematic review evaluated the evidence comparing patient-important outcomes in spinal or epidural vs general anaesthesia for total hip and total knee arthroplasty. Methods: MEDLINE, Ovid EMBASE, EBSCO CINAHL, Thomson Reuters Web of Science, and the Cochrane Central […]
Read MoreThe perioperative surgical home requires successful integration of the four phases of care—preoperative, intraoperative, postoperative and post-discharge. A preoperative evaluation clinic can play a key role in enhancing the latter, achieving added and billable value for anesthesiologists in the process. “Many of us in this room are capable of delivering preoperative care just like hospitalists […]
Read MoreAll of that huffing and puffing on the treadmill may be worthwhile to the patient awaiting surgery: A new retrospective study suggests that exercise programs aimed at increasing exercise tolerance before a surgical procedure may decrease morbidity and mortality. “We’ve long known that physical fitness is a factor that appears to affect a patient’s chances […]
Read MoreAnesthesia & Analgesia: April 2016 AUTHORS: Ghisi, Daniela MD et al BACKGROUND: In this randomized, controlled, observer-blinded study, we evaluated analgesia provided by transversus abdominis plane (TAP) block after elective total laparoscopic hysterectomy in terms of reduced postoperative morphine consumption as the primary end point. METHODS: Fifty-two patients were randomly divided into 2 groups: patients […]
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