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Authors: Erin J. Aiello Bowles, MPH et al J Am Geriatr Soc. 2016;64(3):602-607. Objectives: To evaluate the associations between anesthesia and dementia or Alzheimer’s disease (AD) risk using prospectively collected data. Design: Cohort study. Participants: Community-dwelling members of the Adult Changes in Thought cohort aged 65 and older and free of dementia at baseline (N = 3,988). Measurements: Participants self-reported […]
Read MoreOpioid-naive adults who underwent at least one of four low-risk surgical procedures—carpal tunnel release, laparoscopic cholecystectomy (gallbladder removal), inguinal hernia repair and knee arthroscopy—in the years 2004, 2008 and 2012 were prescribed over time an increasing mean opioid morphine equivalent for postoperative pain. The adjusted increase was highest for knee arthroscopy (18%), according to a JAMA research […]
Read MoreDo the increased responsibilities inherent in the perioperative surgical home (PSH) model mean that anesthesiologists are necessarily increasing their legal vulnerabilities? Although the advent of the PSH concept has been a boon for many anesthesiologists looking to expand the scope of their responsibilities and cement their position in this innovative medical care model, these impending […]
Read MorePreoperative ultrasound-guided infiltration analgesia (US-LIA) with liposomal bupivacaine (Exparel, Pacira) is a safe, effective technique that reduces recovery times and hospital lengths of stay for total knee arthroplasty (TKA) patients, a new study suggests. “In our institution, patients who have total knee arthroplasty receive an ultrasound-guided local infiltration analgesia,” said Sanjay Sinha, MD, study author […]
Read MoreAbout 15% of a group of Medicare patients who had not used opioid medications in the previous 2 months filled opioid prescriptions within a week of hospital discharge, according to a research report published June 13 in JAMA Internal Medicine. A second report finds “suboptimal” practices related to sharing, storing, and disposing of opioids, as well as […]
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