Eur Spine J 2015 Sep 1. Authors: Kim SI MD et al PURPOSE: To assess the efficacy of a novel preemptive multimodal analgesic regimen for reducing postoperative pain and complications after primary lumbar fusion surgery. Preemptive multimodal analgesia is revealed to be an effective alternative to conventional morphine administration providing improved postoperative pain control with diminished side […]
Read MoreAnesthesia & Analgesia: Nov 2015 Vol 121 Issue 5 p 1165-1175 Authors: Estrup Olesen, Anne PhD et al BACKGROUND: The analgesic effect of opioids is often based on subjective one dimensional measurements. Electroencephalography (EEG) offers a possibility to objectively quantify the brain’s activity before and after the administration of opioids. The aim of this study […]
Read MoreAuthors: Olivind Jans, MD, PhD et al Anesthesiology 12 2015, Vol.123, 1292-1300. Background: Early postoperative mobilization is essential for rapid recovery but may be impaired by orthostatic intolerance (OI) and orthostatic hypotension (OH), which are highly prevalent after major surgery. Pathogenic mechanisms include an insufficient postoperative vasopressor response. The oral α-1 agonist midodrine hydrochloride increases vascular resistance, and […]
Read MoreAuthors: Michael R. King, et al Anesthesiology published on 11 2015 Background: N-methyl-d-aspartate receptor antagonists have been shown to reduce perioperative pain and opioid use. The authors performed a meta-analysis to determine whether the use of perioperative dextromethorphan lowers opioid consumption or pain scores. Methods: PubMed, Web of Science, Cochrane Database of Systematic Reviews, Cochrane Central Register of […]
Read MoreAuthors: Miklos D. Kertai, MD, PhD et al Anesthesiology published on 11 2015 Background: Cardiac surgery requiring cardiopulmonary bypass is associated with platelet activation. Because platelets are increasingly recognized as important effectors of ischemia and end-organ inflammatory injury, the authors explored whether postoperative nadir platelet counts are associated with acute kidney injury (AKI) and mortality after coronary artery […]
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