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The transition from extensive use of intravenous (IV) sedation for interventional pain procedures to almost exclusive use of oral anxiolysis at an outpatient pain center led to significant improvements in patient satisfaction and recovery times, a new study shows. But not all practitioners are on board with such a policy, citing potential safety issues. “The […]
Read MoreMore than half of Medicare beneficiaries undergoing cataract surgery undergo at least one preoperative test, despite strong evidence showing that preoperative tests are not associated with any improvement in outcomes, new research shows. Moreover, the prevalence of preoperative testing before cataract surgery is not different than it was 20 years ago, before the introduction of […]
Read MoreAnesthesia & Analgesia: April 28, 2015 Authors: Tassonyi, Edömér MD, PhD et al BACKGROUND: Pipecuronium is a steroidal neuromuscular blocking agent. Sugammadex, a relaxant binding [gamma]-cyclodextrin derivative, reverses the effect of rocuronium, vecuronium, and pancuronium. We investigated whether sugammadex reverses moderate pipecuronium-induced neuromuscular blockade (NMB) and the doses required to achieve reversal. METHODS: This single-center, […]
Read MoreAnaesthesist 2015 May;64(5):347-56. doi: 10.1007/s00101-015-0023-9. Authors: Ninke T et al Abstract During the perioperative and postoperative care of pregnant women it is prudent to pay close attention to the changed physiology of these patients. The main principles of care are the preservation of maternal and fetal homeostasis as well as avoidance of any substances with toxic effects […]
Read MoreBMJ 2015 Apr 16;350:h1748. Authors: Cohen SP et al OBJECTIVE: To evaluate whether an epidural steroid injection or gabapentin is a better treatment for lumbosacral radiculopathy. DESIGN: A multicenter randomized study conducted between 2011 and 2014. Computer generated randomization was stratified by site. Patients and evaluating physicians were blinded to treatment outcomes. SETTINGS: Eight military, Veterans Administration, […]
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