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The findings appeared in the journal Digestive Diseases and Sciences. Patients who are fasting before upper endoscopy can safely chew gum up until the time of the procedure, researchers have found. Guidelines on preoperative fasting from the American Society of Anesthesiologists do not explicitly address gum chewing. However, many anesthesia departments prohibit sedation in such patients […]
Read MorePublished in Colorectal Dis. 2015 Apr;17(4):342-50 Authors: Fustran N et al AIM: The aim of this prospective double-blind randomized clinical trial was to determine whether preperitoneal continuous wound infusion (CWI) of the local anaesthetic ropivacaine after either laparotomy or video-assisted laparoscopy for colorectal surgery would reduce patient consumption of morphine. METHOD: Patients scheduled for colorectal surgery […]
Read MoreAlthough the association between primary and referred pain is generally not well characterized, a study by an Iowa research team has shed more light on the link between the two pain types. The investigators found that a threshold level of primary pain is necessary to induce referred pain, and that there is a progressive relationship […]
Read MorePublished in Am J Emerg Med 2015 Mar 33:315 Authors: Duran-Gehring PE et al. Ultrasound can be used to visualize injected saline, localize the catheter tip, and detect pneumothorax. Investigators compared ultrasound to chest x-ray for confirmation of placement of supradiaphragmatic central lines and to rule out pneumothorax in 46 emergency department patients. Correct placement […]
Read MoreThis is another one for our pain providers to read. Patients receiving methadone for noncancer pain had a 46% increased risk for death compared with patients receiving morphine sustained release (SR), a new study shows. The increased risk occurred even with methadone doses as low as 20 mg/d. The study results support the message that […]
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