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I wanted to share this due to we might see these patients in surgery. Authors: Romero-Gómez M et al., J Hepatol 2015 Feb 62:437 This review article stresses the importance of providing intensive care, identifying precipitating events, and administering selective treatments. Hepatic encephalopathy (HE) is one of the major complications of cirrhosis, and recent evidence […]
Read MorePublished in The Journal of the American Society of Anesthesiologists on 1 2015. Authors: Warwick D. Ngan Kee, M.B.Ch.B., M.D., F.A.N.Z.C.A., F.H.K.A.M. et al Background: During spinal anesthesia for cesarean delivery, phenylephrine can cause reflexive decreases in maternal heart rate and cardiac output. Norepinephrine has weak β-adrenergic receptor agonist activity in addition to potent α-adrenergic […]
Read MoreFor patients with fibromyalgia, treatment should be individualized and include nonpharmacologic approaches, which are often more effective than drugs, according to an expert in the field. “There is no magic drug against fibromyalgia and, in my opinion, there will never be. Psychotherapists don’t work miracles, but psychotherapy can help and, in a few cases, turn […]
Read MoreDaniel J. Clauw, MD, Philip J. Mease, MD, Bret S. Stetka, MD Editor’s Note: In response to a number of recent advances in the understanding, diagnosis, and management of fibromyalgia (FM), Medscape recently spoke with Daniel J. Clauw, MD, Professor of Anesthesiology, Medicine (Rheumatology), and Psychiatry at the University of Michigan; and Philip J. Mease, […]
Read MorePublished in Current Opinion in Anaesthesiology: February 2015 – Volume 28 – Issue 1 – p 2–9 Authors: Kozian, Alf et al Purpose of review: The mean age of patients presenting for thoracic surgery is rising steadily, associated with an increased demand for thoracic surgical treatments by geriatric patients. With increasing age, physiologic changes and […]
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