Multimodal perioperative analgesia with paravertebral nerve block (PVB) and gabapentin decreases the length of hospitalisation and narcotic usage in patients undergoing mastectomy compared to conventional postoperative management with on-demand postoperative medications (CPM), according to a study presented here at the 37th Annual San Antonio Breast Cancer Symposium (SABCS). The researchers say that the multimodality approach […]
Read MorePublished in J Clin Anesth. 2015 Mar;27(2):159-63 Authors: Kaur Makkar J et al STUDY OBJECTIVE: To evaluate the efficacy and safety profile of paracetamol in comparison with tramadol for pain relief during active labor. DESIGN: Prospective, randomized, double-blind study. SETTING: Maternity Wing of the Postgraduate Institute of Medical Education and Research, Chandigarh. PATIENT: Sixty laboring, […]
Read MorePublished in CMAJ. 2014 Dec 9;186(18):1358-63 Authors: Poonai N et al BACKGROUND: Recent warnings from Health Canada regarding codeine for children have led to increased use of nonsteroidal anti-inflammatory drugs and morphine for common injuries such as fractures. Our objective was to determine whether morphine administered orally has superior efficacy to ibuprofen in fracture-related pain. […]
Read MorePublished in Journal of Clinical Anesthesia (JCA) (Nov 2014) Authors: Zaphiratos V et al Anterior spinal artery syndrome has rarely been reported as a cause of permanent neurologic complications after neuraxial anesthesia in obstetric patients. A parturient developed anterior spinal artery syndrome after spinal anesthesia for cesarean delivery. A healthy 32-year-old parturient presented at 41(2/7) […]
Read MorePublished in Anaesthesia. 2015 Apr;70(4):429-33 Authors: Ishiyama T et al Abstract We measured the effect of Patent Blue dye on oxyhaemoglobin saturations after injection into breast tissue: 40 women had anaesthesia for breast surgery maintained with sevoflurane or propofol (20 randomly allocated to each). Saturations were recorded with a digital pulse oximeter, in arterial blood […]
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