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Epidural injections of steroids may have only a small effect in preventing or delaying the need for spinal surgery for low back pain when compared to other treatments, according to a review and meta-analysis of several randomized controlled trials (RCT). The results were mixed: Injections reduced the need for surgery in some patients, but this […]
Read MoreA patient whom I’d been treating with opioids for chronic back pain the family claimed they tried to call me to tell me about my patient’s drug addiction but that I’d refused to talk with them. The fact is, I did decline to take the phone call, and it was because the patient hadn’t given […]
Read MoreOrthopedic surgeons are best, and anesthetists worst, at predicting operating theater time, according to orthopedic surgeons from New Zealand. “Our hypothesis going in was that the anesthetic time would be longer than they expected, as surgeons have become very good at predicting the time they require in recent times, potentially as a results of the […]
Read MoreNew Controversies Published in Br J Anaesth. 2014;113(6):906-909 Authors: P. Aldam, N. Levy, G. M. Hall Introduction The prevalence of diabetes mellitus (DM) is increasing rapidly. In 2011, it was estimated that 366 million people worldwide had DM with a projected increase to 522 million by 2030. Diabetes is one of the most common non-communicable […]
Read MoreA 34 year old morbidly obese stiff person syndrome (SPS) patient was scheduled for a permanent catheter placement. SPS is a rare neurologic condition with a suspected autoimmune etiology. SPS most common manifestations are progressive, including severe muscle rigidity or stiffness affecting the spine and lower extremities more than other muscle groups. SPS have superimposed […]
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