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A small pilot trial comparing transverse abdominis plane (TAP) block and IV local infiltration in children undergoing hydrocelectomy and/or hernia repair has demonstrated equivalence of clinical efficacy. In the study, postoperative opioid use, time to first rescue medication, average pain scores and parental satisfaction were similar between groups. “This was a negative result, which I […]
Read MoreThere is a national shortage of certain opioids that hospitals stock for perioperative and trauma pain relief, according to a series of announcements from the FDA. Injectable formulations of morphine, hydromorphone and fentanyl, including prefilled syringes, as well as small ampulesand vials for intravenous delivery are affected. While some pharmaceutical companies have had to cut production as far back as last year, […]
Read MoreJeffrey White, MD, an associate professor of anesthesiology and an associate medical director of GI Endoscopy, and Samsun Lampotang, PhD, a professor of anesthesiology at the University of Florida College of Medicine, in Gainesville, discussed their study on the different responses to propofol dosing for Asian, black and white patients during gastrointestinal endoscopy. Upon noticing […]
Read MorePostoperative pulmonary complications may be a leading cause of poor surgical outcomes, but combined regional and general anesthesia is not necessarily to blame. After adjusting for confounders, subanalysis of a recent prospective observational study showed that combined regional and general anesthesia was not associated with having at least one postoperative pulmonary complication. According to Kristina Coger, MD, […]
Read MoreEmployers are getting more involved in their workers’ health care in order to keep costs under control. A growing number of companies are contracting directly with hospitals and providers to take care of their employees, according to an annual survey released Tuesday by the National Business Group on Health, an industry organization focused on large […]
Read MoreThought this was interesting so wanted to share with our readers. Adults who exercise have better mental health than those who do not, according to a cross-sectional study in the Lancet Psychiatry. Researchers examined data on 1.2 million adults who completed the CDC’s Behavioral Risk Factor Surveillance System survey between 2011 and 2015. Overall, participants reported […]
Read MoreElective labor induction at 39 weeks’ gestation might not lower the risk for perinatal death or neonatal complications, but it does cut down on cesarean deliveries, according to a New England Journal of Medicinestudy. Over 6000 low-risk, nulliparous women were randomized to labor induction at 39 weeks or to expectant management. The primary composite outcome — […]
Read MoreThis is shocking so I wanted to share with our readers. The global age-standardized lung cancer mortality rate among women is projected to increase by 43 percent from 2015 to 2030, according to an analysis of data from 52 countries reported in Cancer Research, a journal of the American Association for Cancer Research. The global age-standardized […]
Read MoreAuthors: Matthias Behrends, M.D. et al Anesthesiology 9 2018, Vol.129, 536-543. What We Already Know about This Topic: Hip arthroscopy is a surgical procedure growing in popularity The optimal approach to postoperative analgesia has not been identified What This Article Tells Us That Is New: The addition of preoperative fascia iliaca block using ropivacaine to the […]
Read MoreAuthors: Steven P. Cohen, M.D. et al Anesthesiology 9 2018, Vol.129, 517-535. What We Already Know about This Topic: Facet blocks, including intraarticular and medial branch blocks, are frequently used before radiofrequency ablation, but their validity as a predictive tool is unproven Recently, the evidence supporting radiofrequency ablation has come under great scrutiny What This Article […]
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