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Although there is a significant association between elevated baseline pulse pressure and acute kidney injury (AKI) after coronary artery bypass graft (CABG) surgery, no association exists with the weighted duration of intraoperative hemodynamic perturbations, such as hypotension or hypertension. “It’s known that elevated pulse pressure is a predictor of acute kidney injury after CABG surgery,” […]
Read MoreIMPROVE Trial Investigators. BMJ 2017 Nov 14. Three-year mortality was lower with endovascular repair. In a previously reported U.K. trial of 613 patients with clinically suspected rupture of abdominal aortic aneurysm (AAA), 30-day mortality and hospital costs were similar in patients randomized to endovascular repair (in those with suitable aortic anatomy) and patients randomized to open repair; […]
Read MoreAUTHORS: Sankineani S et al European Journal of Orthopaedic Surgery & Traumatology (May 2018) BACKGROUND Adductor canal block (ACB) is a peripheral nerve blockade technique that provides good pain control in patients undergoing total knee arthroplasty which however does not relieve posterior knee pain. The recent technique of an ultrasound-guided local anesthetic infiltration of the interspace between popliteal artery […]
Read MoreAUTHORS: Kadomatsu Y et al General Thoracic and Cardiovascular Surgery (May 2018) OBJECTIVE Clinical evidence comparing paravertebral (PVB) and continuous intercostal nerve (ICB) blocks for pain management post video-assisted thoracic surgery (VATS) is limited. This study confirms the analgesic effect of ICB using two catheters is not inferior to that of PVB under direct vision. […]
Read MoreThis is important because we see many dialysis patients in surgery. In a retrospective cohort study published in the Clinical Journal of the American Society of Nephrology, opioids were found to be associated with adverse events in older Medicare beneficiaries receiving hemodialysis. The investigators used the US Renal Data System to evaluate adverse events in 140,899 Medicare […]
Read MoreWith the country’s opioid crisis in mind, anesthesiologists are on the lookout for ways to address pain after outpatient surgery while minimizing the possibility of diversion. A team of Missouri researchers may have found a possible solution in the unlikeliest of candidates: IV methadone. Their study found that a single intraoperative dose of the agent […]
Read MoreIn patients with rheumatoid arthritis or osteoarthritis at higher risk for cardiovascular events, celecoxib may be safer compared with naproxen or ibuprofen when these drugs are taken alone or in combination with aspirin, according to a study published in Journal of the American College of Cardiology. In this post hoc analysis of a trial that compared 3 nonsteroidal […]
Read MoreAuthors: P. Bąbel MD et al European Journal of Pain 22 December 2017 Background A previous study has shown that memory of pain induced by running a marathon might be underestimated. However, little is known about the factors that might influence such a memory distortion during pain recall. The aim of the study was to investigate […]
Read MoreAuthors: Chu DK et al. Lancet 2018 Apr 28. A meta-analysis shows significantly higher mortality with liberal use of supplemental oxygen in acutely ill patients. Supplemental oxygen can be a life-saving intervention for patients with hypoxemic respiratory failure; however, emerging evidence suggests that too much oxygen is harmful (NEJM JW Gen Med Dec 1 2016 and JAMA 2016; 316:1583). Small […]
Read MoreImplementation of an enhanced recovery program for patients undergoing elective cesarean delivery can improve care without incurring a prohibitive expense for hospitals, a study has concluded. The program might even reduce costs considerably. According to researchers at Saint Peter’s Healthcare System, in New Brunswick, N.J., cost savings associated with a reduction in hospital length of […]
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