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The management of postsurgical pain with patient-controlled analgesia pumps may be safe, as indicated by a low rate of device-related error, according to results from a retrospective study published in Anesthesia & Analgesia. Patient-controlled analgesia infusion pumps are generally considered safe and effective for postoperative pain management but may be associated with human- and device-related errors, which can […]
Read MoreAdding an exercise regimen to a comprehensive educational program for the management of greater trochanteric pain syndrome may not bring significant benefit, according to a randomized controlled trial published in the Journal of Women’s Health. A group of postmenopausal women with lateral hip pain were assigned to follow the Gluteal La Trobe University exercise program (GLoBE; n=38) or […]
Read MoreThe relationship between inflammatory biomarkers and outcomes is not well researched in patients undergoing high-risk, noncardiac procedures. Recent research found that a variety of biomarkers produce a robust response to noncardiac surgery. In particular, they found that both suppression of tumorigenicity 2 (ST2) and interleukin-8 (IL-8) showed discriminatory ability to predict complications in these patients. […]
Read MoreMigraine headache is associated with a higher risk for major adverse cardiovascular and cerebrovascular events, including stroke and myocardial infarction, according to a meta-analysis published in BMJ Open. This systemic review analyzed results from 16 cohort studies, including 394,942 study participants with migraine and 757,465 without migraine. The primary and secondary outcomes were major adverse cardiovascular […]
Read MoreAuthors: Siyi Yan et al Journal Clinical Anesthesia June 2018 Volume 47 Pages 74-79 Study objective There is controversy regarding the efficacy and safety of using interscalene block (ISB) combined with general anesthesia (GA) for arthroscopic shoulder surgery. Our meta-analysis was undertaken to evaluate the utility of this approach. Measurements We searched the PubMed, Cochrane […]
Read MoreAuthor: Sulagna Bhattacharjee Journal of Clinical Anesthesia June 2018 Volume 47 Pages 54-59 Possible advantages and risks associated with ultrasound guided radial artery cannulation in-comparison to digital palpation guided method in adult patients are not fully known. We have compared ultrasound guided radial artery cannulation with digital palpation technique in this meta-analysis. Design Meta-analysis of […]
Read MoreResults from a Phase 3 study of intravenous (IV) tramadol showed that the treatment was beneficial for patients with moderate to moderately severe postoperative pain following bunionectomy surgery. In this multicenter, double-blind, placebo-controlled trial, patients (N=409) were randomized 1:1:1 to a postoperative regimen of IV tramadol 50mg, IV tramadol 25mg, or placebo administered over 15 minutes at […]
Read MoreIntravenous (IV) aminophylline is a safe and effective early treatment for postdural puncture headache, according to a recent study published in Neurology. This randomized, multi-center, placebo-controlled, double-blind study sought to evaluate the efficacy and safety of IV aminophylline for postdural puncture headache. Individuals recruited for the study were treated at 5 centers in China with procedures requiring […]
Read MoreAn article I thought was interesting so I wanted to share. Authors: Likosky DS et al. JAMA Cardiol 2017 Dec 20. Hospitals with high use of early percutaneous coronary intervention had better mortality and higher costs, but costs were balanced by lower 180-day expenditures. Costs in medicine continue to attract considerable attention. A central issue is whether […]
Read MoreAuthors: Estock, Jamie, L., MA et al Journal of Patient Safety: June 2018 – Volume 14 – Issue 2 – p 101–106 Objective: Several factors contribute to medication errors in clinical practice settings, including the design of medication labels. The objective of this study was to quantify the impact of label design on medication safety in a realistic, high-stress clinical […]
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