A modified ultrasound-guided proximal intercostal block in women undergoing breast surgery offers sonoanatomic and technical advantages over the traditional ultrasound-guided paravertebral block, without compromising pain-related outcomes, an analysis has found. The simple addition of ultrasound guidance to traditional thoracic paravertebral blockade does not necessarily provide both safety and technical ease. “Our findings demonstrate that the proximal intercostal […]
Read MoreAUTHORS: Miyamoto, Yoshihisa, MD, MPH et al Anesthesia & Analgesia: March 2018 – Volume 126 – Issue 3 – p 806–814 BACKGROUND: Steroids reduce postoperative complications after tonsillectomy such as nausea and vomiting, pain, and delayed recovery. However, steroids may also increase the risk of severe posttonsillectomy bleeding requiring reoperation. METHODS: To evaluate the risk of postoperative bleeding […]
Read MoreAUTHORS: Xie, Jianfeng, MD et al Anesthesia & Analgesia: November 2017 BACKGROUND: Remote ischemic preconditioning (RIPC) has been demonstrated to prevent organ dysfunction in cardiac surgery patients. However, recent large, prospective, multicenter, randomized controlled trials (RCTs) had controversial results. Thus, a meta-analysis of RCTs was performed to investigate whether RIPC can reduce the incidence of acute myocardial […]
Read MoreThe Pharmaceutical Journal April 2018 Researchers found that 57.7% of patients given amisulpride at induction of inhaled general anaesthetic did not require postoperative rescue medication compared with 46.6% of those assigned to placebo Dopamine antagonists were used in the past for managing postoperative nausea and vomiting (PONV). However, their use for this purpose has declined […]
Read MorePioneering surgery on Jay Crouch at Birmingham hospital allows him to eat for first time Author: Kevin Rawlinson Jay Crouch received two kidneys, a pancreas, liver and bowel during a single 10-hour operation. A seven-year-old boy has become the first child to undergo a five-organ transplant in a single operation. Jay Crouch, who has a […]
Read MoreAUTHORS: Kawakami, Hiromasa, MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 2072–2080 BACKGROUND: Caudal anesthesia has been used for postoperative pain control in pediatric surgical patients, but the duration of the analgesic effect is occasionally unsatisfactory. Intravenous steroids have been shown to be effective for postsurgical pain management after […]
Read MoreAUTHORS: Smith, Mark, M., MD et al Anesthesia & Analgesia: November 22, 2017 BACKGROUND: Selective serotonin reuptake inhibitor (SSRI) and serotonin–norepinephrine reuptake inhibitor (SNRI) use is known to alter platelet activation and aggregation leading to impairment in hemostasis. Previous studies are ambiguous with regard to bleeding, transfusion, and perioperative complications in patients undergoing cardiac surgery. The purpose […]
Read MoreThe proliferation of opioid abuse and its alarming death toll have become major issues in both medical care and politics, but while many have spent the last several months decrying opioids, alarm has been slowly building over shortages of these same drugs. Shortages of many injectable forms of opioids have reminded patients, federal agencies and […]
Read MoreScientific evidence has been accumulating over the last 10 years regarding the usefulness of high-intensity laser therapy (HILT) for the treatment of a variety of acute and chronic pain syndromes. This nonpharmacologic therapy may also prove to be an effective approach for reducing dependence on prescription opioid medication, thereby helping to resolve the current opioid […]
Read MoreAUTHORS: Colquhoun, Douglas, A., MB ChB, MSc, MPH et al Anesthesia & Analgesia: February 2018 – Volume 126 – Issue 2 – p 495–502 BACKGROUND: Lung-protective ventilation (LPV) has been demonstrated to improve clinical outcomes in surgical patients. There are very limited data on the current use of LPV for patients undergoing 1-lung ventilation (1LV) despite evidence […]
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