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Authors: Kei Ouchi, MD, MPH et al., “Prognosis After Emergency Department Intubation to Inform Shared Decision-Making”. Journal of the American Geriatrics Society Nationwide analysis reveals large number of patients 65 and older died in the hospital or were discharged to a nursing home following emergency intubation Intubation in the emergency department is common and […]
Read MoreFemale sex, increased age, and increased local anesthetic dose were all associated with longer duration of analgesia. Low doses of perineural dexamethasone were shown to prolong the duration of ropivacaine brachial plexus nerve block analgesia in a study published in Pain Medicine. In this retrospective cohort study, 1027 patients undergoing brachial plexus nerve block who received […]
Read MoreInvestigators sought to determine headache frequency and impact of headache on life quality in patients with HIV and CD4+ T lymphocyte counts >500. A large proportion of HIV-positive patients experience frequent headaches that often impact their quality of life, according to findings from a cross-sectional study published in Headache. For this study, investigators sought to determine […]
Read MoreEdward R. Mariano, MD, MAS Chief, Anesthesiology and Perioperative Care Service Associate Chief of Staff, Inpatient Surgical Services VA Palo Alto Health Care System Palo Alto, California Professor Department of Anesthesiology, Perioperative, and Pain Medicine Stanford University School of Medicine Stanford, California There are numerous clinical and financial benefits to creating an acute pain medicine […]
Read MoreAUTHORS: Lam, Thach MD et al Anesthesia & Analgesia: December 2017 – Volume 125 – Issue 6 – p 2019–2029 BACKGROUND: Death and anoxic brain injury from unrecognized postoperative respiratory depression (PORD) is a serious concern for patient safety. The American Patient Safety Foundation has called for continuous electronic monitoring for all patients receiving opioids in the […]
Read MoreAuthors: Roberto, Sarah, A. et al Anesthesia & Analgesia: October 5, 2017 – Volume Publish Ahead of Print – Issue – p Massachusetts state agencies received reports of 37 adverse events (AEs) involving cataract surgery from 2011 to 2015. Fifteen were anesthesia related, including 5 wrong eye blocks, 3 cases of hemodynamic instability, 2 retrobulbar hematoma/hemorrhages, […]
Read MoreAuthor: Rebecca M. Gerlach, MD Cardiac surgery without neuromuscular blockade is safe and feasible under the right conditions, a study has found. “Although there have been many studies in the recent literature looking at complications associated with residual neuromuscular blockade after anesthesia in noncardiac surgery, we realized that nobody has looked at this issue in […]
Read MoreThe mean sedation scores were statistically significant in favor of the diphenhydramine group as judged by a physician and nurse. For patients using chronic opioids, use of diphenhydramine in addition to conventional sedatives appears to decrease pain and is associated with improved sedation during colonoscopy, according to a study presented at the World Congress of […]
Read MoreAlthough documented as an effective analgesic technique for major knee surgeries, the adductor canal block provides only minor analgesic benefit after ambulatory arthroscopic knee surgery, a study has concluded. In addition, a systematic review and meta-analysis found that the role of the block in anterior cruciate ligament (ACL) reconstruction also may be limited. “Adductor canal […]
Read MoreIn patients undergoing total joint arthroplasty who are already receiving multimodal analgesia, there may be added benefit to incorporating intrathecal morphine. According to a recent retrospective study, the addition of intrathecal morphine to a multimodal analgesic regimen improved analgesia after surgery and reduced postoperative opioid consumption and postoperative nausea and vomiting (PONV). “These data suggest […]
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