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Authors: Andra E. Duncan, M.D. et al Anesthesiology published on March 2018 Background: Hyperinsulinemic normoglycemia augments myocardial glucose uptake and utilization. We tested the hypothesis that hyperinsulinemic normoglycemia reduces 30-day mortality and morbidity after cardiac surgery. Methods: This dual-center, parallel-group, superiority trial randomized cardiac surgical patients between August 2007 and March 2015 at the Cleveland Clinic, Cleveland, Ohio, […]
Read MoreAuthors: Ryuhei Araki, M.D. et al Anesthesiology 4 2018, Vol.128, 754-763. Background: Although midbrain dopaminergic pathways are known to contribute to arousal and emergence from anesthesia, few reports exist regarding the anesthetic effects of dopamine D2 receptor antagonism in humans. This study examined the effect of the D2 receptor antagonist droperidol on sevoflurane anesthesia by examining α […]
Read MoreAuthors: Elizabeth M. S. Lange, M.D. et al Author Notes Anesthesiology 4 2018, Vol.128, 745-753. Background: Programmed intermittent boluses of local anesthetic have been shown to be superior to continuous infusions for maintenance of labor analgesia. High-rate epidural boluses increase delivery pressure at the catheter orifice and may improve drug distribution in the epidural space. We hypothesized […]
Read MoreNewnan-based Georgia Bone & Joint, Summit Orthopaedic Surgery Center, Southern Crescent Anesthesiology medical group, Sentry Anesthesia Management, as well as certified registered nurse anesthetist David LaGuardia, agreed to pay the federal government $3.2 million to resolve alleged violations of the False Claims Act, according to the Department of Justice. The government alleged Mr. LaGuardia, Sentry and SCA […]
Read MoreA drug that has been touted as a safe alternative to opioid painkillers is now on the radar of health officials and law enforcement officials as it is being found in more and more overdose deaths. Gabapentin is a nerve pain medication that is typically used to treat seizures and pain associated with shingles. But amid the opioid epidemic that has ripped through […]
Read MoreFor patients with gluten neuropathy, following a strict gluten-free diet is associated with significantly reduced odds of peripheral neuropathic pain, according to a study scheduled for presentation at the upcoming annual meeting of the American Academy of Neurology, to be held from April 21 to 27 in Los Angeles. Panagiotis Zis, MD, PhD, from the […]
Read MoreLidocaine infusion may provide short-term pain relief for refractory neuropathic pain, according to a study published in Regional Anesthesia & Pain Medicine. This double-blind, placebo-controlled study was conducted to assess whether repeated intravenous administration of low-dose lidocaine (3 mg/kg) could provide safe and effective prolonged pain relief for postherpetic neuralgia or complex regional pain syndrome type II. […]
Read MorePatients who abuse, or are dependent on, opioids have higher readmission rates after major surgery than their counterparts who do not abuse the agents, according to a national database study. Opioid abuse and dependence, the investigators added, also increase costs, both at initial admission and at readmission after a major procedure. “We know that given […]
Read MoreAbusive behavior in the operating room (OR) is disturbingly prevalent, according to an international study by a team of Canadian clinicians. Given these findings, the investigators called for efforts to eradicate such behavior, including training in violence prevention, de-escalation, stress reduction and anger management. “Disruptive behavior in the OR implies actions that do not show […]
Read MoreAUTHORS: Uppal, Vishal FRCA et al Anesthesia & Analgesia: November 2017 – Volume 125 – Issue 5 – p 1627–1637 BACKGROUND: It is widely believed that the choice between isobaric bupivacaine and hyperbaric bupivacaine formulations alters the block characteristics for the conduct of surgery under spinal anesthesia. The aim of this study was to systematically review the […]
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