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Recommendations for the perioperative use of buprenorphine during interventional pain procedures, including best practices for perioperative tapering of the drug, were recently published in Pain Physician. The researchers based their buprenorphine recommendations on an analysis of 12 studies in the literature researching buprenorphine. The recommendations include suggestions for tapering or continuing use of the drug […]
Read MoreOrthopaedics This Week · March 6, 2018 Original Article By Elizabeth Hofheinz, MEd Elderly folks wheeled into the emergency room may fare better by avoiding general anesthesia, says new work published in the March 2018 edition of the Journal of Orthopaedic Trauma. The study is titled, “Impact of Anesthesia on Hospital Mortality and Morbidities in […]
Read MoreLeft ventricular assist device (LVAD) therapy is associated with substantial postimplantation morbidity and mortality, a study has confirmed. Readmissions after LVAD implantation are commonplace and often due to gastrointestinal bleeding, device malfunction and/or heart failure. “Although LVAD has been the focus of significant research, most studies have looked at mortality,” said Atul Gupta, MBBS, clinical […]
Read MoreAn analysis published in the Journal of the American Society of Nephrology (JASN) indicates that the US opioid epidemic likely applies to the unique population of patients on dialysis. The study also found links between higher opioid drug prescription and increased risks of dialysis discontinuation, hospitalisation, and early death. Pain is frequent in patients on […]
Read MoreAdopting a lying down position rather than being upright in the later stages of labour for first-time mothers who have had a low dose epidural leads to a higher chance of them delivering their baby without any medical intervention, according to a study published today in The BMJ. Peter Brocklehurst, MD, University of Birmingham, Birmingham, […]
Read MoreChristopher L. Wu, MD Professor of Anesthesiology Director, ERAS Anesthesiology Programs Department of Anesthesiology and Critical Care Medicine The Johns Hopkins School of Medicine The Armstrong Institute for Patient Safety and Quality Johns Hopkins Medicine Baltimore, Maryland Andy P. Benson, MSN, CRNA Chief, CRNA Division Department of Anesthesiology and Critical Care Medicine The Johns Hopkins […]
Read MoreThis will have an impact on anesthesia since we work closely with the nursing staff. Costs and personnel issues associated with the current nursing shortage in the U.S. will erode nonprofit hospital margins for at least three to four years to come, a new report from Moody’s Investors Service warns. The Bureau of Labor Statistics predicts the […]
Read MoreAuthors: Poonai N et al. CMAJ Oct 2017 Ibuprofen was as effective as oral morphine for treating pain in children and adolescents after outpatient minor orthopedic surgery. The overuse of opioids for treating pain in children is a serious concern. Researchers in Canada randomized 154 children aged 5 to 17 years to oral morphine (0.5 […]
Read MoreNoninvasive respiratory volume monitoring within the first two hours after surgery may be able to identify patients at risk for opioid-induced respiratory depression up to 48 hours later. According to an observational study that measured minute ventilation in patients after colorectal surgery, frequency of low minute ventilation at discharge from the PACU was predictive of […]
Read MoreAnesthesiology · October 2017 Authors: Daniel I McIsaac, FRCPC et al There is consistent and significant variation in neuraxial anesthesia use for hip fracture surgery across jurisdictions. We measured the association of hospital-level utilization of neuraxial anesthesia, independent of patient-level use, with 30-day survival (primary outcome) and length of stay and costs (secondary outcomes). Methods: We conducted […]
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