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JAMA Neurology · February 19, 2018 Authors: Lisbeth Evered, BSc, MBiostats, PhD et al Importance: Anesthesia and surgery are believed to act on the central nervous system by a fully reversible mechanism innocuous to nerve cells. Evidence that neurological sequelae may follow would challenge this belief and would thereby suggest a need to reassess theories of the […]
Read MoreAUTHORS: Maarrawi J et al European Journal of Pain (Feb 2018) BACKGROUND Amitriptyline has well-established efficacy in several chronic pain conditions. While optimal treatment for chronic neck pain (CNP) remains controversial, amitriptyline was not tested for CNP. We evaluated the effect of bedtime amitriptyline in the management of CNP. METHODS 220 patients suffering from idiopathic […]
Read MoreNeurology Advisor · February 13, 2018 Parkinson disease (PD) affects an estimated 1 million people in the United States and 10 million individuals worldwide. PD develops in more than 80% of patients after the age of 60 years, and it is anticipated that the prevalence will increase as the elderly population continues to expand. PD has been […]
Read MoreThis is important because we often see patients coming from the ER directly to surgery. AUTHORS: Mark D et al Kaiser Permanente CREST Network Investigators ; Journal of the American College of Cardiology (JACC) 71 (6), 606-616 (Feb 2018) BACKGROUND Both the modified History, Electrocardiogram, Age, Risk factors and Troponin (HEART) score and the Emergency […]
Read MoreAuthors: Gupta A et al Foot & Ankle International 39 (2), 149-154 (Feb 2018) BACKGROUND The number of opioids prescribed and used has increased precipitously over the past 2 decades for a number of reasons and has led to increases in long-term dependency, opioid-related deaths, and diversion. Most studies examining the role of prescribing habits […]
Read More3M has voluntarily recalled two models of its Bair Hugger product, the FDA stated in a release. The Minnesota-based multinational corporation started the recall due to a design flaw on the blankets, commonly used to warm patients during surgery. The flaw can cause a block in airflow, halting full inflation and widespread body warming. “3M voluntarily recalled a […]
Read MoreAUTHORS: Duceau, Baptiste MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1342–1347 BACKGROUND: Although thoracic paravertebral block (TPVB) is recommended in major breast surgery, there is no gold standard to assess the success of TPVB. Pupillary dilation reflex (PDR) is the variation of the pupillary diameter after a noxious […]
Read MoreAUTHORS: Pelavski, Andres D. MD, PhD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1329–1336 BACKGROUND: Preoperative risk and postoperative outcomes among the elderly are the subject of extensive debate. However, the eldest old, that is, the fastest-growing and most vulnerable group, are insufficiently studied; even their mortality rate is […]
Read MoreAUTHORS: Mazzeffi, Michael MD, MPH, MSc et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1316–1321 BACKGROUND: Surgical site infections (SSIs) after colon surgery remain a critical safety issue. Patients with an SSI have an increased risk of death, prolonged hospitalization, and increased costs of care. Red blood cell (RBC) transfusion […]
Read MoreAUTHORS: Dudaryk, Roman MD et al Anesthesia & Analgesia: October 2017 – Volume 125 – Issue 4 – p 1261–1266 BACKGROUND: End-tidal carbon dioxide (EtCO2) is a valuable marker of the return of adequate circulation after cardiac arrest due to medical causes. Previously, the prognostic value of capnography in trauma has been studied among limited populations in […]
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