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Patients with the rare disease erythromelalgia who responded favorably to corticosteroid treatment have been found to have specific characteristics: They reached maximum pain intensity within 21 days of onset, described a clear trigger to their disease (typically surgery or trauma) and were treated more promptly with steroids after diagnosis. The study’s principal investigator, Gabriel Pagani-Estévez, […]
Read MoreAUTHORS: As-Sanie, Sawsan MD, MPH et al Obstetrics & Gynecology: December 2017 – Volume 130 – Issue 6 – p 1261–1268 OBJECTIVE: To quantify physician prescribing patterns and patient opioid use in the 2 weeks after hysterectomy at an academic institution and to determine whether patient factors predict postsurgical opioid use and pain recovery. METHODS: We conducted a […]
Read MoreAuthor: Shale Imeson, MD The saying “May you live in interesting times,” is perhaps especially meaningful for those of us navigating the tumultuous world of today’s health care marketplace. As reimbursement shifts toward value-based payments, the health care industry struggles to find ways to meet new demands for efficiency, including improved outcomes and lower costs. […]
Read MoreTranscutaneous CO2 (TcCO2) more accurately reflects blood levels of the gas than end-tidal CO2(EtCO2) in infants, according to investigators at Stony Brook University, New York. Kseniya Khmara, MD, a clinical anesthesia resident at Stony Brook University School of Medicine, explained that the inaccuracies often observed using EtCO2 because of the small tidal volumes inhaled by neonates motivated […]
Read MoreAuthors: Paul J. Zufferey, M.D., Ph.D. et al Anesthesiology 9 2017, Vol.127, 413-422. Background: Preoperative administration of the antifibrinolytic agent tranexamic acid reduces bleeding in patients undergoing hip arthroplasty. Increased fibrinolytic activity is maintained throughout the first day postoperation. The objective of the study was to determine whether additional perioperative administration of tranexamic acid would further reduce […]
Read MoreA majority of institutions do not have a written policy for mechanical ventilation during intrahospital transport of children with congenital heart disease. That was the finding from a survey of pediatric anesthesia program directors throughout North America. Presented at the 2017 meeting of the Society for Pediatric Anesthesia/American Academy of Pediatrics Section on Anesthesiology and […]
Read MoreWhile the 2018 editions of the ASA Relative Value Guide® (RVG) and CROSSWALK® will soon be available, many anesthesia practices are asking about the RVG base unit values to be assigned to the five new codes that will describe anesthesia for GI endoscopy in 2018. In its final rule for the CY 2018 Medicare Physician […]
Read MoreRadiofrequency denervation for chronic low back pain displayed no clinically relevant improvement in pain for patients, according to a study conducted by 16 multidisciplinary pain clinics in the Netherlands and published in JAMA (2017;318:68-81). Radiofrequency denervation is a commonly used treatment for patients with chronic low back pain, but the treatment had lacked quality evidence […]
Read MoreIntranasal ketamine causes more minor side effects, such as dizziness, than intranasal fentanyl used as analgesia for children with assumed single-extremity fractures, according to researchers. The double-blind, randomized controlled trial (Acad Emerg Med 2017 Sep 19. [Epub ahead of print], doi:10.1111/acem.13313) in 82 children found that while pain relief was similar at 20 minutes between […]
Read MoreAuthor: Tanya Albert Henry Physician leaders have given the international modern-day Hippocratic Oath the most substantial update that it has seen in nearly 70 years, with revisions reflecting changes in the relationship between patients and physicians, and changes in interactions between physicians and their colleagues. The World Medical Association (WMA) first adopted the Declaration of […]
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