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Gaining 510(k) clearance from the Food and Drug Administration, two new drug screening tests offer practitioner rapid, in-office results for the most commonly abused opioid-derived drugs. By Kathleen Doheny Interviews with Scott Taille and Michael R. Clark, MD, MPH, MBA Physicians who are treating patients for pain now have two new urine screening options available for […]
Read MoreThe optimal duration of postsurgical opioid prescriptions likely ranges from 4 to 15 days, depending on the procedure, a JAMA Surgery study suggests. Using a U.S. military health system database, researchers identified 215,000 opioid-naive adults up to age 64 who underwent one of eight common surgeries and filled an opioid prescription within 14 days after the procedure. […]
Read MoreUnintentional overfeeding of ICU patients with acute respiratory distress syndrome (ARDS) may increase the risk for infections, prolong mechanical ventilation and boost hospital length of stay (LOS), according to a study presented at the 2017 American Society for Parenteral and Enteral Nutrition Clinical Nutrition Week (CNW). The study, from Rush University Medical Center and the […]
Read MoreAuthors: Laurie A. Chalifoux, M.D. et al Anesthesiology 10 2017, Vol.127, 625-632 Background: Breech presentation is a leading cause of cesarean delivery. The use of neuraxial anesthesia increases the success rate of external cephalic version procedures for breech presentation and reduces cesarean delivery rates for fetal malpresentation. Meta-analysis suggests that higher-dose neuraxial techniques increase external cephalic version […]
Read MoreAuthors: Camille Rolland-Debord, M.D. et al Anesthesiology published on September 21, 2017. Background: Patient–ventilator asynchrony is associated with a poorer outcome. The prevalence and severity of asynchrony during the early phase of weaning has never been specifically described. The authors’ first aim was to evaluate the prognosis impact and the factors associated with asynchrony. Their second aim […]
Read MoreMedication treatment for opioid addiction (e.g., “medication-assisted treatment” with methadone and buprenorphine) shouldn’t be withheld from patients who take benzodiazepines or other central nervous system depressants even though this combination can lead to serious adverse events, the FDA said on Wednesday. The agency said the benefit of stopping opioid misuse usually outweighs these risks. In […]
Read MoreAuthors: Brendan Carvalho, M.B.B.Ch., F.R.C.A. et al Anesthesiology 10 2017, Vol.127, 596-598. APPROXIMATELY one third of all births in the United States are by cesarean delivery, and in most high-income countries the cesarean delivery rate also exceeds that recommended by the World Health Organization for optimal maternal and neonatal outcomes.1 This is concerning, because cesarean delivery, and […]
Read MoreThe benefits of Roux-en-Y gastric bypass surgery appear to persist over a decade, according to a study in the New England Journal of Medicine. Researchers studied over 400 people with severe obesity who underwent Roux-en-Y gastric bypass, 400 who sought the procedure but did not receive it, and 300 obese people who did not seek or […]
Read MoreObese women who receive antibiotics after cesarean delivery have a reduced risk for surgical site infections, according to a single-center study in JAMA. Some 400 women with a prepregnancy body-mass index of 30 or higher who received intravenous cefazolin before C-section were randomized to receive oral cephalexin plus metronidazole or matching placebo for 48 hours after […]
Read MoreAuthors: Ryu Komatsu, M.D. et al Anesthesiology 10 2017, Vol.127, 684-694. Background: The majority of parturients in the United States first return for evaluation by their obstetric practitioner 6 weeks after delivery. As such, there is little granular data on the pain experience, analgesic requirements, and functional recovery during the postpartum period. This prospective observational study was […]
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