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The trial concluded earlier this week with a unanimous decision, which involves the death of 80-year-old Richard Pellock of Cassville, Wisconsin who sought treatment at UnityPoint Health, Finley Hospital. Attorneys for his family argue it was negligence by the medical group, Mississippi Valley Anesthesiology, P.C. that caused Richard Pellock’s death. On Jan. 5, 2015, he had surgery to remove […]
Read MoreAUTHORS: Cohen, Mindy MD, FAAP et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 2030–2037 BACKGROUND: Posterior spinal fusion for scoliosis is one of the most painful elective pediatric surgeries. Good postoperative pain control allows early ambulation and return of ability to tolerate oral intake. Options for analgesia in this […]
Read MoreAUTHORS: Choi, Eun Joo MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 2021–2029 BACKGROUND: Percutaneous epidural adhesiolysis (PEA) is a minimally invasive procedure that is performed to relieve low back and/or lower limb pain secondary to adhesions or scarring in the epidural space that is refractory to conservative […]
Read MoreAUTHORS: El-Boghdadly, Kariem MBBS, FRCA et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 2008–2020 BACKGROUND: Clonidine, an α-2 agonist, has long been used as a local anesthetic adjunct with proven efficacy to prolong peripheral nerve block duration. Dexmedetomidine, a newer α-2 agonist, has a more favorable pharmacodynamic and safety […]
Read MoreAUTHORS: Patino, Mario MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1937–1942 BACKGROUND: In children, postoperative respiratory rate (RR) monitoring by transthoracic impedance (TI), capnography, and manual counting has limitations. The rainbow acoustic monitor (RAM) measures continuous RR noninvasively by a different methodology. Our primary aim was to […]
Read MoreAUTHORS: Hirabayashi, Masato MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1930–1934 BACKGROUND: The incidence of pruritus after cesarean delivery under spinal anesthesia with opioids is high, ranging from 50% to 100%. Pruritus is difficult to prevent; however, pentazocine has been shown to be an effective treatment. Despite […]
Read MoreAUTHORS: Delaney, Meghan DO, MPH et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1777–1782 BACKGROUND: Cardiac surgery is the most common setting for massive transfusion in medically advanced countries. Studies of massive transfusion after injury suggest that the ratios of administered plasma and platelets (PLT) to red blood cells […]
Read MoreAUTHORS: Kubota, Kenta MD et al Anesthesia & Analgesia: June 2017 – Volume 124 – Issue 6 – p 1771–1776 BACKGROUND: Acute kidney injury (AKI) often occurs after cardiac surgery. During cardiac surgery, plasma free hemoglobin (fHb) would increase due to hemolysis. Since plasma fHb is thought to be nephrotoxic, haptoglobin, which is an fHb scavenger, […]
Read MorePostoperative use of opioid analgesics increases the risk of respiratory depression, which can lead to brain damage or death. Perioperative lidocaine does not reduce morphine use in the first 24 hours after posterior spinal arthrodesis and offers no measurable benefits, according to a randomized placebo-controlled trial recently published in Pain.1 Postoperative use of opioid analgesics increases the risk […]
Read MoreAuthors: Jessica L. Booth, M.D. et al Anesthesiology 7 2017, Vol.127, 50-57. Background: The addition of opioids to epidural local anesthetic reduces local anesthetic consumption by 20% but at the expense of side effects and time spent for regulatory compliance paperwork. Epidural neostigmine also reduces local anesthetic use. The authors hypothesized that epidural bupivacaine with neostigmine would […]
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