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By SANJAY SAINT and MOLLY HARROD A good relationship between a patient and his or her physician is the cornerstone of superb medical care. That relationship is important when you know the doctor well. It may be even more important when you don’t, say when you are in the hospital. Growing competition for new customers is inspiring American hospitals […]
Read MoreAuthors: Jacqueline M. Leung, M.D., M.P.H. et al Anesthesiology 10 2017, Vol.127, 633-644. Background: Postoperative pain and opioid use are associated with postoperative delirium. We designed a single-center, randomized, placebo-controlled, parallel-arm, double-blinded trial to determine whether perioperative administration of gabapentin reduced postoperative delirium after noncardiac surgery. Methods: Patients were randomly assigned to receive placebo (N = 347) or […]
Read MoreThe observations of Karen Sullivan Sibert, MD a Los Angeles anesthesiologist The longer you practice a profession, the easier it is not to bother to learn the next new thing. We may think we’re doing just fine without that new drug, or that new piece of expensive equipment. We’ve seen how the new drug sometimes turns out […]
Read MoreAuthors: May Hua, M.D. et al Anesthesiology published on September 14, 2017. Background: Recent reports have raised concerns that public reporting of 30-day mortality after cardiac surgery may delay decisions to withdraw life-sustaining therapies for some patients. The authors sought to examine whether timing of mortality after coronary artery bypass graft surgery significantly increases after day 30 […]
Read MoreAuthors: Min-Ching Kuo, Ph.D. et al Anesthesiology published on September 14, 2017. Background: Previous studies showed that synaptic transmission is affected by general anesthetics, but an anesthetic dose response in freely moving animals has not been done. The hippocampus provides a neural network for the evaluation of isoflurane and pentobarbital on multisynaptic transmission that is relevant to […]
Read MoreRetrospective data suggest that a higher SINS score is associated with radiotherapy failure. Complete pain response to spinal radiotherapy is associated with a Spinal Instability Neoplastic Score (SINS) of 7 or lower, according to a study published in The Oncologist.1 Retrospective data suggest that a higher SINS score is associated with radiotherapy failure. This study aimed […]
Read MoreLevobupivacaine presents several advantages over ropivacaine. Photo Credit: D&L Graphics / Science Source Levobupivacaine and ropivacaine show similar analgesic effects postoperatively after brachial plexus block, according to a study recently published in Medicine.1 Both levobupivacaine and ropivacaine are commonly used to provide long-lasting analgesia after peripheral nerve block. Levobupivacaine however, presents several advantages over ropivacaine, with greater […]
Read MoreAdjunctive phenobarbital was used to treat infants with symptoms that were not controlled with the maximum dose of opioid. HealthDay News — Sublingual buprenorphine is associated with shorter duration of treatment than oral morphine for infants with neonatal abstinence syndrome, according to a study published in the New England Journal of Medicine.1 The research was published to […]
Read MoreAuthors: Deborah J. Culley, M.D. et al Anesthesiology published on September 14, 2017. Background: The American College of Surgeons and the American Geriatrics Society have suggested that preoperative cognitive screening should be performed in older surgical patients. We hypothesized that unrecognized cognitive impairment in patients without a history of dementia is a risk factor for development of […]
Read MoreASA Monitor 09 2017, Vol.81, 22-24. The following article was developed by ASA to introduce the ASA Monitor readership to the latest technology and advancements in the specialty. It should not be construed as an endorsement by ASA of any specific product or service. Despite continued improvements in pain treatment, moderate to severe postoperative pain remains the focus […]
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