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Authors: Moritz Kretzschmar, M.D., Ph.D., D.E.S.A. et al Anesthesiology published on August 31, 2017. Background: Increasing numbers of patients with obstructive lung diseases need anesthesia for surgery. These conditions are associated with pulmonary ventilation/perfusion (VA/Q) mismatch affecting kinetics of volatile anesthetics. Pure shunt might delay uptake of less soluble anesthetic agents but other forms of VA/Q scatter […]
Read MoreThe sizable difference in migraine prevalence between the sexes is largely attributed to hormonal differences. Of the more than 37 million Americans who suffer from migraine, the majority are women. The estimated overall prevalence of migraine is 18% in women and 6% in men, and the rate is as high as 37% among women during […]
Read MoreAUTHORS: Gali, Bhargavi MD et al Anesthesia & Analgesia: April 19, 2017 BACKGROUND: Increasing numbers of robotic hysterectomies (RH) are being performed. To provide ventilation (with pneumoperitoneum and steep Trendelenburg position) for these procedures, utilization of lung protective strategies with limiting airway pressures and tidal volumes is difficult. Little is known about the effects of intraoperative […]
Read MoreWe want to wish all of our readers and providers a fun and safe Labor Day.
Read MoreAuthors: Maged Y. Argalious, M.D., M.Sc., M.B.A., M.Ed., F.A.S.E. et Anesthesiology 9 2017, Vol.127, 457-465. Background: Whether patients on testosterone replacement therapy undergoing noncardiac surgery have an increased risk of postoperative in-hospital mortality and cardiovascular events remains unknown. We therefore sought to identify the impact of testosterone replacement on the incidence of a composite of postoperative in-hospital […]
Read MoreAuthors: Maryanne Z. A. Mariyaselvam, M.B.B.S. et al Anesthesiology published on August 17, 2017. Background: Retained central venous catheter guidewires are never events. Currently, preventative techniques rely on clinicians remembering to remove the guidewire. However, solutions solely relying upon humans to prevent error inevitably fail. A novel locked procedure pack was designed to contain the equipment required […]
Read MoreEdited by William E. Chavey, MD, MS Three medical associations have recently issued recommendations on practices that should be questioned or avoided as part of the Choosing Wisely campaign, which aims to reduce unnecessary tests and procedures. Among the 15 recommendations: The American Chiropractic Association says that lumbar supports or braces shouldn’t be prescribed for long-term […]
Read MoreEdited by Richard Saitz, MD, MPH, FACP, DFASAM Electrotherapy and acupuncture might help decrease opioid use for pain relief after total knee arthroplasty, according to a meta-analysis in JAMA Surgery. Researchers examined data from 39 randomized trials in which nonpharmacological interventions to reduce pain after knee arthroplasty were compared with routine pharmacotherapy either alone or combined with […]
Read MoreEdited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Gabapentinoids, increasingly used for chronic low back pain, offer little benefit and carry substantial risks in this setting, finds a systematic review in PLOS Medicine. Researchers examined eight randomized trials in which gabapentin or pregabalin was compared with active or inactive treatments in adults […]
Read MoreEdited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD Evidence is limited on the benefits of cannabis use for treating chronic pain and post-traumatic stress disorder, according to two reviews in the Annals of Internal Medicine. The review on chronic pain included 75 studies that examined the potential benefits and harms of cannabis use. There […]
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