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The DRG has been shown to undergo pathophysiologic changes in animal models of chronic pain, and may be a viable target for neurostimulation. Dorsal root ganglion (DRG) stimulation is more likely than spinal cord stimulation (SCS) to provide pain relief in patients with neuropathic pain affecting the lower extremities, according to the ACCURATE study published […]
Read MoreFactors influencing patient satisfaction after total hip arthroplasty (THA) vary by sex, according to a new study. Staff responsiveness followed by clear communication from nurses and doctors are most important to female patients, whereas optimal pain management is most important to male patients, researchers have found. The study was conducted to see whether patients’ sex […]
Read MoreDifferent ropivacaine concentrations in transversus abdominis plane (TAP) block for post-cesarean analgesia yield unpredictably varying analgesic benefits and wide confidence intervals in morbidly obese women, according to a randomized clinical trial. The results have served to add fuel to the fire over the controversy of the block’s efficacy. “At our institution, morbidly obese parturients do […]
Read MoreAUTHORS: Kleiman, Amanda M. MD et al Anesthesia & Analgesia: May 2017 – Volume 124 – Issue 5 – p 1440–1444 BACKGROUND: Transesophageal echocardiography (TEE) is a valuable monitor for patients undergoing cardiac and noncardiac surgery as it allows for evaluation of cardiovascular compromise in the perioperative period. It is challenging for anesthesiology residents and medical […]
Read MoreAuthor: Lewis Coleman, MD Anesthesiology News recently reported on a study that promoted the laryngeal mask (LM) in prone position to “avoid intubation, reduce use of relaxants and minimize airway trauma.”1 This study reflects increasing confusion in a complex subject that can be understood best in terms of anesthesia history. Lacking IV access, early practitioners evolved a […]
Read MoreFrom 1992 to 2014 there was a decrease in the rate of malpractice claims paid on behalf of physicians in the United States, but mean compensation amounts increased, according to a study published in JAMA Internal Medicine.1 Adam C. Schaffer, MD, from Brigham and Women’s Hospital and Harvard Medical School in Boston, and colleagues analyzed all […]
Read MoreSerotonin affects the part of the brain involved in drug reward and cue reactivity, particularly through the serotonin 2C receptors. A recent study published in ACS Chemical Neuroscience reported that a prescription weight-loss drug reduced the urge to use opiates like oxycodone.1 Current treatments to reduce opiate misuse operate by occupying opioid receptors in the brain to […]
Read MoreA single glucocorticoid intradiscal injection (GC IDI) provided relief from low back pain (LBP) at 1, but not 12, months in patients with active discopathy, as indicated by a study recently published in the Annals of Internal Medicine.1 Some patients with chronic LBP exhibit intervertebral disc changes on magnetic resonance imaging (MRI), which are categorized according […]
Read MoreAny questions regarding the safety of tranexamic acid in patients undergoing cardiac surgery seem to have been put to rest with the ATACAS (Aspirin and Tranexamic Acid For Coronary Artery Surgery) trial. In a cohort of nearly 5,000 patients, the trial concluded that tranexamic acid was associated with a lower risk for bleeding than placebo, […]
Read MoreAlthough dexamethasone may be a beneficial adjunct to surgery in terms of its antiemetic and anti-inflammatory effects, a team of researchers from Thomas Jefferson University Hospital has found that it may have a darker side, particularly in diabetic patients. A pilot study concluded that dexamethasone administration was associated with significant postoperative hyperglycemia in these patients […]
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