Authors: Bryskin R, Robie D et al Journal of Pediatric Surgery 52 (3), 484-491 (Mar 2017) BACKGROUND A safe and effective method of multilevel thoracic pain control remains an elusive goal in patients undergoing the Nuss procedure. The aim of our study was to develop a nonopioid centered approach using a novel regional technique as […]
Read MoreAUTHORS: Lopez-Picado, A. Pharm et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 280–286 BACKGROUND: Various different interventions can be used to reduce surgical blood loss; however, there is no “gold standard” for accurately measuring the volume of perioperative blood loss, and this makes it difficult to assess the efficacy […]
Read MoreAUTHORS: Lalmand, Manon MD et al Anesthesia & Analgesia: March 31, 2017 BACKGROUND: After cesarean delivery, postoperative pain management allows early rehabilitation and helps prevent postpartum depression and chronic pain. Our present prospective, randomized controlled, double-blind study assessed the duration and effect of intrathecal analgesia and continuous ropivacaine wound infiltration versus a control group after cesarean […]
Read MoreAUTHORS: Fielmuth, Stefan MD et al Anesthesia & Analgesia: August 2017 – Volume 125 – Issue 2 – p 632–634 This study evaluated electric nerve stimulation as a nerve location tool. After eliciting motor response in 43 patients undergoing shoulder surgery, the needle tip’s position, distance from the closest nerve, and spread of saline were evaluated […]
Read MoreAUTHORS: Ngan Kee et al Anesthesia & Analgesia: July 2017 – Volume 125 – Issue 1 – p 117–123 BACKGROUND: We previously described the use of closed-loop feedback computer-controlled infusion of phenylephrine for maintaining blood pressure (BP) during spinal anesthesia for cesarean delivery. In this study, we report a modified system in which phenylephrine is delivered […]
Read MoreMedication errors are apparently significantly underreported by anesthesia providers, at least at certain institutions. These recent findings may reflect a culture of underreporting or fear of punitive action, despite the fact that approximately 10% of these reported medication errors caused at least temporary patient harm. “As we know from the Institute of Medicine report about […]
Read MoreThe odds of long-term opioid use increased most sharply in the first days of therapy, particularly after 5 days of taking the drugs. Doctors who limit the supply of opioids they prescribe to 3 days or less may help patients reduce their risk of dependence and addiction, according to research published in the U.S. Centers […]
Read MoreAnesthesia practice guidelines are out of control—too many to adopt, too anecdotal to accept and too political to take seriously! Every society seems to issue them now, in order to announce their existence, promote their brand or troll for members. I would ignore most of them, but unfortunately lawyers use society guidelines as standards of […]
Read MoreOral pain medications administered postcesarean delivery on a fixed time interval basis resulted in significantly lower pain intensity and greater satisfaction with pain management. Prescheduled pain management strategies after cesarean delivery (CD) are superior to receiving medications on-demand, according to results of a new study published in the British Journal of Obstetrics and Gynaecology.1 Oral pain medications administered […]
Read MoreIntraoperative oxidative stress is associated with postoperative delirium in ICU patients after cardiac surgery, a study has found. Researchers from Vanderbilt University Medical Center, in Nashville, Tenn., came to this conclusion after they found plasma concentrations of F2-isoprostanes and isofurans, markers of oxidative damage, are associated with delirium. They measured plasma concentrations of F2-isoprostanes and […]
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