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Failure to achieve first-attempt success during intubation using a video laryngoscope is associated with higher odds of adverse events in the ICU, according to a recent study. First-attempt success should be the goal of emergency airway management, regardless of location or device used, the researchers said. “First-attempt success isn’t a patient-centered outcome, but it is […]
Read MoreUltrasound-guided regional anesthesia appears to be the superior treatment for supracondylar fractures in the pediatric population when compared with IV opioids. According to a recent pediatric study, regional anesthesia for closed reduction and percutaneous pinning demonstrated superior pain scores throughout hospitalization and at home when compared with standard therapy. The authors also reported decreased opioid […]
Read MoreNitrous oxide has only recently been adopted in the United States to alleviate labor pain. Despite lower reported effectiveness for labor pain, the degree of patient satisfaction in women who received nitrous oxide is similar to that of women who received neuraxial modalities, according to a study described in Anesthesia & Analgesia.1 Although physicians in other […]
Read MoreMany patients with motor vehicle accidents experience acute musculoskeletal pain, which transforms to persistent pain in approximately 40% of cases. A study comparing opioids with nonsteroidal anti-inflammatory drugs (NSAIDs) prescribed for pain following a motor vehicle collision (MVC) found that opioids do not reduce the likelihood of developing persistent pain. In addition, opioids may lead […]
Read MoreAnaesthesia · February 15, 2017 Authors: M Miller et al Following the return of spontaneous circulation after out-of-hospital cardiac arrest, neurological dysfunction, airway or ventilatory compromise can impede transport to early percutaneous coronary intervention, necessitating pre-hospital or emergency department anaesthesia to facilitate this procedure. There are no published reports of the ideal induction agents in these patients. […]
Read MoreAlthough epidural anesthesia is considered the gold standard for postthoracotomy pain treatment, it is contraindicated in certain patients. According to a retrospective study by researchers at the Shizuoka Cancer Center in Japan, continuous thoracic paravertebral nerve block (PVB) is similarly effective as epidural anesthesia (EDA) for the management of postthoracotomy pain.1 Although EDA is considered […]
Read MoreApproximately 1.75% of children and adolescents experience chronic migraine. In a new study by researchers at the University of Cincinnati College of Medicine, a combination of treatment with cognitive behavioral therapy (CBT) and the tricyclic antidepressant amitriptyline led to greater improvements in youth with chronic migraine compared with treatment with headache education (HE) and amitriptyline.1 […]
Read MorePatients with JFM had poorer psychological and health-related outcomes than healthy control patients. According to a study published in Arthritis Care & Research, young adults with juvenile-onset fibromyalgia (JFM) and a history of trauma are more likely than patients with JFM and no trauma history to have psychological comorbidities. Contrary to the researchers’ hypothesis, a trauma […]
Read MoreA comparison of interscalene and supraclavicular approaches with brachial plexus block during shoulder surgery suggests that using larger volumes of local anesthetic does not provide a longer duration of effect. According to the study’s authors, when compared with the interscalene approach, the supraclavicular approach provided similar post operative pain control along with a lower incidence […]
Read MoreIn recent years, transmucosal fentanyl formulations have been shown to be superior to immediate-release oral morphine. Fentanyl sublingual tablets (FST) are preferred over subcutaneous morphine (SCM) in patients with severe breakthrough cancer pain, but FST may not be as effective as SCM, according to a study published in the Journal of Clinical Oncology.1 Patients who require […]
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