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By David Cosio, PhD and Lotus M. Meshreki, PhD Chronic pain and depression often go hand in hand. The prevalence of pain symptoms in patients with depression ranges from 15% to 100% while the prevalence for concurrent major depression in patients identified as having pain ranged from 5% to 85%. In most cultures, the majority of mental health […]
Read MorePatients who take opioids or other controlled substances will be under greater scrutiny beginning Saturday, when doctors in Wisconsin will have to start checking a database of drugs previously given to patients before they write certain prescriptions. Doctors’ mandatory use of the state’s Prescription Drug Monitoring Program, meant to prevent patients from “doctor shopping” for narcotics and ensure they […]
Read MoreAuthor: Albert Dahan, M.D., Ph.D. Anesthesiology. 2016;125(5):841-843. The first known written reference to the medicinal use of the opium poppy dates from 4,000 BC in Sumerian clay tablets.[1] We have come a long way since the use of opium sap, but despite its many disadvantages, we still abundantly use drugs that activate the endogenous opioid system. These […]
Read MoreAuthors: Martin Dres, M.D. et al Anesthesiology published on March 30, 2017 Background: Pleural effusion is frequent in intensive care unit patients, but its impact on the outcome of weaning remains unknown. Methods: In a prospective study performed in three intensive care units, pleural ultrasound was performed at the first spontaneous breathing trial to detect and quantify pleural […]
Read MoreAuthors: Thomas Mistral, M.D. et al Anesthesiology published on March 30, 2017. Background: The purpose of this study was to test the diagnostic performance of clinical judgment for the prediction of a significant injury with whole-body computed tomography scanning after high-energy trauma. Methods: The authors conducted an observational prospective study in a single level-I trauma center. Adult patients […]
Read MoreAuthor(s) Michael Long1,2*, Melissa Machan2,3, Luis Tollinche1 Affiliation(s) 1Department of Anesthesiology and Critical Care Medicine, Memorial Sloan Kettering Cancer Center, New York, USA. 2Barry University, College of Health Sciences, Hollywood, USA. 3Department of Anesthesiology, Plantation General Hospital, Plantation, USA. ABSTRACT Study Objective: Establish complications and risk factors that are associated with blind tube insertion, evaluate the validity of […]
Read MoreEdited by Susan Sadoughi, MD, and André Sofair, MD, MPH Duloxetine, venlafaxine, pregabalin, oxcarbazepine, tricyclic antidepressants, atypical opioids (e.g., tapentadol), and botulinum toxin are all more effective than placebo in reducing pain associated with diabetic peripheral neuropathy, according to a Neurology review. Researchers examined 50 new trials of various diabetic peripheral neuropathy medications, along with 50 studies that were […]
Read MoreAuthor: Fran Lowry Prescribing benzodiazepines pro re nata (PRN), or on an “as-needed” basis, may lead to misuse, new research shows. Clinicians may erroneously assume that instructing a patient to take the medication as needed will decrease the likelihood that they will take that medication, but it may be having the opposite effect, investigators found. […]
Read MoreAUTHORS: Kirsch, Muriëlle MD et al Anesthesia & Analgesia: February 2017 – Volume 124 – Issue 2 – p 588–598 BACKGROUND: To reduce head movement during resting state functional magnetic resonance imaging, post-coma patients with disorders of consciousness (DOC) are frequently sedated with propofol. However, little is known about the effects of this sedation on the […]
Read MoreAUTHORS: Neice, Andrew E. MD et al Anesthesia & Analgesia: March 2017 – Volume 124 – Issue 3 – p 915–921 BACKGROUND: Pupillary unrest under ambient light (PUAL) is the fluctuation in pupil diameter in time around a mean value. PUAL is augmented by light and diminished by administration of opioids. We hypothesized that, because pupillary […]
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