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A Randomized Controlled Trial Authors: Wenwen Zhai et al BMC Anesthesiol. 2016;16(80) Background: Ultrasound guidance has reduced the amount of local anesthetics to achieve a successful block. Previous studies of the relationship between the volume or concentration of local anesthetics and the effects of the block were based on relatively high doses of local anesthetics. We tested […]
Read MoreBy Timothy J. Atkinson, PharmD, BCPS et al It takes years to develop relationships of trust with patients yet only seconds to destroy those relationships with false accusations. How to deftly handle abnormal urine drug tests (UDTs), therefore, becomes a critical skill when working in pain management. Three general principles are important when interpreting results from UDTs: […]
Read MoreLetter to the Editor Ivan Hronek, MD The term “monitored anesthesia care” (MAC) was introduced in 19861 to improve on the term “anesthesia standby” used up until then, with the term “standby” being hard to defend when payment was requested. However, the words monitored anesthesia care do not discriminate by themselves from other types of anesthesia […]
Read MoreBoth endotracheal tubes (ETTs) and supraglottic airways (SGAs) are safe airway management options for outpatient sinus surgery. Early results from a prospective, randomized, single-blinded study suggest that, for the most part, there is no difference in outcomes or complications between the two methods. The study focused on differences in postoperative complications, such as nausea and […]
Read MoreThis article is for our providers to know so we can improve our health. Authors: O’Donovan G et al., JAMA Intern Med 2017 Jan 09; Moderate-intensity exercise once or twice weekly is associated with lower risk for premature death. Most guidelines on exercise to promote health and longevity recommend moderate-to-vigorous−intensity activity several days weekly. Benefits of exercise […]
Read MoreBy Jordon L. Newmark, MD To achieve positive and safe outcomes with opioid therapy, it is essential to set realistic treatment expectations with the patient. A crucial and sometimes sensitive part of those expectations relates to opioid weaning and discontinuation. Ideally, discussions between provider and patient about when and how to wean the patient off opioids […]
Read MoreIntra-articular injections are considered a last resort nonoperative treatment for refractory knee osteoarthritis. Now, patients may achieve a significant reduction in pain for knee OA using a botulinum toxin A injection. Interview with Bahman Jabbari, MD, FAAN The use of botulinum toxin A (BoNT/A) injections for knee osteoarthritis (OA) could be a viable treatment for […]
Read MoreNew extended release morphine tablets are designed to prevent crushing, cutting, or dissolving. The US Food and Drug Administration (FDA) announced the approval of Arymo ER (morphine sulfate) tablets C-II for the management of pain “severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate,” noted a press […]
Read MoreAuthors: Paul A. Stricker, M.D. et al Anesthesiology 2 2017, Vol.126, 276-287. Background: The Pediatric Craniofacial Collaborative Group established the Pediatric Craniofacial Surgery Perioperative Registry to elucidate practices and outcomes in children with craniosynostosis undergoing complex cranial vault reconstruction and inform quality improvement efforts. The aim of this study is to determine perioperative management, outcomes, and complications in […]
Read MoreAuthors: Tong J. Gan, M.D. et al Anesthesiology 2 2017, Vol.126, 268-275. Background: Two essentially identical, randomized, double-blind, placebo-controlled, parallel-group phase III studies evaluated the efficacy of intravenous amisulpride, a dopamine D2/D3 antagonist, in the prevention of postoperative nausea and vomiting in adult surgical patients. Methods: Adult inpatients undergoing elective surgery during general anesthesia and having at […]
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