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The results of the first national pain survey comparing veteran and nonveteran populations provides further evidence that more needs to be done to help veterans manage their pain. By Ann M. Gault American veterans—especially young and middle-age veterans—suffer significantly more pain that nonveterans, according to the NationalCenter for Complementary and Integrative Health (NCCIH) at the National […]
Read MoreCara Adler, MS, John D. Cowden, MD, MPH reviewing Tobias JD et al. Pediatrics 2016 Oct. In a clinical report, the American Academy of Pediatrics outlines the risks of codeine for management of pain and cough in children and adolescents. Citing risk for respiratory depression or death, the American Academy of Pediatrics, in a clinical […]
Read MoreAnesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1163–1171 AUTHORS: Silva, João Manoel Jr MD, PhD et al BACKGROUND: Metabolic acidosis frequently is present in surgical patients; however, different types of metabolic acidosis (hyperlactatemia, hyperchloremia, and others) may have different relationships to perioperative outcomes. We hypothesized that in postoperative surgical […]
Read MoreAnesthesia & Analgesia: November 2016 – Volume 123 – Issue 5 – p 1143–1148 AUTHORS: Williams, Matthew R. MD et al BACKGROUND: Radiofrequency identification (RFID) detection systems are used to detect retained surgical sponges and may cause electromagnetic interference (EMI), altering intended function of cardiac pacing systems. Three pediatric patients requiring temporary pacing for postoperative […]
Read MoreBy John D. Cowden, MD, MPH Dr. Cowden is an associate editor with NEJM Journal Watch Pediatrics and Adolescent Medicine, from which this story was adapted. Full coverage is available at the link below. Engaging in physical activity early after concussion is associated with a lower rate of persistent symptoms in children, according to a JAMA study. Researchers […]
Read MoreAuthors: Robert D. Sanders, M.B.B.S., Ph.D., F.R.C.A. et al Anesthesiology published on December 15, 2016. Background: The isolated forearm technique allows assessment of consciousness of the external world (connected consciousness) through a verbal command to move the hand (of a tourniquet-isolated arm) during intended general anesthesia. Previous isolated forearm technique data suggest that the incidence of […]
Read MoreAuthors: Daniel I. McIsaac, M.D., M.P.H., F.R.C.P.C. et al Anesthesiology published on December 15, 2016. Background: Although peripheral nerve blocks decrease pain after total knee arthroplasty, the population-level impact of nerve blocks on arthroplasty resource utilization is unknown. Methods: We conducted a population-based cohort study using linked administrative data from Ontario, Canada. We identified all adults having […]
Read MoreAggregatibacter actinomycetemcomitans may trigger inflammation in both patients with periodontal disease and rheumatoid arthritis. By Nikki Kean A bacteria that causes gum disease may also hold the key to triggering rheumatoid arthritis (RA). In a new report, investigators at Johns Hopkins say the common denominator in periodontal disease and in many people with RA is Aggregatibacter actinomycetemcomitans.1 An infection […]
Read MoreEdited by Susan Sadoughi, MD, and André Sofair, MD, MPH The mortality rate from synthetic opioids besides methadone increased 72% between 2014 and 2015 in the U.S., while heroin-related deaths rose 21%, according to an article in MMWR. Using data from the National Vital Statistics System, researchers found that synthetic opioid (e.g., fentanyl) deaths increased from 1.8 to […]
Read MoreInterview with Abby R. Rosenberg, MD, MS By Thomas G. Ciccone Matters concerning negative prognosis, transitioning into hospice care, end-of-life (EoL) scenarios, and other related topics can be very hard to discuss with patients and their family members. Having to conduct these sensitive conversations with pediatric patients presents even more challenges, considering certain ethical and emotional […]
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