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Anesthesia & Analgesia: August 29, 2016 AUTHORS: Nasr, Viviane G. MD et al BACKGROUND: Although there have been numerous attempts to predict perioperative mortality in adults, an objective model to predict mortality in children has not been developed. In this study, we aimed to develop a Pediatric Risk Assessment (PRAm) score to predict perioperative mortality […]
Read MoreThe various predictive scoring systems range from fair to only moderately good, according to a new study in the journal Ambulatory Anesthesia. According to the authors multimodal approaches emphasizing prophylactic strategies that incorporate antiemetic medication, intravenous hydration and nonnarcotic analgesia appear promising, having been shown to reduce PONV from a norm of 20-30% to below 10%. The […]
Read MoreIncidence and Clinical Characteristics Authors: Hashem Abu-Arafeh; Ishaq Abu-Arafeh Objective To study the clinical and epidemiological characteristics of complex regional pain syndrome (CRPS) in children. Patients and methods All children and adolescents under 16 years of age with a new diagnosis of CRPS who were reported to the Scottish Paediatric Surveillance Unit were included. Patients’ […]
Read MoreIn Total Shoulder Arthroplasty: A large, retrospective study from Mayo Clinic has concluded that the addition of clonidine to a single-shot interscalene block does not improve the quality of analgesia in patients undergoing total shoulder arthroplasty. The study has helped clarify an issue that has had its supporters and detractors. The investigators noted, however, that […]
Read MorePatients with traumatic amputations resulting from land mine explosions show significant improvement in phantom limb pain after repetitive treatments of high-frequency transcranial stimulation (rTMS), new research shows. “Our study is the first randomized clinical trial demonstrating significant effects of transcranial magnetic stimulation in patients with phantom limb pain caused by traumatic amputations,” coauthor Ronald G. […]
Read MoreAs well as being opioid-sparing and curbing postoperative pain, preoperative pregabalin helps quell subsequent nausea and vomiting, according to a new meta-analysis. As Dr. Michael C. Grant told Reuters Health by email, “The findings of our review suggest that patients may benefit from the dual effects of drugs such as pregabalin. Providers who are already […]
Read MoreKenneth Moran, MD Associate Professor–Clinical Vice Chair of Education Andrew Roth, MD Associate Professor–Clinical Department of Anesthesiology The Ohio State University Wexner Medical Center Columbus, Ohio Adam Dalia, MD, MBA CardioThoracic Anesthesiology Fellow Department of Anesthesia, Critical Care and Pain Medicine Massachusetts General Hospital Boston, Massachusetts Awake nasal fiber-optic intubation (FOI) is performed when […]
Read MoreWhile surgical aortic valve replacement (SAVR) has long been the gold standard for treatment of aortic stenosis, transcatheter aortic valve replacement (TAVR) may well be the future, even for low-risk patients. The TAVR procedure is not only less invasive but, according to a review of recent literature, has been shown to be either noninferior or […]
Read MoreLauri R. Graham; Laurie Scudder, DNP, NP; Douglas Throckmorton, MD Addressing the ongoing opioid epidemic in the United States is a complicated task, necessitating a variety of approaches, including education of clinicians and patients, guidance for clinicians on pain management, development of alternative strategies for treating pain, and new regulations (such as prescription drug monitoring […]
Read MoreMost health care providers think of sepsis as a problem in the ICU, but a recent report by the Centers for Disease Control and Prevention (CDC) has found that 80% of patients diagnosed with sepsis developed the condition outside the hospital. In addition, seven in 10 patients with sepsis used health care services or had […]
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