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Anesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 359–360 AUTHORS: Sessler, Daniel I. MD et al Myocardial injury is the most common cause of death during the 30 days after noncardiac surgery. Only 14% of patients who are experiencing a perioperative myocardial infarction will have chest pain, and 65% are […]
Read MoreAnesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 420–429 AUTHORS: Willems, Ariane MD, MSci Biomed, PhD et al BACKGROUND: Children undergoing cardiac surgery are frequently exposed to red blood cell (RBC) transfusions mainly in the case of hemorrhage or low oxygen transport. However, in this population, RBCs are sometimes added […]
Read MoreMore than 40% of women with both obesity and migraine leave their headaches untreated, whereas the majority of those who do treat the pain rely on nonsteroidal anti-inflammatory drugs (NSAIDs) either alone or in combination with another medication, rather than migraine-specific treatments, a new study indicates. Using smartphone technology to gather near-real-time data, the researchers […]
Read MoreLong-acting opioid medications are associated with an increased risk for death among patients treated for noncancer pain in comparison with patients treated with other pain medications, including gabapentin (multiple brands) and cyclic antidepressants, particularly in the first month after starting therapy, the results of a large US study reveal. In a study of more than […]
Read MoreBy Linda Wong, MD I looked at the next patient on my schedule and saw: “Reason for referral: Evaluate for adrenalectomy.” In the next several minutes, visions of pheochromocytomas and aldosteronomas danced through my head. I thought about all of those algorithms about how to work up an incidental adrenal mass. It had been awhile, […]
Read MoreThe use of acupuncture for craniotomy may improve analgesia, reduce the required anesthetic dosage, and decrease postoperative nausea and vomiting (PONV), according to a Cochrane systematic review and meta-analysis published in the Journal of Neurosurgical Anesthesiology (2016 Mar 10. Acupuncture also might have protective effects on brain tissue, according to this analysis. “Acupuncture treatment has been used in […]
Read MoreThanks to genetic analysis of a porcine model, researchers from the University of California, Los Angeles (UCLA) are one step closer to understanding the effect of myocardial infarction on the cardiac nervous system. According to preliminary data, chronic myocardial infarction induces remote changes in both the peripheral and central nervous systems. The fact that these […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 238–243 AUTHORS: Stein, Taciane MSc et al BACKGROUND: Histamine receptors are known to participate in spinal cord nociceptive transmission, and previous studies have suggested that histaminergic receptors are involved in the analgesic effects of morphine. Herein, we investigated the effect of intrathecal […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 233–237 AUTHORS: Gonzalez Fiol, Antonio MD et al BACKGROUND: Rarely, epidural catheters may fracture upon removal or insertion. Understanding some of the mechanical properties of epidural catheters, such as their tensile strength and how external factors (including temperature) can influence their strength, […]
Read MoreAnesthesia & Analgesia: July 2016 – Volume 123 – Issue 1 – p 228–232 AUTHORS: Vydyanathan, Amaresh MBBS, MS et al BACKGROUND: Even as the use of peripheral nerve blockade in the perioperative setting is increasing, neural injury secondary to accidental intraneural injection remains a significant patient safety concern. Current modalities, including electrical stimulation and […]
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