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Anesthesia & Analgesia: August 2016 – Volume 123 – Issue 2 – p 445–451 AUTHORS: van Eijk, Ruben P. A. MD et al BACKGROUND: Variability in operating room (OR) time causes overutilization and underutilization of the available ORs. There is evidence that for a given type of procedure, the surgeon is the major source of […]
Read MoreA Systematic Review Authors: Yunkun Deng et al BMC Anesthesiol. 2016;16(12) Background: The management of neuropathic pain (NP) is challenging despite it being the recent focus of extensive research. A number of clinical practice guidelines (CPGs) for the management of NP have been published worldwide over the past 2 decades. This study aimed to assess the quality […]
Read MoreAuthors: Erin J. Aiello Bowles, MPH et al J Am Geriatr Soc. 2016;64(3):602-607. Objectives: To evaluate the associations between anesthesia and dementia or Alzheimer’s disease (AD) risk using prospectively collected data. Design: Cohort study. Participants: Community-dwelling members of the Adult Changes in Thought cohort aged 65 and older and free of dementia at baseline (N = 3,988). Measurements: Participants self-reported […]
Read MoreOpioid-naive adults who underwent at least one of four low-risk surgical procedures—carpal tunnel release, laparoscopic cholecystectomy (gallbladder removal), inguinal hernia repair and knee arthroscopy—in the years 2004, 2008 and 2012 were prescribed over time an increasing mean opioid morphine equivalent for postoperative pain. The adjusted increase was highest for knee arthroscopy (18%), according to a JAMA research […]
Read MoreDo the increased responsibilities inherent in the perioperative surgical home (PSH) model mean that anesthesiologists are necessarily increasing their legal vulnerabilities? Although the advent of the PSH concept has been a boon for many anesthesiologists looking to expand the scope of their responsibilities and cement their position in this innovative medical care model, these impending […]
Read MorePreoperative ultrasound-guided infiltration analgesia (US-LIA) with liposomal bupivacaine (Exparel, Pacira) is a safe, effective technique that reduces recovery times and hospital lengths of stay for total knee arthroplasty (TKA) patients, a new study suggests. “In our institution, patients who have total knee arthroplasty receive an ultrasound-guided local infiltration analgesia,” said Sanjay Sinha, MD, study author […]
Read MoreAbout 15% of a group of Medicare patients who had not used opioid medications in the previous 2 months filled opioid prescriptions within a week of hospital discharge, according to a research report published June 13 in JAMA Internal Medicine. A second report finds “suboptimal” practices related to sharing, storing, and disposing of opioids, as well as […]
Read MoreAuthors: Shaheed CA et al., JAMA Intern Med 2016 May 23; Opioids provided some short- and intermediate-term pain control, but the effect wasn’t clinically meaningful. Patients with chronic low back pain often are treated with opioids, but evidence that these drugs are effective for managing low back pain is lacking. In this systematic review and meta-analysis, investigators […]
Read MoreThe World Federation of Societies of Anaesthesiologists (WFSA) just launched a new charity to help train more anesthesiologists from low-income countries. There is a shortage of more than 1 million specialist surgeons, anesthetists and obstetricians, and this number is expected to soar to 2.2 million by 2030, according to a recent report (Lancet 2015;386:569-624). More than 5 billion […]
Read MoreMedication practices during and immediately after rapid sequence intubation (RSI) show wide variation among ICUs and emergency departments (EDs) across the United States, a new study has found. There were clear differences in choice of medication, based on patient location and type of intubating provider. “Practices likely vary because there are several controversies regarding medication […]
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