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Authors: Forbes HJ et al., Neurology 2016 Jul 5; 87:94 In a large prospective database study, increased risks were seen in older patients and those with severe immunosuppression. Postherpetic neuralgia (PHN) following acute herpes zoster remains a significant cause of neuropathic pain, especially in older patients. Treatment results of this severe and long-lasting pain syndrome are often […]
Read MoreAuthors: Aziz MF et al., Br J Anaesth 2016 Jul 117:118 In a study of operating room intubations with acute-angled videolaryngoscopes, “sniffing” head position, reduced mouth opening, and attending intubators were associated with prolonged intubation times. To identify predictors of difficult or prolonged intubation with hypercurved video laryngoscopes, investigators conducted a secondary analysis of a randomized controlled […]
Read MoreAuthors: Jessica M. Booth, M.D. et al Anesthesiology published on 7 2016. Background: It is unclear whether recognition of epidural catheter failures is delayed with combined spinal epidural technique (CSE) compared to traditional epidural technique (EPID) when used for labor analgesia. The authors hypothesized that recognition of failed catheters is not delayed by CSE. Methods: Anesthetic, obstetric, and […]
Read MoreAuthors: Hagen Bomberg, M.D. et al Anesthesiology published on 7 2016 Background Catheter-related infection is a serious complication of continuous regional anesthesia. The authors tested the hypothesis that single-dose antibiotic prophylaxis is associated with a lower incidence of catheter-related infections. Methods: Our analysis was based on cases in the 25-center German Network for Regional Anesthesia database recorded between […]
Read MorePolicies discouraging the use of methadone for treating pain have apparently reduced the number of U.S. overdose deaths associated with the drug, according to findings in MMWR. Federal researchers examined changes in methadone’s distribution and illegal diversion, as well as its role in opioid-overdose deaths, for the years 2002–2014. The analysis was limited to methadone used […]
Read MoreBreast cancer survivors with persistent fatigue could benefit from a course of acupressure, a JAMA Oncology study suggests. Some 270 women who’d completed breast cancer treatment at least 12 months earlier and still had fatigue were randomized to perform self-administered acupressure daily or to receive usual care for 6 weeks. At baseline, women assigned to acupressure were […]
Read MoreAuthors: Beatrice Beck-Schimmer, M.D. et al Anesthesiology 8 2016, Vol.125, 313-321. Background: One-lung ventilation during thoracic surgery is associated with hypoxia–reoxygenation injury in the deflated and subsequently reventilated lung. Numerous studies have reported volatile anesthesia–induced attenuation of inflammatory responses in such scenarios. If the effect also extends to clinical outcome is yet undetermined. We hypothesized that volatile […]
Read MoreAuthors: Sayako Itakura, M.D. et al Anesthesiology 8 2016, Vol.125, 304-312. Background: Rapid fluid infusion resulting in increased hepatic blood flow may decrease the propofol plasma concentration (Cp) because propofol is a high hepatic extraction drug. The authors investigated the effects of rapid colloid and crystalloid infusions on the propofol Cp during target-controlled infusion. Methods: Thirty-six patients were […]
Read MoreAuthors: Frédéric Heymans, M.D. et al Anesthesiology 8 2016, Vol.125, 295-303 Background: When conventional approaches to obtain effective ventilation and return of effective spontaneous breathing fail, surgical airway is the last rescue option. Most physicians have a limited lifetime experience with cricothyrotomy, and it is unclear what method should be taught for this lifesaving procedure. The aim […]
Read MoreAuthors: Jeanna D. Blitz, M.D. et al Anesthesiology 8 2016, Vol.125, 280-294. Background: As specialists in perioperative medicine, anesthesiologists are well equipped to design and oversee the preoperative patient preparation process; however, the impact of an anesthesiologist-led preoperative evaluation clinic (PEC) on clinical outcomes has yet to be fully elucidated. The authors compared the incidence of in-hospital […]
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