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This is for our providers who treat pain patients. Authors: Friedman BW et al., Ann Emerg Med 2015 Aug 27; Adding a large dose of diphenhydramine to metoclopramide therapy did not improve outcomes. Acute migraine is best treated with sumatriptan, prochlorperazine, caffeine, ibuprofen, or a combination, and opioids should be avoided assiduously. Metoclopramide is often used instead […]
Read MoreAnaesth Intensive Care 2015 Jul;43(4):449-53. Authors: Fredrickson MJ et al Abstract Following elective total hip replacement, both continuous lumbar plexus blockade and spinal anaesthesia (with adjunctive intrathecal morphine) have shown early outcome benefits over opioid analgesia and single-injection nerve block. However, the two techniques have not been compared in a prospective randomised manner. Our study examined 50 […]
Read MoreAuthors: Mark D Willingham MD, M.C.S.I. et al Anesthesiology Published on 8 2015 Background: An intraoperative concurrence of mean arterial pressure less than 75 mmHg, minimum alveolar concentration less than 0.8, and bispectral index less than 45 has been termed a “triple low” state. An association between triple low and postoperative mortality has been reported but was not […]
Read MorePatients who listen to music around the time of surgery — even while under general anesthesia — reap substantial postoperative benefits, a Lancet systematic review finds. The analysis included over 70 randomized trials in which music before, during, or after surgery was compared with usual care or non-pharmacologic interventions (e.g., white noise, bed rest). Roughly […]
Read MoreRegional Anesthesia & Pain Medicine: July/August 2015-Volume 40-Issue 4-p 321-329 Authors: YaDeau, Jacques T. MD, PhD et al Background and Objectives: Sciatic nerve block provides analgesia after foot and ankle surgery, but block duration may be insufficient. We hypothesized that perineural dexamethasone and buprenorphine would reduce pain scores at 24 hours. Methods: Ninety patients received […]
Read MoreAuthors: Anne Duvekot, MD et al Anesthesiology Published on 8 2015 Background: The authors investigated whether patients with out-of-hospital cardiac arrest with an initial low cerebral oxygen level during cardiopulmonary resuscitation are more prone to develop hyperfibrinolysis than patients with normal cerebral oxygenation levels and which part of the fibrinolytic system is involved in this response. Methods: In 46 […]
Read MoreAnaesth Intensive Care. 2015 Jul;43(4):454-60 Authors: Olive DJ et al Abstract This randomised controlled trial compared three analgesia regimens following primary unilateral total knee joint replacement: continuous femoral nerve block (CFNB), intrathecal morphine (ITM), and both. The primary outcome was pain ratings over the first 24 hours. Secondary outcomes included morphine consumption, nausea, pruritus and […]
Read MoreAnaesth Intensive Care. 2015 Jul;43(4):468-72. Authors: Bharti N et al Abstract This prospective, randomised, observer-blinded study was conducted to compare the ease of performance and surgical effectiveness of interscalene block below the C6 nerve root with supraclavicular and infraclavicular techniques of brachial plexus block for upper arm and forearm surgery. Sixty adult patients of American […]
Read MoreReg Anesth Pain Med. 2015 Sep-Oct;40(5):559-67 Authors: Sztain JF et al BACKGROUND: We tested the hypothesis that, following unicompartment knee arthroplasty, a continuous adductor canal block decreases the time to reach 4 discharge criteria compared with a continuous femoral nerve block. METHODS: Subjects were randomized to either an adductor canal or femoral perineural catheter (2-day […]
Read MoreReg Anesth Pain Med. 2015 Jul-Aug;40(4):344-8 Authors: Terkawi AS et al INTRODUCTION: Hypotension is the most common complication after subarachnoid anesthesia for cesarean delivery. Several therapeutic and preventive measures are used to attenuate this side effect. Serotonin receptor-blocking drugs have been suggested as one such approach. We sought to determine whether prophylactically administered intravenous ondansetron […]
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