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Acta Anaesthesiol Scand, 2015 Jun 4. doi: 10.1111/aas.12560 Authors: Xiao Y et al BACKGROUND: Tolerance to remifentanil during sevoflurane anesthesia may increase postoperative analgesic requirements. Low-dose naloxone not only has been shown to block the development of acute opioid tolerance but also to ameliorate undesired opioid-induced side effects. We hypothesized that naloxone prevents the acute opioid tolerance […]
Read MoreActa Anaesthesiol Scand. 2015 Jun 16. doi: 10.1111/aas.12571. Authors: Minoshima R et al BACKGROUND: In this randomized controlled trial, we examined whether intra- and postoperative infusion of low-dose ketamine decreased postoperative morphine requirement and morphine-related adverse effects as nausea and vomiting after scoliosis surgery. METHODS: After IRB approval and informed consent, 36 patients, aged 10-19 years, undergoing posterior […]
Read MoreNearly half of children and adolescents who present for the first time with migraine or probable migraine receive no treatment, and fewer than one in six receive evidence-based treatment, a new study finds. The results, from an analysis of electronic health record data across practice settings in four US states, were presented here at the […]
Read MoreActa Obstet Gynecol Scand, 2015 Sep;94(9):1014-21. Authors: Frauenfelders S et al INTRODUCTION: The aim of this study was to compare patient satisfaction between remifentanil patient-controlled analgesia (RPCA) and epidural analgesia (EA) for labor pain. MATERIAL AND METHODS: This prospective cohort study was carried out on primiparous women requesting analgesia for labor at a Teaching Hospital, Amsterdam, the […]
Read MoreCardiovac Thorac Surg 2015 Jun 13. pii: ivv154 Authors: Fiorelli A et al OBJECTIVES: To evaluate if the pre-emptive administration of ketamine would potentiate the effect of intravenous morphine analgesia in the management of post-thoracotomy pain. METHODS: This was a unicentre, double-blind, placebo-controlled, parallel-group, prospective study. Patients were randomly assigned to receive 1 mg/kg ketamine (ketamine group) […]
Read MoreBMC Anesthesiol. 2015;15(34) Authors: Kentaro Ouchi; Kazuna Sugiyama Abstrate: We investigated the impact of the type of neurological disorder on the required propofol dose for anesthesia and the time to emerge from anesthesia during dental treatment in patients with autism (AU), cerebral palsy (CP), and intellectual disability (ID), some of whom also had epilepsy. Methods: We studied 224 […]
Read MoreBr J Anaesth. 2015;114(6):869-871. Authors: F. Kiernan; D. J. Buggy Delivering value for money is an increasingly insistent demand in health policy, driven by financial constraint, increased patient expectations, an ageing population, and more expensive technologies. Health performance measurement is central to ensuring that the healthcare we provide is of value to both those who pay […]
Read MorePatients with migraine do not take their prescribed triptan medications in more than two in every five attacks, a new study finds. Results from the largest-ever study to track real-time adherence to triptans during an extended period were presented here at the American Headache Society (AHS) 57th Annual Scientific Meeting by Robert A. Nicholson, PhD, […]
Read MoreThe Perioperative Surgical Home (PSH) is an effective clinical care delivery model that reduces medical costs, improves patient satisfaction and enhances clinical quality, according to Zeev Kain, MD, professor and chair, Associate Dean for Clinical Operations at the University of California, Irvine. There is currently a huge variability and lack of communication among surgical care […]
Read MoreJoseph Loskove, MD, is the chief of anesthesia for Memorial Healthcare System Patients designated as “difficult to intubate” (DTI) are more at risk for losing their lives during both emergency and routine surgeries. Surprisingly, it is not the difficult airway itself that is most life-threatening; modern medical technology allows physicians to intubate even the most […]
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