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The use of cryotherapy after normal vaginal delivery has no effect on perineal pain or oedema, according to a study presented here at the 63rd Annual Meeting of the American College of Obstetricians and Gynecologists (ACOG). “It’s a little disappointing because we expected that the cryotherapy really could relieve pain and oedema, but it was […]
Read MoreActa Anaesthesiol Scand. 2015 May 1 Authors: Eskildsen KZ et al BACKGROUND: Early postoperative mobilisation may reduce patient morbidity and improve hospital efficiency by accelerated discharge. The aim of this study was to measure postural stability early after laparoscopic surgery in order to assess how early it is safe to mobilise and discharge patients. METHODS: We included […]
Read MoreDespite the apparent risks, using a neuromuscular blocking agent (NMBA) before tracheal intubation improves the odds of first-attempt intubation success in critically ill ICU patients, a study has found. “The question of whether to paralyze or not to paralyze is clearly answered in the operating room and emergency department: Using a paralytic is the way […]
Read MoreChildren routinely face prolonged periods without eating or drinking before surgery, often extending hours beyond recommended guidelines, a new study has found. More than three-fourths of children who had surgery went more than 12 hours without solids before their operations, researchers at Boston Children’s Hospital reported. The study, which examined the records of more than […]
Read MoreActa Anaesthesiol Scand. 2015 May 5. doi: 10.1111/aas.12521. Authors: Kurita GP et al BACKGROUND: Renal impairment and the risk of toxicity caused by accumulation of opioids and/or active metabolites is an under-investigated issue. This study aimed at analysing if symptoms/adverse effects in opioid-treated patients with cancer were associated with renal function. METHODS: Cross-sectional multicentre study (European Pharmacogenetic […]
Read MoreActa Anaesthesiol Scand. 2015 April;59(7):921-7 Authors: Marashi SM et al BACKGROUND: In this study, the effect of naloxone on duration of supraclavicular brachial plexus block was evaluated. It was hypothesized that naloxone can increase the duration of neural blockade. METHODS: Sixty-eight patients scheduled for surgery under supraclavicular brachial plexus block were randomly assigned to receive 30 ml bupivacaine […]
Read MoreAnesthesia & Analgesia: June 2015 Vol 120 Issue 6 p 1405-1412 Authors: Hausman, Mark S. Jr. MD et BACKGROUND: Surgical patients with chronic obstructive pulmonary disease (COPD) are at increased risk of perioperative complications. In this study, we sought to quantify the benefit of avoiding general anesthesia in this patient population. METHODS: Data from the […]
Read MoreAnesthesia & Analgesia: June 2015 Vol 120 Issue 6 p 1369-1374 Authors: Radvansky, Brian M. BA et al BACKGROUND: Expert witnesses serve a crucial role in the medicolegal system, interpreting evidence so that it can be understood by jurors. Guidelines have been established by both the legal community and professional medical societies detailing the expectations […]
Read MoreAnesthesia & Analgesia: June 2015 Vol 120 Issue 6 p1352-1360 Authors: Malcharek, Michael J. MD et al BACKGROUND: Methods for detecting intraoperative cerebral ischemia arising from internal carotid artery (ICA) cross-clamping during carotid endarterectomy (CEA) should be sensitive, specific, and rapid to prevent intraoperative stroke. We had 3 objectives pertaining to this: (1) investigation of […]
Read MoreAnesthesia & Analgesia: June 2015 Vol 120 Issue 6 p 1325-1330 Authors: Duma, Andreas MD et al BACKGROUND: Prolonged administration of nitrous oxide causes an increase in plasma homocysteine in children via vitamin B12 inactivation. However, it is unclear whether nitrous oxide doses used in clinical practice cause adverse hematological effects in pediatric patients. METHODS: This […]
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