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Anesthesia & Analgesia: March 2015 Authors: Zanaty, Ola MD PhD et al BACKGROUND: This study was designed to evaluate and compare the efficacy and safety of nebulized dexmedetomidine, nebulized ketamine, and the combination of these drugs for premedication in pediatric outpatient dental surgeries. METHODS: A prospective, randomized, double-blinded study was conducted in the Alexandria Main […]
Read MoreLocal anaesthetic infiltration added intraoperatively to standard care provides significant improvement of long-term pain relief for patients with chronic post-surgical pain after total hip replacement, according to research presented at the World Congress on Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (WCO). The same effect is not observed for total knee replacement. Rachael Gooberman-Hill, PhD, School of […]
Read MorePublished in Anesthesia & Analgesia:March 2015 Authors: Ortmann, Erik MD DEAS et al BACKGROUND: Administration of coagulation factor concentrates to treat bleeding after cardiac surgery with cardiopulmonary bypass might be a strategy for reducing allogeneic blood transfusions, particularly for patients treated with warfarin preoperatively. We performed an exploratory analysis on whether the use of prothrombin […]
Read MoreUsing special magnetic resonance imaging (MRI), researchers have identified which patients will go on to develop chronic pain, disability, and post-traumatic stress disorder (PTSD) 1 to 2 weeks following whiplash injuries. This is the earliest these patients have ever been identified, according to James Elliott, MD, Northwestern University Feinberg school of Medicine, Chicago, Illinois, and […]
Read MoreInfants who undergo surgery fare better if they receive regional anesthesia instead of general anesthesia, researchers have found, though more training is needed for providers to administer infant spinal anesthesia. Two new studies, published in the journal Anesthesiology, examined the effectiveness of the two methods among infant patients undergoing hernia surgery. In one of the studies, […]
Read MorePublished in Pain Med 2015 Mar 20 Authors: Lakhan SE et al OBJECTIVES: Painful diabetic neuropathy (PDN) is a debilitating complication of diabetes that greatly affects the quality of life of those afflicted. There are many treatment options for neuropathic pain. Recent studies show a promising analgesic effect using botulinum toxin-A (BTX-A) for neuropathic pain. METHODS: […]
Read MorePublished in Clinical Journal of Pain (Mar 2015) Authors: Chen L et al OBJECTIVES Transcutaneous electrical nerve stimulation (TENS) has been reported to relieve pain and improve function in patients with knee osteoarthritis. The purpose of this systematic review and meta-analysis was to evaluate the efficacy of TENS for the management of knee osteoarthritis. METHODS […]
Read MorePublished in Acta Anaesthesiologica Scandinavica (Mar 2015) Authors: Kim Y et al BACKGROUND Intravenous or volatile agents reduce respiratory function, which can result in respiratory complications in geriatric patients. We hypothesised that there would be no differences in lung function between anaesthesia established using either drug. METHODS Elderly patients were randomly assigned to receive either […]
Read MorePublished in Acta Anesthesiol Scand 2015 May;59(5):632-9. doi: 10.1111/aas.12509. Epub 2015 Mar 18. Authors: Larsen KR et al BACKGROUND: Pain after Caesarean section is often treated with opioids with a risk of side effects. Wound infiltration with local anaesthetics is effective and has few side effects, but volume vs. dose concentration has not been examined. METHODS: […]
Read MoreAuthors: Monserrate AE et al., JAMA Neurol 2015 Mar 72:325 Factors that acutely lower cerebrospinal fluid pressure may produce early post–lumbar puncture headache, but other factors affect headache persistence. Diagnostic lumbar punctures aid in the diagnosis of infections and diseases of the central nervous system. Life-threatening events from lumbar punctures are rare, but post–lumbar (dural) puncture headaches […]
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