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Published in BMC Anesthesiol. 2014;14(110) Authors: Owen O’Sullivan et al Background In preparing novice anesthesiologists to perform their first ultrasound-guided axillary brachial plexus blockade, we hypothesized that virtual reality simulation-based training offers an additional learning benefit over standard training. We carried out pilot testing of this hypothesis using a prospective, single blind, randomized controlled trial. Methods We planned […]
Read MoreWomen receiving audio-visual biofeedback of the fetal decent during delivery show reductions in the duration of the second stage of labour, as well as lower rates of adverse outcomes, researchers reported here today at The Pregnancy Meeting, the 2015 Annual Meeting of the Society for Maternal-Fetal Medicine (SMFM). The common use of epidurals help reduce […]
Read MoreAnalgesia provided following caesarean section delivery at fixed time intervals shows improved efficacy in pain and other outcomes, compared with on-demand analgesia, according to a study presented here at The Pregnancy Meeting, the 2015 Annual Meeting of the Society for Maternal-Fetal Medicine (SMFM). The study involved 187 patients who underwent regional anaesthesia for caesarean section. […]
Read MoreNew research reveals the physical and psychosocial factors that significantly increase the risk of low back pain onset. In fact, results published in the journal Arthritis Care & Research show that being engaged in manual tasks involving awkward positions will increase the risk of low back pain by 8 times. Those who are distracted during […]
Read MoreThis article is because we often have to take an obtunded patient to the OR and we might demand a MRI Published in Ann Intern Med 2015 Mar 17. Authors: Badhiwala JH et al. A systematic review found no significant missed injuries in obtunded blunt trauma patients who had normal CT imaging of their cervical spines. […]
Read MorePerioperative beta-blockade in patients undergoing noncardiac surgery is associated with reduced mortality only in those with three or more risk factors, according to a retrospective study in JAMA Surgery. Researchers analyzed clinical and administrative data for over 300,000 patients undergoing noncardiac surgery at Veterans Affairs medical centers. Of these, 42% received perioperative beta-blockers. Patients were assessed […]
Read MorePublished in Acta Anaesthesiol Scand Authors: Kurita G, Benthien et al BACKGROUND The present systematic review analysed the existing evidence of analgesic efficacy and side effects of opioids without and with adjuvant analgesics delivered by neuraxial route (epidural and subarachnoid) in adult patients with cancer. METHODS Search strategy was elaborated with words related to cancer, […]
Read MorePublished in Anesthesia & Analgesia: March 2015 AUTHORS: Bauchat, Jeanette R. MD et BACKGROUND: Neuraxial analgesic techniques are the most effective form of labor analgesia. Small studies (9-21 patients), conducted 10 to 20 years ago, demonstrated successful neuraxial labor analgesia in only 50% to 66% of patients with surgical correction for scoliosis. Newer surgical techniques […]
Read MorePublished in Anesthesia & Analgesia: March 2015 Authors: Hyder, Joseph A. MD, PhD et al BACKGROUND: A patient undergoing surgery may receive anesthesia care from several anesthesia providers. The safety of anesthesia care transitions has not been evaluated. Using unconditional and conditional multivariable logistic regression models, we tested whether the number of attending anesthesiologists involved […]
Read MorePublished in Anesthesia & Analgesia: March 2015 Authors: Butwick, Alexander J. MBBS, FRCA, MS et BACKGROUND: Racial and ethnic disparities have been identified in the provision of neuraxial labor analgesia. These disparities may exist in other key aspects of obstetric anesthesia care. We sought to determine whether racial/ethnic disparities exist in mode of anesthesia for […]
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