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A meta-analysis confirms that a continuous femoral nerve block (FNB) produces longer-lasting pain relief than a single-injection block after total knee arthroplasty (TKA). The findings were presented at the 2014 World Congress on Pain, in Buenos Aires, Argentina. These results were also published earlier this year as part of a Cochrane Review analyzing the effectiveness […]
Read MoreThe Neuromodulation Appropriateness Consensus Committee (NACC) has released the first comprehensive guidance on best practices for neurostimulation for chronic pain. The guidelines, four peer-reviewed articles totaling 101 pages that were authored by about 60 international experts, were published in the journal Neuromodulation (2014;17:515-615) and cover the following general areas: appropriate use of neurostimulation of the spinal cord […]
Read MoreElderly patients undergoing ambulatory gastrointestinal procedures often receive inappropriately high doses of anesthesia at induction, researchers have found. The study, a review of the anesthetic management of patients undergoing upper endoscopy and colonoscopy at Yale School of Medicine, in New Haven, Conn., found that even with age-adjusted dosing, significant drops in mean arterial pressure occur. […]
Read MoreWho controls certification? Author: Robert E. Johnstone, MD Four decades ago, board certification was a mark of excellence, a goal for achievers and not a practice requirement. Certification designated an anesthesiologist with consultant-level knowledge and extraordinary capabilities. But times have changed. Many institutions and groups now require certification for clinician credentialing. No certification increasingly means […]
Read MorePublished in Interventions in Aging 10 1-11 (2015) Authors: Guerriero F et al PURPOSE Chronic pain is highly prevalent in older adults. Increasing evidence indicates strong opioids as a valid option for chronic pain management in geriatrics. The aim of this study was to evaluate efficacy and safety of low-dose oral prolonged-release oxycodone-naloxone (OXN-PR) in […]
Read MoreAuthors: Kristi T. Lopez, MD et al Published in South Med J. 2014;107(12):764-767. Abstract Objectives In advance of endoscopic procedures, an evaluation to assess the risk of sedation is performed by the gastroenterologist. Based on regulations, gastroenterologists are required to perform an airway assessment. At this time, data supporting this regulation are limited; therefore, we evaluated airway […]
Read MorePublished in Am J Perinatol. 2015 Jan;32(1):23-6. Authors: Keszler M et al BACKGROUND: Surgical closure of patent ductus arteriosus (PDA) is associated with adverse outcomes. Surgical exposure requires retraction of the lung, resulting in decreased aeration and compliance. Optimal respiratory support for PDA surgery is unknown. Experience with volume guarantee (VG) ventilation at our institution led […]
Read MorePublsihed in Int Surg. 2015 Apr;100(4):770-2. Authors: Fujita F et al To demonstrate whether reactive oxygen and free radical measuring are appropriate to evaluate short-term surgical stress after laparoscopic colectomy. The subjects consisted of 22 cases (laparoscopic surgery, 16; and laparotomy, 6) that underwent surgery for colon cancer. The reactive oxygen metabolites (ROM) value in the […]
Read MoreAuthors: Pinheiro de Almeida J et al., Anesthesiology 2015 Jan 122:29 A hemoglobin level of 9 g/dL was superior to 7 g/dL as a trigger for transfusion. Randomized trials have shown favorable outcomes with a restrictive red-cell transfusion strategy — that is, not transfusing until hemoglobin levels are <7 g/dL in general critical-care patients (NEJM JW Gen […]
Read MorePublished in Br J Clin Pharmacol. 2014 Dec 31 Authors: Ollier E et al AIM: The aim of this study was to develop a pharmacokinetic model in order to characterise the free and total ropivacaine concentrations after TAP block in a population of patients undergoing liver resection surgery. In particular, we evaluated the impact of the […]
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