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I included this for being important for our recoverery room patients. Published in Ann Emerg Med 2015 Apr 65:356 Authors: Brainard A et al. Normal volunteers tolerated a flow rate of 15 L/minute but found it more uncomfortable than 6 L/minute. A new technique called “apneic oxygenation” is purported to prevent desaturation by delivering high-flow oxygen […]
Read MoreAuthors: Anna I. Hårdemark Cedborg, M.D., Ph.D. et al Background: Drugs used for sedation in anesthesia and intensive care may cause pharyngeal dysfunction and increased risk for aspiration. In this study, the authors investigate the impact of sedative doses of morphine and midazolam on pharyngeal function during swallowing and coordination of breathing and swallowing. Methods: Pharyngeal function, […]
Read MorePublished in J Am Coll Surg. 2015;220:12-17 Authors: Laurie Barclay, MD An effectively implemented standardized safe surgery program significantly reduced rates of serious reportable events (SREs), according to findings of a retrospective cohort study published online October 4, 2014, and in the January 2015 issue of theJournal of the American College of Surgeons. Risk for SREs is […]
Read MoreThis is for our pain providers. Published in BMC Public Health (2014;14:797). Children with parents who have chronic musculoskeletal pain (CMP) are at a higher risk for developing CMP, a new family-linkage study finds. According to researchers from the Norwegian University of Science and Technology in Trondheim, CMP is “among the leading causes of reduced quality […]
Read MoreFew pain specialists advise patients with low back pain to simply “take two aspirin and call me in the morning,” to borrow from a now-ancient phrase. Now research suggests that acetaminophen, a commonly used aspirin alternative for low back pain, may not be effective as well. A study published online in The Lancet (2014 Jul 23) found […]
Read MoreInjecting a newer long-acting numbing medicine called liposomal bupivacaine into the tissue surrounding the knee during knee replacement surgery may provide a faster recovery and higher patient satisfaction. While improvements in implantable devices and surgical technique has made knee replacement surgery highly effective, pain control after surgery remains a common but persistent side effect for […]
Read MoreThe FDA drafted new recommendations regarding the fill size for vials of injectable drugs and biologic products this summer, which prompted a response from the American Society of Anesthesiologists. In a letter to FDA Commissioner Margaret Hamburg, ASA President Jane Fitch, MD, said the anesthesiology group “strongly supports the FDA’s recommendation that a drug product’s […]
Read MoreIf the experience of residents holds true for their more senior colleagues, then a pilot project at the State University of New York at Stony Brook has the potential to improve syringe labeling in more than one institution. A preprinted label system developed by residents Brian Cho, MD, and Kevin Lee, MD, received an overwhelmingly […]
Read MorePublished in BMC Anesthesiol. 2014;14(68) Authors: Hyoung Yong Moon et al A Double-Blind Randomised Trial Abstract Background Postoperative nausea and vomiting (PONV) is one of the most common postsurgical complications. Palonosetron, a 5-hydroxytryptamine receptor antagonist, is effective for PONV prevention. Herein, we compared palonosetron and aprepitant (a neurokinin-1 receptor antagonist) for PONV prevention in patients […]
Read MorePublished in Br J Anaesth. 2014;112(6):955-957. Authors: M. A. Shulman, et al Owing to increases in life expectancy, the patients presenting for surgery are older, and have more co-morbidities. Worldwide, 3–4% of patients die within 2 months of major surgery, with increased mortality and morbidity in high-risk surgical candidates, including the elderly and medically unwell. In Australia […]
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