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Published in Anaesthesia. 2015 Apr;70(4):429-33 Authors: Ishiyama T et al Abstract We measured the effect of Patent Blue dye on oxyhaemoglobin saturations after injection into breast tissue: 40 women had anaesthesia for breast surgery maintained with sevoflurane or propofol (20 randomly allocated to each). Saturations were recorded with a digital pulse oximeter, in arterial blood […]
Read MorePain in ambulatory cancer patients with solid tumors is complex and dynamic, and adequate pain management requires constant monitoring and therapeutic intervention when needed. The Eastern Cooperative Oncology Group (ECOG) conducted a multicenter study to assess pain symptoms. Outpatient oncology patients from 38 (six academic and 32 community) centers completed the MD Anderson Symptom Inventory […]
Read MoreThoracic ultrasound is a viable alternative to fiber-optic bronchoscopy for verifying the correct position of a double-lumen endotracheal tube (DLET) before one-lung ventilation, a study has found. Andrea Saporito, MD, a consultant anesthetist at Bellinzona Regional Hospital, in Bellinzona, Switzerland, and the study’s principal investigator, noted that thoracic ultrasound is noninvasive and cheaper than fiber-optic […]
Read MoreA low-dose (5 or 10 mg) formulation of the nonsteroidal anti-inflammatory drug (NSAID) meloxicam achieved significantly greater pain relief than placebo in patients with osteoarthritis (OA), according to results of a Phase III study presented at the European League Against Rheumatism (EULAR) Annual European Congress of Rheumatology. Osteoarthritis of the knee and hip are common […]
Read MoreThe risk for neurologic injury associated with regional anesthesia is very low, but there are steps that anesthesiologists can take to further reduce that risk, according to anesthesiologists who spoke at the International Symposium of Ultrasound for Regional Anesthesia, Pain Medicine & Perioperative Applications. “What we do is very safe, but this allows us to […]
Read MoreFood and Drug Administration Press Release AUDIENCE: Pharmacy, Risk Manager, Nursing ISSUE: Baxter International Inc. is voluntarily recalling select lots of intravenous (IV) solutions to the hospital/user level due to the potential presence of particulate matter. Intravenous administration of a solution containing sterile particulate matter may lead to adverse health consequences. The extent and severity […]
Read MorePublished in Anaesthesia. 2015 Apr;70(4):445-51. Calderon AL et al Abstract The aim of this prospective, double-centre, observational study performed in 116 patients was to describe a new anterior approach of ultrasound-guided intermediate cervical plexus block for carotid endarterectomy. The median (IQR [range]) volume of ropivacaine 0.5% administered was 30 (25-30 [20-45]) ml. Supplemental local anaesthesia […]
Read MoreThis is for our chronic pain management providers. Surveillance of opioid prescribers, designed to prevent opioid overdose deaths, may actually be having the opposite effect, new research suggests. The qualitative study, aimed at assessing doctor-patient interactions after a prescription monitoring program (PMP) known as “I-STOP,” which was mandated by New York State in 2013, showed […]
Read MorePhysical therapy may achieve the same symptom relief as surgical decompression in patients with lumbar spinal stenosis, according to a study in the Annals of Internal Medicine. Some 170 stenosis patients aged 50 or older who were candidates for surgery were randomized to surgical decompression or physical therapy (2 PT visits per week for 6 […]
Read MorePublished in Ann Emerg Med 2015 Mar 26; Authors: Motov S et al. Subdissociative-dose ketamine was as effective as morphine for acute pain in emergency department patients. Interest in ketamine as an analgesic has been growing. To evaluate the analgesic effect and safety of ketamine in an emergency department (ED) setting, investigators conducted a randomized, […]
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