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The most common factors for unplanned admission following outpatient laparoscopic cholecystectomy are surgical observations, pain, and postoperative and post-discharge nausea and vomiting (PONV), according to results of a retrospective study presented at the 2014 Annual Meeting of the American Society of Anesthesiologists (ASA). Careful selection of patients, increased use of anaesthesia techniques, and more aggressive […]
Read MoreUltrasound-guided supraclavicular block for upper extremity surgery has a high degree of analgaesic efficacy postoperatively, according to the results of a retrospective study presented at the 2014 Annual Meeting of the American Society of Anesthesiologists (ASA). Supraclavicular block using ultrasound-guided technique successfully controlled 4-hour postoperative pain in 94% of procedures evaluated in this study of […]
Read MoreSevoflurane is associated with a higher incidence of complications than propofol in paediatric patients undergoing sedation (13.46% vs 7.03%), according to results of a cohort review presented at the 2014 Annual Meeting of the American Society of Anesthesiologists (ASA). While procedure and recovery times were similar for both the sevoflurane and propofol groups, the duration […]
Read MoreOral oxycodone could be an important analgaesic agent for the management of postoperative pain in hospitalised patients with moderate to severe pain (≥ 40 mm on the visual analog scale [VAS]), according to results of a double-blind study presented at the 2014 Annual Meeting of the American Society of Anesthesiologists (ASA). When oxycodone hydrochloride capsules […]
Read MorePatients appear to want information about different options for regional anaesthesia for post-operative pain, yet it seems that they wish to be relatively passive when it comes to making a choice, according to results of a survey presented at the 2014 Annual Meeting of the American Society of Anesthesiologists (ASA). Shared decision-making (SDM), a patient-centred […]
Read MoreOrdinary over the counter painkillers and anti-inflammatory drugs may also be effective in the treatment of people suffering of depression, according to a study published in JAMA Psychiatry. In recent years research has demonstrated a correlation between depression and physical illnesses, such as painful conditions or infections in the individual patient. “The meta-analysis supports this […]
Read MoreAuthors: NINA SINGH-RADCLIFF, MD A guest column by the American Society of Anesthesiologists More than 75 percent of operations in the U.S. occur in an outpatient setting. Outpatient, or ambulatory care, can take place in a number of different settings, including physician offices, outpatient surgery centers, or hospital or non-hospital-based outpatient clinics. With more and […]
Read MoreTo put this post in perspective the pain of childbirth is said to be equivalent of amputating a finger. The joint statement of the American Congress of OB/GYN and the American Society of Anesthesiologists sums pain control during labor and delivery quite nicely: “There is no other circumstance where it is considered acceptable for an […]
Read More9th World Stroke Congress (WSC). Abstract 032. Presented October 23, 2014. Authors: Daniel M. Keller, PhD For patients undergoing an endovascular procedure to treat acute stroke, local anesthesia (LA) was associated with better clinical outcomes and no higher rate of complications compared with general anesthesia (GA), a retrospective analysis of a pretrial cohort of the […]
Read MorePublished in Br J Anaesth. 2014;113(5):740-747. Authors: E. A. Hoste et Abstract I.V. fluid therapy plays a fundamental role in the management of hospitalized patients. While the correct use of i.v. fluids can be lifesaving, recent literature demonstrates that fluid therapy is not without risks. Indeed, the use of certain types and volumes of fluid […]
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