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I thought this was interesting to read so I wanted to share it with our followers. A study presented at this year’s Euroanaesthesia meeting shows that children exposed to indoor coal-burning stoves and/or second-hand tobacco smoke are much more likely to suffer postoperative complications and excessive pain after tonsillectomies. Almost half of the world’s population […]
Read MoreOne of the major arguments against the ICD-10 transition are the financial costs to medical practices. Sure, there are accusations of bureaucratic overreach and preventing physicians from spending time treating patients, but the anti-ICD-10 argument is primarily financial. So why not offer providers an incentive? Take the example of Meaningful Use. If the same physicians […]
Read MorePublished in Anesth Analg. 2014 May 5 Authors: Lequeux PY et al BACKGROUND: Implicit learning of intraoperative auditory stimuli during general anesthesia is very difficult to quantify but may require the presence of noxious stimulation. We hypothesized that an anesthetic regimen with a low dose of opioid would enhance implicit memory, while a regimen […]
Read MorePublished in Anesth Analg. 2014 Jun;118(6):1370-7 Authors: Hanson NA et al BACKGROUND: Adductor canal blocks have shown promise in reducing postoperative pain in total knee arthroplasty patients. No randomized, controlled studies, however, evaluate the opioid-sparing benefits of a continuous 0.2% ropivacaine infusion at the adductor canal. We hypothesized that a continuous adductor canal block would […]
Read MorePublished in Anesth Analg. 2014 Jun;118(6):1309-16 Authors: Cao L et al BACKGROUND: Associations between anesthetic management and cancer recurrence or long-time survival remain uncertain. In this study, we compared the effects of postoperative epidural morphine analgesia with that of postoperative IV fentanyl analgesia on cancer recurrence and long-term survival in patients undergoing resection of hepatocellular […]
Read MorePublished in Can J Surg. 2014 Jun;57(3):175-82. Authors: Yon JH et al BACKGROUND: Pre-emptive intravenous lidocaine infusion is known to improve postoperative pain in abdominal surgery. We assessed the effect of intravenous lidocaine infusion in patients who underwent subtotal gastrectomy. METHODS: We conducted a double-blind, placebo-controlled study with patients undergoing subtotal gastrectomy for early gastric […]
Read MorePublished in Anesth Analg. 2014 Jun;118(6):1363-9 Authors: Techasuk W et al BACKGROUND: In this prospective, randomized, observer-blinded study, we compared double-injection (DI) ultrasound-guided supraclavicular block to a novel targeted intracluster-injection (TII) technique, whereby local anesthetic is injected inside the main and satellite neural clusters (confluences of trunks and divisions of the brachial plexus). METHODS: Ninety […]
Read MorePublished in Anesth Analg. 2014 Jul;119(1):203-6 Authors: Zhou QHt et al BACKGROUND: The spread of spinal anesthesia is highly unpredictable. In patients with increased abdominal girth and short stature, a greater cephalad spread after a fixed amount of subarachnoidally administered plain bupivacaine is often observed. We hypothesized that there is a strong correlation between abdominal […]
Read MorePublished in Anesth Analg. 2014 Jun;118(6):1326-35 Authors: Nicol AL et al BACKGROUND: Myofascial pain syndrome is a regional condition of muscle pain and stiffness and is classically characterized by the presence of trigger points in affected musculature. Botulinum toxin type A (BoNT-A) has been shown to have antinociceptive properties and elicit sustained muscle relaxation, thereby […]
Read MoreThe U.S. Department of Health and Human Services’ use of the Fraud Prevention System (FPS) led to $54.2 million in actual and projected savings for the Medicare fee-for-service program. However, the Office of Inspector General called for modifications to the FPS to increase savings over time, according to a report it released. Under the Small […]
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