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AUTHORS Michael Najfeld, Robert Hube et al. J Orthop Surg Res. 2020 Oct 19; 15(1): 480 PURPOSE In recent years, there has been an increasing interest in local infiltration analgesia (LIA) as a technique to control postoperative pain. We compared this technique to the gold standard the 3 in 1 femoral nerve block (FNB) in […]
Read MoreAuthor: Nicholas Bakalar New York Times Back pain sufferers who got electroacupuncture had improvements in walking comfortably, standing for longer periods, bending and kneeling. A double-blinded randomized trial of electroacupuncture found it may result in a modest improvement in daily functioning for those with chronic back pain, though it provided little pain relief. Electroacupuncture uses […]
Read MoreAUTHORS: Gilbertson, Laura E. MD et al Anesthesia & Analgesia: August 2020 – Volume 131 – Issue 2 – p 570-578 BACKGROUND: Pyloromyotomy is one of the most common surgical procedures performed on otherwise healthy infants. Pyloric stenosis results in a hypochloremic, hypokalemic metabolic alkalosis that is considered a medical emergency. This alkalotic state is […]
Read MoreAuthor: Wiley Medical X Press There are concerns that exposure to general anesthesia during surgery may contribute to an increased risk of Alzheimer’s disease. To investigate, researchers compared exposure to general anesthesia versus regional anesthesia during elective surgery, looking for potential links to the development of dementia. The Journal of the American Geriatrics Society study included 7,499 […]
Read MoreAuthor: Alan Condon Becker’s Spine Review Alok Sharan, MD, was recently appointed director of spine and orthopedics at NJ Spine and Wellness in East Brunswick, N.J. An early adopter of the spine surgery that doesn’t require general anesthesia, Dr. Sharan has completed 130 cases since he started performing the procedure in 2017. He spoke to Becker’s […]
Read MoreAuthors: Jacob Gitlin, B.S. et al Anesthesiology November 2020, Vol. 133, 1021–1028. Background Ketamine is a dissociative anesthetic with analgesic properties. Ketamine’s analgesic properties have been suggested to result from its dissociative properties. To the authors’ knowledge, this postulate is unsubstantiated. The authors hypothesize that the dissociative and analgesic properties of ketamine are independent. Methods The […]
Read MoreUniversity of Missouri More than 20 million people in the U.S. suffer neuropathic pain. At least 25% of those cases are classified as unexplained and considered cryptogenic sensory polyneuropathy (CSPN). There is no information to guide a physician’s drug choices to treat CSPN, but a researcher from the University of Missouri School of Medicine and […]
Read MoreBy Amy Orciari Herman Edited by David G. Fairchild, MD, MPH, and Jaye Elizabeth Hefner, MD NEJM Journal Watch Evidence is insufficient to support most treatments for fibromyalgia, according to a meta-analysis in JAMA Internal Medicine. Researchers examined data from over 220 randomized trials among nearly 30,000 people with fibromyalgia. High-quality evidence suggested a statistically significant benefit for […]
Read MoreDG Alerts A study published in EBioMedicine shows unique characteristics of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that may explain why patients suffer from severe, prolonged coronavirus disease 2019 (COVID-19). Rossana Bussani, MD, University of Trieste,Trieste, Italy, and colleagues analysed the organs of 41 patients who died of COVID-19 at the University Hospital of Trieste. The […]
Read MoreAuthor: David J. Cullen MD, MS Anesthesia Patient Safety Foundation SUMMARY: In patients who are anesthetized for surgery in the beach chair position, brain blood pressure can fall to levels below the brain’s ability to autoregulate. This can result in brain damage, but an understanding of cerebral autoregulation is essential to prevent this occurrence. Cerebral […]
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