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Editors NEJM Journal Watch Diskectomy improves leg pain better than nonsurgical care in patients with chronic sciatica caused by lumbar disk herniation, according to a New England Journal of Medicine study. Nearly 130 patients with sciatica lasting 4 to 12 months were randomized to undergo microdiscectomy or standardized nonoperative care (followed by surgery as needed). At 6 […]
Read MoreAuthor: Peter Dockrill Science Alert Before we go any further, it’s worth pointing out the survey was conducted between late 2018 and early 2019 – nearly a year before the current COVID-19 pandemic gripping the world showed up, inevitably affecting how most of us think and feel about transmissible infections. Nonetheless, the findings make particularly sobering reading […]
Read MoreAuthor: Eric Raible docwirenews A new report highlights some of the potential cardiovascular complications a practitioner is likely to encounter when treating patients with the coronavirus disease of 2019 (COVID-19). “COVID-19 is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2),” the researchers wrote. “While systemic inflammation and pulmonary complications can result in significant morbidity […]
Read MoreAUTHORS: Ruetzler, Kurt MD et al Anesthesia & Analgesia: March 2020 BACKGROUND: Two-thirds of the US population is considered obese and about 8% morbidly obese. Obese patients may present a unique challenge to anesthesia clinicians in airway management. Videolaryngoscopes may provide better airway visualization, which theoretically improves intubation success. However, previous work in morbidly obese […]
Read MoreAUTHORS: Brinck, Elina C. V. MD et al Anesthesia & Analgesia: March 2020 BACKGROUND: Severe pain often accompanies major spine surgery. Opioids are the cornerstone of postoperative pain management but their use can be limited by numerous side effects. Several studies claim that adjuvant treatment with intravenous (IV) ketamine reduces opioid consumption and pain after […]
Read MoreBy Kelly Young Edited by David G. Fairchild, MD, MPH, and Lorenzo Di Francesco, MD, FACP, FHM Antihypertensive treatment is associated with slightly lower risk for dementia or cognitive impairment, according to a JAMA meta-analysis. Researchers examined data from 12 randomized trials that compared cognitive outcomes between participants assigned to antihypertensive drugs and those randomized to controls (placebo, alternative […]
Read MoreBy University College London People taken ill by coronavirus infections may experience psychiatric problems while hospitalised and potentially after they recover, suggests an analysis of past research led by the UCL Institute of Mental Health with King’s College London collaborators. The systematic review paper, published in The Lancet Psychiatry, compiled results from short- and long-term […]
Read MoreCision PR Newswire SOURCE: Montefiore Health System Largest Single-Center Study to Date Compares Kids Who Need Intensive Care with Those Who Do Not While most children infected with the novel coronavirus have mild symptoms, a subset requires hospitalization and a small number require intensive care. A new report from pediatric anesthesiologists, infectious disease specialists and […]
Read MoreCase reports in anesthesia Sunday afternoon the friendly GI doc boarded a case for an urgent ERCP in a 31 year old female with choledokolithiasis. She had elevated liver enzymes and he was concerned that she might develop ascending cholingitis. The patient had hypothyroidism and was morbidly obese with a weight of apporoximately 320 lbs […]
Read MoreAUTHORS: Wang, Erica H. Z. PharmD et al Anesthesia & Analgesia: March 2020 BACKGROUND: Postoperative nausea and vomiting (PONV) is a common occurrence after cardiac surgery. However, in contrast to other surgical populations, routine PONV prophylaxis is not a standard of care in cardiac surgery. We hypothesized that routine administration of a single prophylactic dose […]
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