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AUTHORS: Sztain, Jacklynn F. MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p e104-e108 We tested the hypothesis that during a continuous popliteal-sciatic nerve block, postoperative analgesia is improved with the catheter insertion point “deep” to the paraneural sheath immediately distal to the bifurcation between the tibial and common […]
Read MoreAuthor: Anne-Marie Kommers Becker’s Hospital Review Patients revisiting the hospital within 30 days of initial discharge increasingly receive care in emergency departments and observation stays, marking a shift that may reflect hospitals’ efforts to avoid CMS penalties for readmissions, according to a study published Aug. 12 in the BMJ. Researchers studied hospital stays among Medicare […]
Read MoreAuthor: Caitlin E. Cox tct/MD/the heart beat One in eight patients who undergo cardiothoracic surgery continue to take opioids long after pain control is necessary, according to a new analysis of Medicare data from 2009 to 2015. While some predictors of persistent use, like female sex, younger age, and existing pain disorders, aren’t modifiable, others […]
Read MoreBy Elizabeth Fernandez UCSF Potential Harms Need to be Considered before Scanning, Researchers Conclude Despite a broad campaign among physician groups to reduce the amount of imaging in medicine, the rates of use of CT, MRI and other scans have continued to increase in both the U.S. and Ontario, Canada, according to a new study of […]
Read MoreAUTHORS: Kovacheva, Vesela P. MD, PhD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1199-1207 BACKGROUND: Detailed reviews of closed malpractice claims have provided insights into the most common events resulting in litigation and helped improve anesthesia care. In the past 10 years, there have been multiple safety advancements […]
Read MoreAUTHORS: Handke, Jessica MSc et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1344-1353 BACKGROUND: Perioperative major adverse cardiovascular and cerebrovascular events (MACCEs) are incompletely understood, and risk prediction is imprecise. Atherogenic leukocytes are crucial in cardiovascular events. However, it is unclear if surgical interventions affect leukocyte counts or activation […]
Read MoreAUTHORS: Rechberger, Tomasz MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1309-1318 BACKGROUND: An intravenous (IV) formulation of meloxicam was developed for moderate-to-severe pain management. This study evaluated the safety and efficacy of meloxicam IV after open abdominal hysterectomy. Meloxicam IV is an investigational product not yet approved […]
Read MoreAUTHORS: Guay, Juliane MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p e100-e103 The effect of intravenous dexamethasone on the regression of sensory and motor block after isobaric bupivacaine spinal anesthesia is unknown. We conducted a prospective, double-blind, randomized controlled trial on 60 patients who received intravenously either placebo […]
Read MoreScience Daily Spending on cannabis, cocaine, heroin and methamphetamine by Americans reached nearly $150 billion in 2016, with a large proportion of spending coming from the small share of people who use drugs on a daily or near-daily basis, according to a new RAND Corporation report. Researchers estimate that from 2006 to 2016, the total […]
Read MoreAUTHORS: Joosten, Alexandre MD et al Anesthesia & Analgesia: June 2019 – Volume 128 – Issue 6 – p 1145-1151 BACKGROUND: Pulse pressure variation (PPV) can be used to predict fluid responsiveness in anesthetized patients receiving controlled mechanical ventilation but usually requires dedicated advanced monitoring. Capstesia (Galenic App, Vitoria-Gasteiz, Spain) is a novel smartphone application that […]
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