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Authors: T. Tamura et al International Journal of Obstetric Anesthesia June 2019 Highlights •Posterior quadratus lumborum block was used with or without spinal morphine. •Spinal morphine improved postoperative analgesia after cesarean section. •The combination of pQLB with spinal morphine did not provide analgesia. Background This study aimed to compare the postoperative analgesic effects of ultrasound-guided […]
Read MoreAuthor: Victoria Stern Anesthesiology News Review of the Data Leads to Consensus in Caps Versus Bouffant Controversy A resolution to the debate over OR attire—most notably, surgical caps versus bouffants—may be on the horizon. A growing body of research has shown that bouffants do not reduce the rate of surgical site infections compared with surgical […]
Read MoreBy Erik MacLaren, PhD The pain relief obtained after a spinal-cord stimulation (SCS) trial is predictive of the success of a permanent SCS implant, according to results of a retrospective study presented at the 35th Annual Meeting of the American Academy of Pain Medicine (AAPM). Vwaire Orhurhu, MD, MPH, Beth Isreal Deaconess Medical Center and […]
Read MoreAuthors: Lee C et al World Neurosurgery (Mar 2019) BACKGROUND In cervical spine surgeries (CSS), the overall incidence of iatrogenic vertebral artery injury (IVAI) was reported to be 0.07-1.4%. Although IVAI occurred during C1-2 fusion, there is no accurate information regarding the surgery-specific risk of IVAI. This study aimed to stratify the incidence of IVAI […]
Read MoreAuthors: Yahya Shehabi, Ph.D., M.B., B.S., et al N Engl J Med 2019; 380:2506-2517 BACKGROUND Dexmedetomidine produces sedation while maintaining a degree of arousability and may reduce the duration of mechanical ventilation and delirium among patients in the intensive care unit (ICU). The use of dexmedetomidine as the sole or primary sedative agent in patients […]
Read MoreAuthor: Michael Vlessides Anesthesiology News A large study from the Cleveland Clinic has concluded that real-time alerts to triple-low events do not reduce 90-day mortality in adults undergoing noncardiac surgery with volatile general anesthesia. The alerts involved mean arterial pressure less than 75 mm Hg, bispectral index below 45, and minimum alveolar concentration less than […]
Read MoreBy Erik MacLaren, PhD Pain catastrophising can be clustered into 4 groups with distinct trajectories over time and several clinical characteristics associated with these trajectories, according to results of a longitudinal, prospective, observational study presented at the 35th Annual Meeting of the American Academy of Pain Medicine (AAPM). Pain catastrophising — a tendency by a […]
Read MoreAuthors: Goodman CW and Brett AS. JAMA Intern Med 2019 Mar 25 Off-label use exposes patients to adverse effects and generally is not supported by evidence. The only conditions for which gabapentinoid drugs are FDA-approved to manage pain are postherpetic neuralgia (both gabapentin and pregabalin [Lyrica]) and diabetic neuropathy, spinal cord injury, and fibromyalgia (pregabalin only). […]
Read MoreAuthor: Michael Vlessides Anesthesiology News The use of intraoperative bispectral index (BIS) monitoring is effective in reducing time to extubation, time to spontaneous eye opening, PACU time and consumption of anesthetics, according to the results of a recent systemic review and meta-analysis. Nevertheless, the research team behind the study was quick to add that while […]
Read MoreAnesthesiology News An alarmingly high rate of patients with cancer have undiagnosed acute and chronic hepatitis. Investigators from SWOG Cancer Research Network, an international cancer clinical trials group funded by the National Cancer Institute, found that a substantial portion of newly diagnosed cancer patients with HBV or HCV were unaware of their viral infection. Many […]
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