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Authors: Gavin M. Hamilton etc Canadian Journal of Anesthesia January 2019, Volume 66, Issue 1, pp 63–74 Purpose Regional anesthesia may have immediate postoperative advantages compared with general anesthesia, but its impact on post-discharge outcomes is poorly described. Our objective was to measure the association between regional anesthesia and outcomes after ambulatory shoulder surgery. Methods We conducted a historical […]
Read MoreAuthor: Monica Beyer Medical News Today A stressful work environment coupled with a lack of sleep can result in a threefold-higher risk of cardiovascular death in people with hypertension. Having both a stressful job and difficulty sleeping may dramatically increase a person’s risk of cardiovascular death. Recent research looked at how stress and insomnia affected the health of employees […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Very early postoperative desaturation after extubation may have a more profound effect on outcomes than commonly believed. According to a data analysis of more than 70,000 patients, researchers at Massachusetts General Hospital concluded that the phenomenon is associated with a host of adverse postoperative events, including higher cost of care, […]
Read MoreAnesthesiology News Frost #345 Written by: Alexandra Cesare Case Presentation A 25-year-old patient, gravida 3 para 2, at 38 weeks’ gestation, with a body mass index of 36 kg/m2, presented for elective repeat cesarean delivery (CD). She developed severe pruritus after her 2 previous CDs performed under spinal anesthesia with bupivacaine (10 mg), preservative-free morphine […]
Read MoreAuthor: Michael Vlessides Anesthesiology News Obstructive sleep apnea is an independent risk factor for difficult and failed intubation, a meta-analysis has concluded, and now there are odds ratios to prove it. As researchers from the United States and Canada noted, although the general risk for difficult and failed intubation is very low, it can nevertheless […]
Read MoreAuthor: Michael Vlessides Anesthesiology News For years, the Clock-Drawing Test has been used to measure cognitive impairment. Now, a study by a team of Florida researchers has compared three different methods for scoring this test, concluding that although all three ways effectively identify cognitive impairment, they differ markedly in administration time as well as time […]
Read MoreResearchers are pioneering the use of primary targeted muscle reinnervation (TMR) to prevent or reduce debilitating phantom limb and stump pain in amputees. Primary TMR — the rerouting of nerves cut during amputation into surrounding muscle — greatly reduces phantom limb and residual limb pain, according to a study published in Plastic and Reconstructive Surgery. TMR […]
Read MoreA study published in the American Journal of Obstetrics and Gynecologyshows that, regardless of whether a woman delivers a child by caesarean section or vaginal birth, if they fill prescriptions for opioid pain medications early in the postpartum period, they are at increased risk of developing persistent opioid use. Sarah Osmundson, MD, Vanderbilt University Medical Center, […]
Read MoreAuthor: Michael Vlessides Effective auscultation of heart sounds and murmurs is possible over clothing, given firm pressure on the stethoscope, according to a University of Florida research team. Their study demonstrated no difference between that technique and placing the stethoscope directly on the skin, a result that may have several benefits, including decreased exam time, […]
Read MoreCochrane Systematic Review – Intervention Version published: 20 December 2018 Background Inadequate pain management after surgery increases the risk of postoperative complications and may predispose for chronic postsurgical pain. Perioperative ketamine may enhance conventional analgesics in the acute postoperative setting. Objectives To evaluate the efficacy and safety of perioperative intravenous ketamine in adult patients when used for […]
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