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Cochrane 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 […]
Read MoreJohn Hopkins Magazine By Julie Scharper Allysa Dittmar grew terrified as she was wheeled into the operating room for surgery in 2015. Dittmar, who is profoundly deaf, relies on lip reading and sign language to communicate. Her requested sign language interpreter had not arrived. Doctors and nurses were speaking to her, but she could not […]
Read MoreAuthor: Michael Vlessides A new calibration methodology appears to have improved on existing nerve block needle pressure monitoring systems by calculating pressure gradient across the needle to estimate the pressure on tissue during injection. The new system may increase the sensitivity and specificity of detecting high injection pressures by eliminating the variability of needle selection […]
Read MoreAuthor: Alex Morrisson Computed tomography (CT)-guided pulsed radiofrequency is superior to injection only for patients with back pain caused by nerve pressure, researchers reported here at the 2018 Annual Meeting of the Radiological Society of North America (RSNA). One year after undergoing the treatment 95% of the 113 patients in the studied reported they had […]
Read MoreAUTHORS: Christian R et al Journal of Shoulder and Elbow Surgery (Dec 2018) BACKGROUND Shoulder arthroscopy is a common orthopedic procedure typically performed on an outpatient basis. Occasionally, patients require an unplanned hospital admission. An understanding of the incidence and risk factors for admission after shoulder arthroscopy may assist surgeons in determining which patients may […]
Read MoreI thought this was interesting so wanted to share it. Author: Maria Cohut The protein shakes that health supplement stores sell, which people sometimes buy as a dietary aid to build muscle mass, may not actually be safe for health in the long run according to a new study in mice. Could protein […]
Read MoreAuthors: O’Leary JG et al. Gastroenterology 2019 Apr 12 Complications from both pro- and antithrombotic states are seen in patients with cirrhosis. Therefore, a common scenario for the clinician is considering anticoagulation in a patient while worrying about bleeding risk. Four experts reviewed the current and evolving data on coagulation in this population and provided […]
Read MoreAUTHORS: Wong, David T., MD et al Anesthesia & Analgesia: January 2019 BACKGROUND: Morbidly obese patients undergoing general anesthesia are at risk of hypoxemia during anesthesia induction. High-flow nasal oxygenation use during anesthesia induction prolongs safe apnea time in nonobese surgical patients. The primary objective of our study was to compare safe apnea time, between patients given […]
Read MoreAUTHORS: Messina, Antonio, PhD et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1353–1364 BACKGROUND: Assessing the volemic status of patients undergoing surgery is part of the routine management for the anesthesiologist. This assessment is commonly performed by means of dynamic indexes based on the cardiopulmonary interaction during mechanical ventilation […]
Read MoreAUTHORS: Tassonyi, Edömér, MD, PhD, DSc et al Anesthesia & Analgesia: December 2018 – Volume 127 – Issue 6 – p 1344–1350 BACKGROUND: Certain surgical interventions may require a deep neuromuscular block (NMB). Reversal of such a block before tracheal extubation is challenging. Because anticholinesterases are ineffective in deep block, sugammadex 4 mg/kg has been recommended […]
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