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Author: Michael Vlessides Anesthesiology News A higher body mass index (BMI) is a significant predictor of 30-day hospital readmission after ambulatory open hernia repair, a study has found. The investigators’ regression model indicated that a BMI of 45.7 kg/m2 could be used as a threshold value for deciding whether obese patients should undergo the surgery as […]
Read MoreAuthor: Michael Vlessides Anesthesiology News The first-ever validated predictive model for patients undergoing spine surgery not only elucidates factors that determine postoperative pain, but also opens up the possibility of real-time input from machine learning algorithms. Among other things, the researchers demonstrated that the use of one nonopioid medication during surgery did not result in […]
Read MoreAuthor: Ajai Raj Anesthesiology News Importance of communication, de-escalation highlighted in report about unruly patient It’s just another typical day at an ambulatory surgery center (ASC), until a situation with an unruly patient upends the order. When this happened at an ASC in Colorado, without the larger security department that comes with a full hospital, […]
Read MoreAnesthesiology News Written by: David Ermak, DO Reviewed by: Sonia Vaida, MD Case Presentation A 22-year-old woman, with a body mass index of 35 kg/m2, presented to the emergency department with altered consciousness, 6 days after the uneventful delivery of a full-term healthy infant. According to her husband, less than 1 hour before admission, she […]
Read MoreAuthor: Michael Vlessides Anesthesiology News There is now a tool to help predict which patients are at greatest risk for unplanned readmission after ambulatory surgery. “Readmission is often regarded as a measure of poor perioperative patient care and can also be a significant economic burden for both hospitals and patients,” said Maria PatrocÍnio, MD, a […]
Read MorePregabalin does not appear to be effective for controlling pain in patients with chronic post-traumatic peripheral neuropathic pain (PTNP), according to a study published in the Journal of Neurology. Pregabalin, an alpha2-delta ligand, is approved in the US for the treatment of neuropathic pain associated with diabetic peripheral neuropathy and spinal cord injury, and for postherpetic neuralgia. […]
Read MoreAuthors: Albrecht E et al Anesth Analg. 2018 Oct BACKGROUND: Both dexamethasone and dexmedetomidine are effective peripheral nerve block (PNB) perineural adjuncts that prolong block duration. However, each is associated with side effects. With paucity of head-to-head comparisons of these adjuncts, the question of the best adjunct to mix with local anesthetics (LA) for PNB is unanswered. This meta-analysis aims to inform current practice and future research by […]
Read MoreWhile people who are morbidly obese are more likely to undergo moderately difficult intubation, they do not have an increased rate of severely difficult intubation, according to a study presented here at the 2018 Annual Meeting of the American Society of Anesthesiologists (ASA). “Morbidly obese patients have changes in their anatomy and pulmonary physiology that […]
Read MorePatients undergoing robotic hysterectomy were found to report comparable pain scores when receiving celecoxib perioperatively or ketorolac postoperatively — both as part of a multimodal pain management plan — in a study published in Gynecologic Oncology. In addition, treatment that included celecoxib was associated with lower postoperative opioid use. Celecoxib, a COX-2 inhibitor with anti-inflammatory properties, is not […]
Read MoreThe use of a vibrating kinetic anesthesia device (KAD) may be well-tolerated and effective in reducing pain associated with infiltrative lidocaine injections for biopsy and excisional surgery, according to the results of an open-label randomized controlled trial published in the Journal of the American Academy of Dermatology. Healthy adults who could tolerate lidocaine injections were randomly assigned to […]
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