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Author: Thomas Rosenthal Anesthesiology News There was no difference in time to pain control or the amount of morphine equivalents used between multimodal and opioid-only pain regimens for postoperative non-ICU patients, according to research presented at the 2018 annual Critical Care Congress (abstract 1581). “Clinicians may substitute nonopioids while having opioids on board as needed,” said […]
Read MoreAuthor: David C. Holzman Anesthesiology News The potential for better outcomes in the treatment of pain for burn patients could come from greater use of nonopioid adjuvant pain medications, such as ketamine, according to researchers of a new study. Adjuvant pain medications can reduce the amount of opioids necessary to mitigate pain, but most patients aren’t […]
Read MoreAuthors: Francesca Campoccia Jalde, M.D., Ph.D. et al Anesthesiology 10 2018, Vol.129, 769-777. What We Already Know about This Topic: Neurally adjusted ventilatory assist matches the mechanical pressure from the ventilator to the patient’s respiratory drive sensed from the electrical activity of the diaphragm, but the optimal degree of diaphragm unloading is uncertain What This Article […]
Read MoreIntrathecal drug delivery systems may be ineffective in reducing pain and oral opioid intake in individuals with complex regional pain syndrome, according to a study recently published in Pain Medicine. This study included 1653 individuals with implanted intrathecal drug delivery systems, 62 of whom had received the device to alleviate complex regional pain syndrome-related pain(n=26 with ≥ 4 […]
Read MoreAuthors: Merrick Miles, MD and Kimberley Nichols, MD Anesthesiology News Dural puncture after labor epidural placement occurs in up to 1.5% of parturients.1 Many factors have been hypothesized that might put a patient at risk for dural puncture, such as a large needle gauge and patient position during placement. However, a history of prior epidural steroid injections has not […]
Read MoreAuthor: Thomas Rosenthal Anesthesiology News Dexmedetomidine offers several important advantages for weaning patients off mechanical ventilation in the ICU. But whether the drug is a clear-cut front-runner for these patients—particularly the 15% who prove resistant to such weaning—needs further study, Gilles L. Fraser, PharmD, MCCM, noted during the 2018 annual congress of the Society of Critical […]
Read MoreAuthors: Haidl F et al Acta Anaesthesiologica Scandinavica (Jun 2018) BACKGROUND The combination of low-dose local anesthesia and lipophilic opioids such as fentanyl is established as a standard solution for labor epidural analgesia. Fentanyl increases efficacy, but may have negative effects on the neonate in terms of reduced neonatal neurologic and adaptive capacity scores and […]
Read MoreAuthors: Hovaguimian F et al Acta Anaesthesiologica Scandinavica (Jun 2018) BACKGROUND Postoperative cognitive complications are associated with substantial morbidity and mortality. Ketamine has been suggested to have neuroprotective effects in various settings. This systematic review evaluates the effects of intraoperative ketamine administration on postoperative delirium and postoperative cognitive dysfunction (POCD). METHODS Medline, Embase and Central […]
Read MoreAuthor: Elizabeth A.M. Frost, MD Anesthesiology News What Is It? Named after Antoine Marfan, a French pediatrician who first described the disorder in 1896, Marfan syndrome (MFS) is a connective tissue disorder of autosomal dominant inheritance, affecting the cardiovascular, skeletal, and ocular systems.1 Pulmonary involvement is less frequent. The gene linked to MFS was identified by Francesco […]
Read MoreAnyone who has ever stayed overnight in a hospital will know how difficult it can be to sleep, surrounded by staff, machinery, trolleys and telephones. In the UK, 40% of hospital patients are bothered by noise at night, according to in-patient surveys. But it’s not only the patients’ wellbeing that may be affected – high […]
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