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Authors: Firanescu CE et al. BMJ 2018 May 9 Vertebroplasty was no better than sham procedures in a randomized trial. In previous trials, vertebroplasty for pain relief has not outperformed sham procedures in patients with acute osteoporotic compression fractures (e.g., NEJM JW Gen Med Sep 1 2009 and N Engl J Med2009; 361:569 and 557). To address some methodological […]
Read MoreTranscutaneous electrical nerve stimulation (TENS) may represent an effective treatment for the prevention and management of migraine, according to a meta-analysis published in the Journal of Headache and Pain. Although promising, the findings presented by the researchers are based on low quality of evidence. TENS consists of the delivery of pulsed low-voltage electrical currents across the […]
Read MorePatients undergoing surgery for degenerative spondylolisthesis are more likely to have a dependency on opioid medications before surgery than afterward, according to research published in the Journal of Neurosurgery: Spine. For the study, Mayur Sharma, MD, Cleveland Clinic, Cleveland, Ohio, and colleagues analysed a database containing 10,708 patients who had undergone surgery for degenerative spondylolisthesis. The […]
Read MoreIntravenous (IV) acetaminophen does not meaningfully decrease opioid use following colorectal procedures, especially compared with oral acetaminophen, according to a study published in Anesthesiology. “With any new drug that is introduced to the US market, it is very important to monitor how it is used and if this results in the desired outcomes,” said Jashvant Poeran, […]
Read MoreAuthors: Al-Ashqar M et al Annals of the Royal College of Surgeons of England 1-5 (Jun 2018) Introduction The ‘weekend effect’ is said to occur when patient outcomes are adversely affected by the day of the week on which they present to hospital or have surgery. However, it is uncertain whether such a phenomenon exists […]
Read MoreThe passive leg raise (PLR) results in fewer attempts at intravenous (IV) access than no leg raise in paediatric patients, according to a study presented here at the 2018 Annual Meeting of the Canadian Anesthesiologists Society (CAS). “Obtaining IV access can be a challenge in the paediatric setting,” explained Patrick Valcke, MD, University of Saskatchewan, […]
Read MoreFrost Series #339 Written by: David Kaplan, MD, and Dmitri Bezinover, MD Reviewed by: Sonia Vaida, MD Since Thomas Starzl, MD, PhD, performed the first successful liver transplant in 1967, optimal intraoperative hemodynamic monitoring has been debated. In the early years, transesophageal echocardiography (TEE) was reserved primarily for patients undergoing cardiac surgery, but is increasingly […]
Read MoreAuthors: Lizaur-Utrilla A et al International Orthopaedics (May 2018) PURPOSE The purposes of this study were to identify the reasons for delayed surgery following hip fractures and analyze the impact of these reasons on 1-year mortality. METHODS A prospective cohort study of 1234 patients with mean age of 83.1 (range 65-92, SD 8.0) who underwent […]
Read MoreAuthors: Wang P et al. Gut 2018 May 18 Postprocedure infections are not unusual after colonoscopy or esophagogastroduodenoscopy. Although concerns have been raised regarding bleeding and perforation with endoscopic procedures, little attention has been given to the risk for infection after colonoscopy and esophagogastroduodenoscopy (EGD). To estimate the rate of infections following these procedures, researchers analyzed […]
Read MoreAuthors: Jonathan P. Wanderer et al Anesthesiology 9 2018, Vol.129, A19. Complex Information for Anesthesiologists Presented Quickly and Clearly A. fib = atrial fibrillation; CABG = coronary artery bypass graft; MAP = mean arterial pressure; OR = odds ratio. Infographic created by Jonathan P. Wanderer, Vanderbilt University Medical Center, and James P. Rathmell, Brigham and Women’s […]
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