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Nearly half of patients who suffer an out-of-hospital cardiac arrest (OHCA) develop acute respiratory distress syndrome (ARDS) within 48 hours. Those patients who develop ARDS after an OHCA spend more days in the ICU and on a ventilator, die more often, and are less likely to recover with good functional status. “Cardiac arrest is not […]
Read MoreWritten by: David Ermak, DO Reviewed by: Sonia Vaida, MD A 31-year-old primigravida at 39 weeks’ gestation with no prenatal care presented to the labor and delivery unit in active labor. She had been diagnosed with multiple sclerosis (MS) at 28 years of age. She was treated with glatiramer acetate, but discontinued the medication due […]
Read MoreOlder patients undergoing hip fracture surgery have a greater risk of developing post-surgery pneumonia if they receive general anaesthesia rather than a spinal block during the procedure, according to a study presented here at the 2018 Annual Meeting of the American Geriatrics Society (AGS). Of the 66 patients in the study aged 70 years and […]
Read MoreAuthors: Lee H et al Journal of Ultrasound in Medicine (Sep 2018) OBJECTIVES To compare the efficacy of a conventional fluoroscopy-guided epidural nerve block and an ultrasound (US)-guided intercostal nerve block in patients with thoracic herpes zoster (HZ). METHODS This work was a comparative study of 38 patients with thoracic HZ pain and a chest […]
Read MoreAuthors: Ditre JW et al. J Abnorm Psychol 2018 May 21. In some people, quit attempts might be thwarted by increases in pain reactivity. The prevalence of cigarette smoking in people with pain is higher than in the general population. Situational pain has both been found to motivate smoking behavior and been associated with relapse; furthermore, […]
Read MoreAn individualised approach to postpartum pain management that may include non-opioids, opioids, and non-pharmacologic approaches is appropriate for women following childbirth, according to new guidance released by the American College of Obstetricians and Gynecologists (ACOG). Evidence shows that women experience pain in variable ways during the early postpartum period. As such, providers should engage in […]
Read MoreLiposomal bupivacaine did not reduce in-hospital opioid prescriptions or opioid-related complications in patients who received the drug during total knee replacement surgery, finds a study published Anesthesiology. Previous studies suggested that the long-lasting pain control provided by liposomal bupivacaine could reduce the need for opioid painkillers, leading researchers to analyse how it would fare as part […]
Read MoreAuthors: Pollard R et al Anesthesia & Analgesia (May 2018) BACKGROUND Perianesthetic mortality (death occurring within 48 hours of an anesthetic) continues to vary widely depending on the study population examined. The authors study in a private practice physician group that covers multiple anesthetizing locations in the Southeastern United States. This group has in place […]
Read MoreA recent survey of anesthesiologists across the United States found a lack of consensus on appropriate patient selection criteria at ambulatory surgery centers (ASCs). The study’s authors said the survey results call attention to an urgent need to obtain a consensus on evidence-based inclusion and exclusion criteria for these facilities. Researchers at the University of […]
Read MorePatients with fibromyalgia who regularly visit their physicians are much less likely to attempt suicide than those who do not, according to a study published in Arthritis Care & Research. Patients who did not attempt suicide were at the doctor an average of 50 hours per year versus less than 1 hour per year for the […]
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