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An analysis in the Clinical Journal of the American Society of Nephrology indicates that despite current recommendations, opioid pain medications may not be safe for patients undergoing haemodialysis. Individuals with kidney failure undergoing haemodialysis may be especially vulnerable to opioid-related complications due to factors such as their kidneys’ reduced ability to clear drugs from the body. To […]
Read MorePoor physician communication contributes to liability—independent of injury—in almost a fifth of all perioperative anesthesia malpractice claims. In a review of malpractice cases, it was found that anesthesia payments were more common in claims with liability-related communication failures than in those with no communication failures. “Poor physician communication is known to contribute to malpractice,” said […]
Read MoreCassandra Wasson, DO Alice Tsao, MD Case Description A 76-year-old woman with a medical history of hypertension and oral cancer status post-left mandibulectomy, glossectomy and radiation required surgical correction of an olecranon fracture after a ground-level fall. During the patient’s preoperative evaluation, she was found to be edentulous, with a Mallampati classification of IV, and […]
Read MoreAdministration of hyaluronidase and corticosteroid methylprednisolone acetate to the epidural space during epiduroscopy for failed back surgery-related radicular pain may improve back pain and disability at 1 year, according to a study published in Pain Medicine. In this randomized double-blind trial (Clinicaltrials.gov identifier: NCT02459392), 45 patients (age ≥18 years; with permanent low back pain and >60% radicular pain) with failed […]
Read MoreA member of the family that owns Purdue Pharma — which is being sued by more than 1,000 jurisdictions for its alleged role in seeding the opioid crisis with its pain medication OxyContin — has been awarded a patent for a treatment for opioid use disorder. Dr. Richard Sackler is listed as one of six inventors on the […]
Read MoreA new study suggests that the association of sodium intake with cardiovascular disease (CVD) is valid only when mean intake is greater than 5 g/day, and with lower intake, the inverse relationship may be true. Researchers at McMaster University (Hamilton, ON, Canada), King Saud University (KSU; Riyadh, Saudi Arabia), Aga Khan University (Karachi, Pakistan), and […]
Read MoreThe use of high doses of opioids — particularly long-acting opioids — during surgery may increase the risk for 30-day readmission, according to a recent study published in British Journal of Anaesthesia. The registry data of 153,902 patients (ambulatory surgery, n=40,060; non-ambulatory surgery, n=113,842) who underwent surgery with general anesthesia at 3 hospitals, including Massachusetts General […]
Read MoreSciatic nerve block may represent an effective complement to femoral nerve block for total knee arthroplasty, particularly in patients at high risk for postoperative opioid use, according to a systematic literature review published in Journal of Anesthesia. Researchers conducted a meta-analysis of prospective randomized studies comparing femoral plus sciatic nerve blocks vs femoral nerve block alone for total […]
Read MoreAuthors: Nicholas Heming, M.D., Ph.D. et al Anesthesiology published September 12, 2018. What We Already Know about This Topic: Whether crystalloid or colloids are preferable for treatment of hypovolemic shock in surgical patients remains unclear What This Article Tells Us That Is New: In a preplanned subgroup analysis of a previous trial, the authors compared 28-day […]
Read MoreN.H. Sperna Weiland et al,Authors: N. H,Background The baroreflex regulates arterial blood pressure (BP). During periods when blood pressure changes, cerebral blood flow (CBF) is kept constant by cerebral autoregulation (CA). In patients with diabetes mellitus (DM), low baroreflex sensitivity (BRS) is associated with impaired CA. As sevoflurane-based anaesthesia obliterates BRS, we hypothesised that this […]
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