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A comprehensive blood management program for orthopedic surgery patients is not only effective in reducing overall blood utilization but is also associated with reduced length of stay (LOS) and readmissions, with no increase in adverse outcomes, a study has concluded. “One year ago, the AABB [American Association of Blood Banks] released its clinical practice guidelines […]
Read MorePackage inserts for opioid analgesics may not consistently provide information regarding safe drug storage and/or disposal, according to a brief research report by investigators at the Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, and Vanderbilt University Medical Center, Nashville, Tennessee. Misuse of prescription opioids represents the main source of diversion of medication, presumably […]
Read MoreMerrick Miles, MD Kimberley Nichols, MD Introduction 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 MoreAuthors Choi YS et al Therapeutics and Clinical Risk Management » Volume 14 Background: Postoperative nausea and vomiting (PONV) is a common complication after surgery, which increases physical and psychological discomfort and delays recovery. The aim of this study was to test the hypothesis that ramosetron is comparable to ondansetron for the treatment of established PONV after laparoscopic surgery […]
Read MorePatients who have been taking opioid pain relievers for several months before spinal fusion surgery are at increased risk of complications after their surgery, according to a study published in Spine. “With increasing emphasis on cost containment and quality improvement, our findings are intended to caution providers about chronic opioid therapy as a risk factor for […]
Read MoreFor joint replacement patients, cognitive therapy (CT) via Skype to mitigate catastrophizing is almost as effective as in-person therapy, according to a poster presented at the 2017 meeting of the American Society of Anesthesiologists (abstract A4153). People who catastrophize—that is, who view their likely outcomes pessimistically—are more likely to have persistent postsurgical pain after an […]
Read MoreBRIDION® (sugammadex) Injection 100 mg/mL (equivalent to 108.8 mg/mL sugammadex sodium) Demonstrated Efficacy in Cardiac Patient Populations With No Dose Adjustments Indication BRIDION is indicated for the reversal of neuromuscular blockade induced by rocuronium bromide and vecuronium bromide in adults undergoing surgery. In a clinical study, BRIDION provided reversal of rocuronium-induced moderate neuromuscular blockade (NMB) (reappearance of T2) […]
Read MoreThe addition of perineural dexamethasone may significantly prolong the duration of interscalene block over IV administration of the adjuvant, but this benefit likely is not enough to overcome the potential for adverse effects. Researchers found little difference between 4- and 8-mg doses of dexamethasone on block prolongation. “Although interscalene block is known to provide effective […]
Read MoreA single lumbar sympathetic block may alleviate residual pain, phantom limb pain and perceived disability in patients with post-amputation pain, according to a case series published in Pain Medicine. The case series included 4 patients selected from the Pathophysiology of Post-Amputation Pain study in which participants received either a single lumbar sympathetic block with 0.25% bupivacaine or sham […]
Read MorePatients with cancer could benefit from a simple bedside system to manage their pain, according to a study published in the Journal of Clinical Oncology. The new approach reduces pain levels compared with conventional care, according to Marie Fallon, MD, Palliative and Supportive Care Group, University of Edinburgh, Edinburgh, United Kingdom, and colleagues. The researchers worked […]
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