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Sugmmadex reverses vecuronium-induced NMB faster than neostigmineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Sugammadex provides significantly faster reversal of vecuronium-induced neuromuscular blockade than neostigmine, research results show. (Source: MedWire News - Anesthesiology)
Source: MedWire News - Anesthesiology - November 6, 2009 Category: Anesthesiology Source Type: news

Acetaminophen May Be Linked To Asthma In Children And AdultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
New research shows that the widely used pain reliever acetaminophen may be associated with an increased risk of asthma and wheezing in both children and adults exposed to the drug. Researchers from the University of British Columbia, Vancouver, BC, Canada, conducted a systematic review and metaanalysis of 19 clinical studies (total subjects=425,140) that compared the risk of asthma or wheezing with acetaminophen exposure. (Source: Pain / Anesthetics News From Medical News Today)
Source: Pain / Anesthetics News From Medical News Today - November 6, 2009 Category: Anesthesiology Tags: Pain / Anesthetics Source Type: news

Health Tip: What's Behind Hip Bursitis?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: Health Tip: What's Behind Hip Bursitis?Category: Health NewsCreated: 11/6/2009 8:10:00 AMLast Editorial Review: 11/6/2009 (Source: MedicineNet Chronic Pain General)
Source: MedicineNet Chronic Pain General - November 6, 2009 Category: Anesthesiology Source Type: consumer

OsteomyelitisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: OsteomyelitisCategory: Diseases and ConditionsCreated: 11/6/2009 5:06:00 PMLast Editorial Review: 11/6/2009 5:06:05 PM (Source: MedicineNet Chronic Pain General)
Source: MedicineNet Chronic Pain General - November 6, 2009 Category: Anesthesiology Source Type: consumer

rFVIIa lessens bleeding after cardiac surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Recombinant activated factor VII may be beneficial for treating bleeding after cardiac surgery, preliminary research suggests. (Source: MedWire News - Anesthesiology)
Source: MedWire News - Anesthesiology - November 6, 2009 Category: Anesthesiology Source Type: news

PPIs can be used with thienopyridinesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Clinicians do not need to avoid concomitant use of proton pump inhibitors during percutaneous coronary intervention surgery in acute coronary syndrome patients receiving clopidogrel or prasugrel, study findings indicate. (Source: MedWire News - Anesthesiology)
Source: MedWire News - Anesthesiology - November 6, 2009 Category: Anesthesiology Source Type: news

Stroke volume variation fails to predict fluid responsiveness in abdominal surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Measuring stroke volume variation using the FloTrac/Vigileo system does not reliably predict fluid responsiveness in patients undergoing major abdominal surgery, researchers report. (Source: MedWire News - Anesthesiology)
Source: MedWire News - Anesthesiology - November 6, 2009 Category: Anesthesiology Source Type: news

Comparison of fibrescope guided intubation via the classic laryngeal mask airway and i-gel in a manikin*Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We compared the classic laryngeal mask airway and i-gel as adjuncts to fibrescope guided intubation in a manikin. Two methods of intubation were compared with each device: the tracheal tube directly over the fibrescope; and the tracheal tube over an Aintree Intubation Catheter. Thirty-two anaesthetists took part in this randomised crossover study. Each anaesthetist performed two intubations with each method via each device. The mean (SD) time for the first intubation using the tracheal tube over the fibrescope was 43 (24) s with the classic laryngeal mask airway and 22 (9) s with the i-gel (95% CI for the difference 12[nda...
Source: Anaesthesia - November 6, 2009 Category: Anesthesiology Authors: L. de Lloyd, I. Hodzovic, S. Voisey, A. R. Wilkes, I. P. Latto Source Type: journals

Radiation Therapy Technique Successfully Treats Pain In Patients With Advanced CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Stereotactic radiosurgery (SRS), a radiation therapy procedure pioneered at the University of Pittsburgh Cancer Institute (UPCI) that precisely delivers a large dose of radiation to tumors, effectively controls pain in patients with cancer that has spread to the spine, according to researchers from UPCI. The results of the research were presented this week during the American Society for Radiation Oncology (ASTRO) annual meeting in Chicago, being held November 1 - 5, 2009. (Source: Pain / Anesthetics News From Medical News Today)
Source: Pain / Anesthetics News From Medical News Today - November 5, 2009 Category: Anesthesiology Tags: Pain / Anesthetics Source Type: news

MTRAC verdict: Oxycodone + naloxone in severe painEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: MTRAC Area: Evidence > Drug Specific Reviews The Midlands Therapeutics Review and Advisory Committee (MTRAC) has reviewed the evidence on oxycodone + naloxone combination prolonged release tablets (Targinact®) for the management of severe pain. The Committee concluded that oxycodone/naloxone prolonged-release tablets were suitable for prescribing in primary care for patients with severe opioid responsive pain who have persistent constipation despite standard laxative treatment. The evidence for efficacy and safety is relatively weak, and it has not been compared to the standard first-line treatment of ...
Source: NeLM - Pain control - November 5, 2009 Category: Anesthesiology Source Type: organizations

MTRAC verdict: Duloxetine in pain due to diabetic peripheral neuropathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: MTRAC Area: Evidence > Drug Specific Reviews The Midlands Therapeutics Review and Advisory Committee (MTRAC) has reviewed the evidence on duloxetine (Cymbalta®) for diabetic peripheral neuropathic pain in adults. The Committee concluded that duloxetine is suitable for primary care prescribing in this situation. It noted that the evidence for benefit was relatively strong, and that a draft NICE guideline recommends it for first-line use. Duloxetine had been assessed in this indication in three placebo-controlled trials, reducing 24-hour pain scores to a significantly greater degree than...
Source: NeLM - Pain control - November 5, 2009 Category: Anesthesiology Source Type: organizations

Bispectral index during cardiopulmonary resuscitation: a poor indicator of recovery. Two very different casesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report two cases of massive intra-operative bleeding during lung transplantation requiring emergency cardiopulmonary bypass. In both cases the bispectral index dropped to 0, remained low for around 30 and 90 min respectively, and then returned to values consistent with a usual anaesthetic state (around 40). At the time bispectral monitoring provided some reassurance to the medical team about the adequacy of the resuscitation. However, this proved misleading since postoperative neurological recovery was favourable in one case but not in the other. (Source: Anaesthesia)
Source: Anaesthesia - November 5, 2009 Category: Anesthesiology Authors: V. Dumans-Nizard, S. Hamada, M. Fischler Source Type: journals

Protocol for the "Michigan Awareness Control Study": A prospective, randomized, controlled trial comparing electronic alerts based on bispectral index monitoring or minimum alveolar concentration for the prevention of intraoperative awarenessEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: The incidence of intraoperative awareness with explicit recall is 1-2/1000 cases in the United States. The Bispectral Index monitor is an electroencephalographic method of assessing anesthetic depth that has been shown in one prospective study to reduce the incidence of awareness in the high-risk population. In the B-Aware trial, the number needed to treat in order to prevent one case of awareness in the high-risk population was 138. Since the number needed to treat and the associated cost of treatment would be much higher in the general population, the efficacy of the Bispectral Index monitor in preventing awa...
Source: BMC Anesthesiology - November 5, 2009 Category: Anesthesiology Authors: George MashourKevin TremperMichael Avidan Source Type: journals

How Safe Are Popular Reflux Drugs?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: How Safe Are Popular Reflux Drugs?Category: Health NewsCreated: 11/4/2009 8:10:00 AMLast Editorial Review: 11/4/2009 (Source: MedicineNet Chronic Pain General)
Source: MedicineNet Chronic Pain General - November 4, 2009 Category: Anesthesiology Source Type: consumer

[Is less always more? : Modalities of extended haemodynamic monitoring for single-lung ventilation.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19885648 [PubMed - as supplied by publisher] (Source: Der Anaesthesist)
Source: Der Anaesthesist - November 4, 2009 Category: Anesthesiology Authors: Rex S Tags: Anaesthesist Source Type: journals

The effect of pre-emptive use of minimal dose fentanyl on fentanyl-induced coughingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We performed a randomised, double-blind study to evaluate the effect of the pre-emptive use of minimal dose intravenous fentanyl (25 [mu]g) on the incidence of cough caused by a larger bolus of intravenous fentanyl. Six hundred patients were randomly assigned to one of three groups to receive either 0.5 ml saline 0.9% 1 min before administration of fentanyl 150 [mu]g (3 ml), or pre-emptive fentanyl 25 [mu]g (0.5 ml) 1 min before administration of fentanyl 125 [mu]g or 150 [mu]g. The incidence of fentanyl-induced cough was significantly lower in both pre-emptive groups (7 (3.5%) for 125 [mu]g fentanyl and 15 (7.5%) for 150 ...
Source: Anaesthesia - November 4, 2009 Category: Anesthesiology Authors: K.-C. Hung, C.-W. Chen, V. C.-H. Lin, H.-C. Weng, S.-W. Hsieh Source Type: journals

The impact of computerised physician order entry on prescribing practices in a cardiothoracic intensive care unit*Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This prospective, time series, cross-sectional study was designed to compare the quality of handwritten vs computerised prescriptions in a tertiary 25-bedded cardiothoracic intensive care unit. A total of 14 721 prescriptions for 613 patients were analysed over three periods of investigation: 7 months before; and 5 and 12 months after implementation of a clinical information system with computerised physician order entry capability. Errors in prescribing were common. Only (53%) of handwritten charts analysed had all immediate administration drugs prescribed correctly. Errors included omission of route 81 (8.0%), date of pr...
Source: Anaesthesia - November 4, 2009 Category: Anesthesiology Authors: J. Ali, L. Barrow, A. Vuylsteke Source Type: journals

Monitoring of haemostasis in liver transplantation: comparison of laboratory based and point of care testsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
During orthotopic liver transplanatation haemostasis is often disturbed and coagulation monitoring is mandatory. We compared the results obtained by whole blood prothrombin time and activated partial thromboplastin time assays (Hemochron®) and thrombelastometry (ROTEM® 05) with laboratory coagulation assays (prothrombin time, activated partial prothrombin time, fibrinogen, and platelet count) in samples obtained during orthotopic liver transplantations. Determination of prothrombin time and activated partial prothrombin time using the Hemochron device showed good correlation with laboratory coagulation assays (r = 0.912,...
Source: Anaesthesia - November 4, 2009 Category: Anesthesiology Authors: F. Herbstreit, E. M. Winter, J. Peters, M. Hartmann Source Type: journals

HLA-DR expression and differential trafficking of monocyte subsets following low to intermediate risk surgery*Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Reduced HLA-DR expression on monocytes has been suggested as a predictive marker of immunosuppression following very high risk surgery, but there are few reports in lower risk surgery. In 32 patients undergoing low to intermediate risk surgery, blood samples were analysed by flow cytometry for HLA-DR expression and numbers in both CD14high and CD14lowCD16+ monocyte subsets. The numbers of CD14high monocytes increased at 24 h (mean (SD), 5.0 (2.2) vs 7.6 (3.9) × 105 cells.ml[minus]1; p < 0.01) while CD14lowCD16+ monocytes decreased (0.68 (0.36) vs 0.44 (0.36) × 105 cells.ml[minus]1; p < 0.01). HLA-DR expression was signif...
Source: Anaesthesia - November 4, 2009 Category: Anesthesiology Authors: J. M. Handy, A. J. Scott, A. M. Cross, P. Sinha, K. P. O'Dea, M. Takata Source Type: journals

APA national audit of pediatric opioid infusionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The overall incidence of 1 : 10 000 of serious harm with opioid infusion techniques in children is comparable to the risks with pediatric epidural infusions and central blocks identified by two recent UK national audits (1,2). Avoidable factors were identified including prescription and pump programming errors, use of concurrent sedatives or opioids by different routes and overgenerous dosing in infants. Early respiratory depression in patients with specific risk factors, such as young age, neurodevelopmental, respiratory, or cardiac comorbidities, who are receiving nurse-controlled analgesia or continuous opi...
Source: Pediatric Anesthesia - November 4, 2009 Category: Anesthesiology Authors: NEIL S. MORTON, AGATA ERRERA Source Type: journals

Restless Legs May Vary by Race and GenderEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: Restless Legs May Vary by Race and GenderCategory: Health NewsCreated: 11/2/2009 2:10:00 PMLast Editorial Review: 11/3/2009 (Source: MedicineNet Chronic Pain General)
Source: MedicineNet Chronic Pain General - November 3, 2009 Category: Anesthesiology Source Type: consumer

Clinical review: Pain management and sedation for children in the emergency departmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: BMJ Area: News The authors of this review article provide an overview of published evidence to help clinicians assess, manage, and minimise pain in children presenting to hospital. The following questions are addressed: . How is acute pain best assessed in children? . What is the role of non-pharmacological methods in paediatric pain relief? . What is the best initial choice of analgesic drug? . How can procedures be carried out without causing further pain? . Which topical anaesthetics are available for cannulation and venepuncture? . What are the topical, local, or ...
Source: NeLM - Pain control - November 2, 2009 Category: Anesthesiology Source Type: organizations

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: European Journal of Pain)
Source: European Journal of Pain - November 1, 2009 Category: Anesthesiology Source Type: journals

Redistribution of Tissue Blood Flow After Stellate Ganglion Block in the RabbitEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: These results indicate that lower limb and visceral blood flow as well as blood flow on the nonblock side are redistributed to the block side after SGB. Redistribution from peripheral tissue may have a more important role than that of visceral blood flow redistribution after SGB. (C)2009 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - November 1, 2009 Category: Anesthesiology Tags: Original Articles Source Type: journals

Less Urinary Tract Infection by Earlier Removal of Bladder Catheter in Surgical Patients Receiving Thoracic Epidural AnalgesiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Leaving the bladder catheter as long as the epidural analgesia is maintained results in a higher incidence of UTI and prolonged hospital stay. Removal of the bladder catheter on the morning after surgery does not lead to higher rate of catheterizations. (C)2009 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - November 1, 2009 Category: Anesthesiology Tags: Original Articles Source Type: journals

Preliminary Results of the Australasian Regional Anaesthesia Collaboration: A Prospective Audit of More Than 7000 Peripheral Nerve and Plexus Blocks for Neurologic and Other ComplicationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: These results indicate that the incidence of serious complications after peripheral nerve blockade is uncommon and that the origin of neurologic symptoms/signs in the postoperative period is most likely to be unrelated to nerve blockade. (C)2009 American Society of Regional Anesthesia and Pain Medicine (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - November 1, 2009 Category: Anesthesiology Tags: Original Articles Source Type: journals

Ultrasound in Regional Anesthesia: Where Should the "Focus" Be Set?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - November 1, 2009 Category: Anesthesiology Tags: Editorial Source Type: journals

Effect of neck movement on endotracheal tube position.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19882197 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - October 31, 2009 Category: Anesthesiology Authors: Rai E Tags: Can J Anaesth Source Type: journals

Persistency and pathway of isoflurane-induced inhibition of superoxide production by neutrophils.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Isoflurane administration caused prolonged (from 24 to 48 hr) decreases in agonist-induced SOP by neutrophils. This effect involved inhibition at site(s) in the signalling pathway upstream from protein kinase C. The current findings suggest that the intraoperative use of isoflurane may result in an extended impairment to the antibacterial host defense mechanism and that neutrophil inhibition may play a role in the delayed tissue protection afforded by treatment with volatile anesthetics. PMID: 19882198 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - October 31, 2009 Category: Anesthesiology Authors: Saad MM, Eom W, Hu G, Kim SJ, Crystal GJ Tags: Can J Anaesth Source Type: journals

Comparison of a single-use GlideScope((R)) Cobalt videolaryngoscope with a conventional GlideScope((R)) for orotracheal intubation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The GlideScope((R)) Cobalt has similar performance characteristics compared with the conventional GlideScope((R)) videolaryngoscope when used for orotracheal intubation. The two devices can likely be used interchangeably. (ClinicalTrials.gov number, NCT00459797.). PMID: 19882199 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - October 31, 2009 Category: Anesthesiology Authors: Jones PM, Turkstra TP, Armstrong KP, Armstrong PM, Harle CC Tags: Can J Anaesth Source Type: journals

Better Drug Emerges for Steroid-Induced Bone LossEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: Better Drug Emerges for Steroid-Induced Bone LossCategory: Health NewsCreated: 10/29/2009 12:10:00 PMLast Editorial Review: 10/30/2009 (Source: MedicineNet Chronic Pain General)
Source: MedicineNet Chronic Pain General - October 30, 2009 Category: Anesthesiology Source Type: consumer

Study Eases Arthritis Drug Cancer FearsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: Study Eases Arthritis Drug Cancer FearsCategory: Health NewsCreated: 10/30/2009 10:05:00 AMLast Editorial Review: 10/30/2009 10:05:56 AM (Source: MedicineNet Chronic Pain General)
Source: MedicineNet Chronic Pain General - October 30, 2009 Category: Anesthesiology Source Type: consumer

[Wernicke's encephalopathy presenting as unexplained coma with hyperlactatemia.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19880270 [PubMed - as supplied by publisher] (Source: Annales Francaises d'Anesthesie et de Reanimation)
Source: Annales Francaises d'Anesthesie et de Reanimation - October 30, 2009 Category: Anesthesiology Authors: Faivre A, Lacroix G, Montcriol A, Lafolie T, Meaudre E Tags: Ann Fr Anesth Reanim Source Type: journals

Prévention des infections nosocomiales en réanimation (transmission croisée et nouveau-né exclus).Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Prévention des infections nosocomiales en réanimation (transmission croisée et nouveau-né exclus). Ann Fr Anesth Reanim. 2009 Oct 30; Authors: PMID: 19880271 [PubMed - as supplied by publisher] (Source: Annales Francaises d'Anesthesie et de Reanimation)
Source: Annales Francaises d'Anesthesie et de Reanimation - October 30, 2009 Category: Anesthesiology Tags: Ann Fr Anesth Reanim Source Type: journals

Infusion of hypertonic saline/starch during cardiopulmonary bypass reduces fluid overload and may impact cardiac functionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study aimed to confirm an improvement of cardiopulmonary function by reducing fluid loading during an open-heart surgery. Forty-nine elective CABG patients were randomized to an intraoperative infusion of hypertonic saline/hydroxyethyl starch (HSH group) or Ringer's solution (CT group). Both groups received 1 ml/kg/h of the study solution for 4 h after baseline values were obtained (PICCO® transpulmonary thermodilution technique). Net fluid balance (NFB), hemodynamic and laboratory parameters were measured. NFB was four times higher in the CT group compared with the HSH group during the first 6 h post-operatively. Th...
Source: Acta Anaesthesiologica Scandinavica - October 30, 2009 Category: Anesthesiology Authors: V. L. KVALHEIM, M. FARSTAD, E. STEIEN, A. MONGSTAD, B. A. BORGE, P. M. KVITTING, P. HUSBY Source Type: journals

Overdose Deaths in Washington Medicaid Enrollees on the RiseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Medicaid patients in the Washington area made up nearly half of overdose deaths involving prescription opioids, a report from several health and human service agencies in Washington said. (Source: MedPage Today Pain Management)
Source: MedPage Today Pain Management - October 29, 2009 Category: Anesthesiology Source Type: news

Surgical treatment of non-insertional achilles tendinitis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Noninsertional Achilles tendinitis is a distinct clinical entity, frequently characterized by swelling, pain, and lower limb dysfunction. This condition can be frustrating to treat, for the patient and the physician alike, as reflected in the various treatments, both conservative and surgical, that have been described. Although many patients with Achilles tendinitis can be successfully treated with nonoperative methods, persistent symptoms require surgical treatment, such as tenotomy, debridement, or repair. PMID: 19857839 [PubMed - in process] (Source: Pain Physician)
Source: Pain Physician - October 29, 2009 Category: Anesthesiology Authors: Murphy GA Tags: Foot Ankle Clin Source Type: journals

Pharmaceutical Society Of Australia Supports Draft National Pain StrategyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Pharmaceutical Society of Australia (PSA) has welcomed the release of the initial draft of the National Pain Strategy. PSA National Vice President and the only pharmacy representative on to the National Pain Summit Leaders' Meeting, Dr Lisa Nissen, said that PSA supported the intent of the draft strategy and looked forward to seeing the strategy finalised. (Source: Pain / Anesthetics News From Medical News Today)
Source: Pain / Anesthetics News From Medical News Today - October 29, 2009 Category: Anesthesiology Tags: Pain / Anesthetics Source Type: news

Tai Chi May Help Ward Off Knee Pain in SeniorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: Tai Chi May Help Ward Off Knee Pain in SeniorsCategory: Health NewsCreated: 10/29/2009 8:10:00 AMLast Editorial Review: 10/29/2009 (Source: MedicineNet Chronic Pain General)
Source: MedicineNet Chronic Pain General - October 29, 2009 Category: Anesthesiology Source Type: consumer

New Clues to How Fish Oils Help Arthritis PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: New Clues to How Fish Oils Help Arthritis PatientsCategory: Health NewsCreated: 10/28/2009 2:10:00 PMLast Editorial Review: 10/29/2009 (Source: MedicineNet Chronic Pain General)
Source: MedicineNet Chronic Pain General - October 29, 2009 Category: Anesthesiology Source Type: consumer

Takes a Pro to Make Offices Pain-FreeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: Takes a Pro to Make Offices Pain-FreeCategory: Health NewsCreated: 10/28/2009 12:10:00 PMLast Editorial Review: 10/29/2009 (Source: MedicineNet Chronic Pain General)
Source: MedicineNet Chronic Pain General - October 29, 2009 Category: Anesthesiology Source Type: consumer

[Elderly, loneliness, vulnerability and consent to care.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19879718 [PubMed - as supplied by publisher] (Source: Annales Francaises d'Anesthesie et de Reanimation)
Source: Annales Francaises d'Anesthesie et de Reanimation - October 29, 2009 Category: Anesthesiology Authors: Dourthe C, Cotty E, Bécot-Mahaud S, Bonnin E, Boulanger S, Delcampo MP, Schreiner AS Tags: Ann Fr Anesth Reanim Source Type: journals

Tracheal intubation with the AirwayScope videolaryngoscope using straight vs curved reinforced tubes.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19866244 [PubMed - as supplied by publisher] (Source: Canadian Journal of Anaesthesia)
Source: Canadian Journal of Anaesthesia - October 29, 2009 Category: Anesthesiology Authors: Minonishi T, Kinoshita H, Tange K, Hatakeyama N, Matsuda N, Azma T, Hatano Y Tags: Can J Anaesth Source Type: journals

Evidence-based medicine for lung-protective ventilation: the emperors new clothes for doubtful recommendations?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Acta Anaesthesiologica Scandinavica)
Source: Acta Anaesthesiologica Scandinavica - October 29, 2009 Category: Anesthesiology Authors: J. SAMARÜTEL Source Type: journals

Infusions of albumin increase free fraction of naproxen in healthy volunteers: a randomized crossover studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In vitro and in vivo studies have indicated that stabilizers present in pharmaceutical-grade albumin influence the albumin-binding capacity for highly protein-bound drugs. However, the half-life of the stabilizers and the quantitative effect have been difficult to determine. A randomized crossover study including six healthy volunteers was performed. The study subjects received 750 mg of oral naproxen 2 h before the study. They were randomized to receive either 100 ml of 20% albumin or 100 ml of Ringer's acetate solution intravenously. Frequent blood samples were obtained. The experiment was repeated 4 weeks later with the...
Source: Acta Anaesthesiologica Scandinavica - October 29, 2009 Category: Anesthesiology Authors: P. A. REINE, U. E. KONGSGAARD, A. ANDERSEN, A.-K. THØGERSEN, H. OLSEN Source Type: journals

Chest physiotherapy with positive expiratory pressure breathing after abdominal and thoracic surgery: a systematic reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A variety of chest physiotherapy techniques are used following abdominal and thoracic surgery to prevent or reduce post-operative complications. Breathing techniques with a positive expiratory pressure (PEP) are used to increase airway pressure and improve pulmonary function. No systematic review of the effects of PEP in surgery patients has been performed previously. The purpose of this systematic review was to determine the effect of PEP breathing after an open upper abdominal or thoracic surgery. A literature search of randomised-controlled trials (RCT) was performed in five databases. The trials included were systemati...
Source: Acta Anaesthesiologica Scandinavica - October 29, 2009 Category: Anesthesiology Authors: J. ÖRMAN, E. WESTERDAHL Source Type: journals

Unexpected cardiovascular collapse from massive air embolism during endoscopic retrograde cholangiopancreatographyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 72 year-old woman with cholangiocarcinoma presented for endoscopic retrograde cholangio pancreatography (ERCP) for diagnostic intraductal endoscopy under GETA. During the technically difficult procedure the patient became suddenly hypoxic, hypotensive, bradycardic, and progressed to PEA code (ETCO2 5 mmHg). ACLS was initiated. Transesophageal echo demonstrated massive right heart air accumulation; abdominal X-Ray showed air filled bile ducts. Central access was obtained, a pulmonary artery catheter floated, and 30 ml of air aspirated from the RV. Within 5 minutes pulses returned; the patient was transferred to the ICU. M...
Source: Acta Anaesthesiologica Scandinavica - October 29, 2009 Category: Anesthesiology Authors: K. M. GOINS, J. M. MAY, C. HUCKLENBRUCH, K. E. LITTLEWOOD, D. S. GROVES Source Type: journals

Remifentanil post-conditioning attenuates cardiac ischemia–reperfusion injury via κ or δ opioid receptor activationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study investigates whether remifentanil post-conditioning is also cardioprotective. Remifentanil post-conditioning (5-min infusion at 1, 5, 10 or 20 [mu]g/kg/min) or ischemic post-conditioning (three cycles of a 10 s reperfusion interspersed with a 10 s ischemia) was induced in an open-chest rat heart model of ischemia and reperfusion injury, in the presence or absence of nor-binaltorphimine, naltrindole or CTOP, specific [kappa], [delta] and [mu] opioid receptor antagonists, respectively. The same sequence of experiments was repeated in the isolated heart model using the maximal protective dose of remifentanil from t...
Source: Acta Anaesthesiologica Scandinavica - October 29, 2009 Category: Anesthesiology Authors: G. T. C. WONG, R. LI, L. L. JIANG, M. G. IRWIN Source Type: journals

ACG: Compound Eases Constipation for Opioid Patients (CME/CE)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
SAN DIEGO (MedPage Today) -- An investigational compound increased spontaneous bowel movements for patients with opioid-induced constipation, researchers said here. (Source: MedPage Today Pain Management)
Source: MedPage Today Pain Management - October 28, 2009 Category: Anesthesiology Source Type: news

Access to U.S. Burn Centers Varies by RegionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: Access to U.S. Burn Centers Varies by RegionCategory: Health NewsCreated: 10/27/2009 4:10:00 PMLast Editorial Review: 10/28/2009 (Source: MedicineNet Chronic Pain General)
Source: MedicineNet Chronic Pain General - October 28, 2009 Category: Anesthesiology Source Type: consumer