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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 8.

Reduced-dose rocuronium for day-case tonsillectomy in children where volatile anaesthetics are not used: operating room time savingemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Reduced-dose rocuronium in addition with propofol and alfentanil in children where volatile anesthetics are not used effectively saves the operating room time during short elective surgical procedures, avoids delays in patient recovery, allows high level of acceptable intubating conditions, and improves the optimal surgical work. Low incidences of PONV as VAS score may achieved successfully.
Source: Pediatric Anesthesia - October 22, 2009 Category: Anesthesiology Authors: DUBRAVKA BARTOLEK, JASMINKA JAKOBOVIĆ, FRANJO BARTOLEK, DIJANA FINCI, ALEKSANDRA MUNJIZA Source Type: journals

An acute pain service improves postoperative pain management for children undergoing selective dorsal rhizotomyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Although we recognize that it is possible that there were changes in care not related specifically to the introduction of a dedicated APS that occurred in our institution that resulted in improvements in general postoperative care and in length of stay, our study did show that having an organized APS allowed to significantly decrease the incidence of postoperative oxygen desaturation and to decrease the hospital length of stay by 1 day.
Source: Pediatric Anesthesia - October 22, 2009 Category: Anesthesiology Authors: CHANTAL FRIGON, WITTHAYA LOETWIRIYAKUL, MANON RANGER, ANNIK OTIS Source Type: journals

School-aged children's experiences of postoperative music medicine on pain, distress, and anxietyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Music medicine reduced the requirement of morphine and decreased the distress after minor surgery but did not else influence the postoperative care.
Source: Pediatric Anesthesia - October 22, 2009 Category: Anesthesiology Authors: STEFAN NILSSON, EVA KOKINSKY, ULRICA NILSSON, BIRGITTA SIDENVALL, KARIN ENSKÄR Source Type: journals

Use of remifentanil as a sedative agent in critically ill adult patients: a meta-analysisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This meta-analysis examined the benefits of using remifentanil as a sedative agent in critically ill patients. A total of 11 randomised controlled trials, comparing remifentanil with another opioid or hypnotic agent in 1067 critically ill adult patients, were identified from the Cochrane controlled trials register and EMBASE and MEDLINE databases, and subjected to meta-analysis. Remifentanil was associated with a reduction in the time to tracheal extubation after cessation of sedation (weighted-mean-difference [minus]2.04 h (95% CI [minus]0.39 to [minus]3.69 h); p = 0.02). Remifentanil was, however, not associated with a s...
Source: Anaesthesia - October 22, 2009 Category: Anesthesiology Authors: J. A. Tan, K. M. Ho Source Type: journals

Ultrasound guided internal jugular vein access in children and infant: A meta-analysis of published studiesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Discussion: This current meta-analysis does not found the utility of ultrasound during IJV access in children and infants in increasing the success rate and in decreasing complications.
Source: Pediatric Anesthesia - October 22, 2009 Category: Anesthesiology Authors: STEPHANIE SIGAUT, ALIA SKHIRI, IDA STANY, JONATHAN GOLMAR, YVES NIVOCHE, ISABELLE CONSTANT, ISABELLE MURAT, SOUHAYL DAHMANI Source Type: journals

Sevoflurane modulation of Ca2+ regulation in skeletal muscle sarcoplasmic reticulum vesicles from young and mature rabbitsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: These findings suggest that the sensitivity of the SR to sevoflurane-mediated Ca2+ uptake may be increased with maturity, while an analogous developmental effect on RyR1 is less probable. Nonetheless, this study shows for the first time that a potent inhalational agent such as sevoflurane can influence the high affinity SR calcium-binding site by lowering the extraluminal concentration of calcium necessary to trigger calcium release. While this may not be of consequence when inhaled anesthetics are administered to normal children or adults, it may have life-threatening consequences in carriers of RyR1 mutations.
Source: Pediatric Anesthesia - October 22, 2009 Category: Anesthesiology Authors: MATTHIAS KÖNIG, MARINA LIN, THOMAS E. NELSON, LEANNE GROBAN Source Type: journals

Risk of pulmonary aspiration with laryngeal mask airway and tracheal tube: analysis on 65 712 procedures with positive pressure ventilationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We compared the risk of pulmonary aspiration in patients whose lungs were mechanically ventilated through a laryngeal mask airway (35 630 procedures) or tracheal tube (30 082 procedures). Three cases of pulmonary aspiration occurred with the laryngeal mask airway and seven with the tracheal tube. There were no deaths related to pulmonary aspiration. The incidence and outcome of pulmonary aspiration detected in this study were similar to those previously reported. The adjusted odds ratio (OR) for pulmonary aspiration with the laryngeal mask airway was 1.06 (95% CI 0.20[ndash]5.62). Unplanned surgery (OR 30.5, 95% CI 8.6[nda...
Source: Anaesthesia - October 22, 2009 Category: Anesthesiology Authors: A. Bernardini, G. Natalini Source Type: journals

European CHMP begins referral for modified-release oral opioids following overdose concernsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: EMEA Area: News The European Medicines Agency's Committee for Medicinal Products for Human Use (CHMP) has started a referral for modified release oral opioids (morphine, fentanyl, oxycodone and hydromorphone) due to concerns on their dissolution and their sensitivity and interaction with alcohol, which may cause dose dumping and potential overdose.
Source: NeLM - Pain control - October 22, 2009 Category: Anesthesiology Source Type: organizations

European CHMP confirms previous recommendation on withdrawal of non-parenteral dextropropoxyphene-containing medicinesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: EMEA Area: News Finalising a re-examination procedure for dextropropoxyphene-containing medicines, the European Medicines Agency's Committee for Medicinal Products for Human Use (CHMP) has confirmed its previous recommendation to withdraw the marketing authorisation for all non-parenteral formulations of these medicines because their risks, particularly the risk of potentially fatal overdose, are greater than their benefits. However, for the parenteral formulation, the Committee concluded that the marketing authorisations should not be withdrawn but suspended until further clinical data are available which may sup...
Source: NeLM - Pain control - October 22, 2009 Category: Anesthesiology Source Type: organizations

Study: No Benefit to Costly Arthritis Drugsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Title: Study: No Benefit to Costly Arthritis DrugsCategory: Health NewsCreated: 10/22/2009 10:28:00 AMLast Editorial Review: 10/22/2009 10:28:58 AM
Source: MedicineNet Chronic Pain General - October 22, 2009 Category: Anesthesiology Source Type: consumer

Unrecognised dural puncture resulting in subdural hygroma and cortical vein thrombosisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Unrecognised dural punctures are difficult to diagnose early. Failure of recognition may lead to sinister consequences. A case of unrecognised dural puncture in a young female leading to the development of subdural hygroma and cortical vein thrombosis is presented. The dilemma in the diagnosis of headache in such patients along with the significance of follow-up of all, including attempted, epidurals is also discussed.
Source: Anaesthesia - October 21, 2009 Category: Anesthesiology Authors: A. Sinha, S. Petkov, D. Meldrum Source Type: journals

A comparison of the laryngeal mask airway with the facemask and oropharyngeal airway for manual ventilation by first responders in childrenemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
In adults, first responders to a cardiopulmonary arrest provide better ventilation using a laryngeal mask airway than a facemask. It is unclear if the same is true in children. We investigated this by comparing the ability of 36 paediatric ward nurses to ventilate the lungs of 99 anaesthetised children (a model for cardiopulmonary arrest) using a laryngeal mask airway and using a facemask with an oropharyngeal airway. Anteroposterior chest wall displacement was measured using an ultrasonic detector. Nurses achieved successful ventilation in 74 (75%) of cases with the laryngeal mask airway and 76 (77%) with facemask and oro...
Source: Anaesthesia - October 21, 2009 Category: Anesthesiology Authors: A. E. Blevin, S. F. McDouall, J. A. Rechner, T. A. Saunders, V. S. Barber, J. D. Young, D. G. Mason Source Type: journals

Anosmia after general anaesthesia: a case reportemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We present the case of a 60-year-old female patient with a 3-month history of altered smell and taste immediately after recovery from general anaesthesia for a urological operation. The anaesthetic drugs used were fentanyl, propofol and sevoflurane. Clinical examination and a computed tomography brain scan did not reveal any pathology. Psychophysical testing showed anosmia and normal taste function. Imaging studies using single photon emission computed tomography of the brain were performed twice: as a baseline examination; and after odour stimulation with phenyl ethyl alcohol. Normal brain activity without reaction to odo...
Source: Anaesthesia - October 21, 2009 Category: Anesthesiology Authors: I. Konstantinidis, E. Tsakiropoulou, I. Iakovou, A. Douvantzi, S. Metaxas Source Type: journals

Tracheal intubation in patients with rigid collar immobilisation of the cervical spine: a comparison of Airtraq® and LMA CTrach™ devices*email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The aim of this study was to evaluate the effectiveness of the Airtraq® and CTrach[trade] in lean patients with simulated cervical spine injury after application of a rigid cervical collar. Eighty-six consenting adult patients of ASA physical status 1 or 2, who required elective tracheal intubation were included in this study in a randomised manner. Anaesthesia was induced using 1 [mu]g.kg[minus]1 fentanyl, 3 mg.kg[minus]1 propofol and 0.6 mg.kg[minus]1 rocuronium, following which a rigid cervical collar was applied. Comparison was then made between tracheal intubation techniques using either the AirTraq or CTrach device....
Source: Anaesthesia - October 21, 2009 Category: Anesthesiology Authors: Z. I. Arslan, T. Yildiz, Z. N. Baykara, M. Solak, K. Toker Source Type: journals

Lipid resuscitation in a carnitine deficient child following intravascular migration of an epidural catheter*email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A child with cerebral palsy and carnitine deficiency developed ventricular arrhythmias with loss of cardiac output during elective surgery under general anaesthesia with concomitant epidural analgesia. Sinus rhythm was restored on administration of adrenaline, but hypotension persisted despite resuscitation. Bolus administration of 0.8 ml.kg[minus]1 (20 ml) lipid emulsion resulted in rapid improvement in cardiac output. Blood samples taken before and after the lipid bolus did not demonstrate toxic concentrations of bupivacaine. This case suggests that carnitine deficiency may increase susceptibility to bupivacaine cardiotoxicity.
Source: Anaesthesia - October 21, 2009 Category: Anesthesiology Authors: G. K. Wong, D. T. Joo, C. McDonnell Source Type: journals

Peri-operative management of a patient with hereditary angioedema undergoing laparoscopic cholecystectomyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We describe the peri-operative care of a woman with hereditary angioedema undergoing laparoscopic cholecystectomy with emphasis on the role of anaesthetists as peri-operative physicians.
Source: Anaesthesia - October 21, 2009 Category: Anesthesiology Authors: A. Spyridonidou, C. Iatrou, A. Alexoudis, T. Vogiatzaki, A. Polychronidis, C. Simopoulos Source Type: journals

The Scottish Audit of Surgical Mortality: a review of areas of concern related to anaesthesia over 10 yearsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The Scottish Audit of Surgical Mortality is a voluntary, peer reviewed, critical event analysis of patients who die under the care of consultant surgeons in acute hospitals in Scotland. The anaesthetic contribution to surgical mortality over a 10-year period from 1996 was reviewed. The total number of deaths was 44 230 or 1.5% of all admissions. Forty thousand, eight hundred and ninety-six deaths (92%) were audited. Deaths after elective surgery declined over 10 years. Over 80% of deaths followed emergency admission. The number of deaths where an anaesthetist was present was 16 981 or 0.6% of all admissions. Anaesthetic ar...
Source: Anaesthesia - October 21, 2009 Category: Anesthesiology Authors: H. J. McFarlane, N. van der Horst, L. Kerr, G. McPhillips, H. Burton Source Type: journals

The Parker Flex-Tip™ tube for nasotracheal intubation: the influence on nasal mucosal traumaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We tested our hypothesis that use of the Parker Flex-Tip[trade] tracheal tube could reduce the incidence of nasal mucosal trauma during nasotracheal intubation when compared with a conventional tip tracheal tube. One hundred and two patients, who were scheduled for elective oral surgery in which nasotracheal intubation was indicated to optimise the surgical approach, were recruited into this study. Either a Flex-Tip tracheal tube or a conventional tip tracheal tube was chosen randomly for each nasotracheal intubation. The incidence of epistaxis using the Flex-Tip tracheal tube (6 (11.8%)) was significantly lower than that ...
Source: Anaesthesia - October 21, 2009 Category: Anesthesiology Authors: T. Sanuki, M. Hirokane, Y. Matsuda, S. Sugioka, J. Kotani Source Type: journals

Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995–2007email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Ninety-three claims (total cost £4 915 450) filed under 'anaesthesia' in the NHS Litigation Authority database between 1995 and 2007, alleging patient harm directly by drug administration error or by an allergic reaction, were analysed. Alleged errors were categorised using systems employed by the National Coordinating Council for Medication Error Reporting and Prevention, the American Society of Anesthesiologists Closed Claims Project and the UK Health and Safety Executive. The severity of outcome in each claim was categorised using adapted National Patient Safety Agency definitions. Sixty-two claims involved alleged dru...
Source: Anaesthesia - October 21, 2009 Category: Anesthesiology Authors: J. Cranshaw, K. J. Gupta, T. M. Cook Source Type: journals

Dental implant removal to facilitate suspension laryngoscopy and laser treatment of an obstructed airwayemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A 29-year-old patient presented with dysphonia, dysphagia and a progressive history of stridor over 6 weeks. His past medical history included childhood nasolabial rhabdomyosarcoma treated by surgery, chemotherapy and radiotherapy. This had resulted in marked abnormalities of the facial skeleton, limited neck extension and restricted mouth opening of 1 cm, in part due to dental implants. After careful discussion and planning within a multidisciplinary team, the airway was optimised by temporary removal of the dental implants. This enabled a suspension laryngoscope to be passed, permitting carbon dioxide laser treatment to ...
Source: Anaesthesia - October 21, 2009 Category: Anesthesiology Authors: H. Hume-Smith, A. Fowler, F. Vaz, P. Suaris Source Type: journals

Profound hypocalcaemia in a patient being anticoagulated with citrate for continuous renal replacement therapyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We report a case of severe systemic hypocalcaemia during continuous renal replacement therapy with citrate anticoagulation resulting from relentless sequestration of calcium due to undiagnosed evolving rhabdomyolysis. Although excessive systemic citrate accumulation can also cause hypocalcaemia, this complication was not observed in our patient. While an acceptable lower limit of ionised calcium remains unknown, severe rhabdomyolysis needs to be considered when a patient's ionised calcium levels are not responsive to standard calcium replacement therapy during continuous renal replacement therapy using citrate anticoagulat...
Source: Anaesthesia - October 21, 2009 Category: Anesthesiology Authors: D. J. R. Morgan, K. M. Ho Source Type: journals

Meta-analysis of two studies of zolmitriptan for acute treatment of cluster headacheemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: Reuters Health News Area: News According to the results of a patient level meta-analysis of two randomised, crossover trials, zolmitriptan nasal spray (5 mg or 10 mg) is effective in the acute treatment of episodic and chronic cluster headache.   Both studies were double-blind, placebo-controlled, randomised studies with similar patient populations, protocol designs, doses, and clinical endpoints. Both studies (n=121; 100 male; 64.5% with episodic cluster headache ) treated three attacks, at least 24 hours apart,  in each patient,  one with placebo, one with zolmitriptan 5 mg, and one with zolmi...
Source: NeLM - Pain control - October 21, 2009 Category: Anesthesiology Source Type: organizations

Always consider left ventricular outflow tract obstruction in hemodynamically unstable patients.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19847589 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - October 21, 2009 Category: Anesthesiology Authors: Rochon AG, L'allier PL, Denault AY Tags: Can J Anaesth Source Type: journals

Innovations in anesthesia education: the development and implementation of a resident rotation for advanced airway management.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Anesthesia training programs must provide residents with the skill sets necessary for safe independent practice in airway management. The changes in the scope and reality of residency training have exposed limitations in the traditional mentoring model of residency training; consequently, many programs have responded by offering sub-specialty rotations. In particular, advanced airway management rotations are being offered increasingly to residents in the Canadian training programs. Considerations and strategies to develop and implement a structured airway management program during anesthesia residency are disc...
Source: Canadian Journal of Anaesthesia - October 21, 2009 Category: Anesthesiology Authors: Crosby E, Lane A Tags: Can J Anaesth Source Type: journals

Cerebral cortical gene expression in acutely anemic rats: a microarray analysis.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: This study utilizes microarray technology to elucidate changes in cerebral cortical gene expression in response to acute hemodilution. These findings demonstrate an increase in pro-inflammatory chemokines (RNA, protein) and cytokines (protein). An improved understanding of the inflammatory response to anemia may help to minimize associated morbidity and mortality. PMID: 19847587 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - October 21, 2009 Category: Anesthesiology Authors: Briet F, Mazer CD, Tsui AK, Zhang H, Khang J, Pang V, Baker AJ, Hare GM Tags: Can J Anaesth Source Type: journals

Covidien Announces Global Launch of Mallinckrodt TaperGuard Line of ETTubesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Anesthesiologists, EMTs and other intubators, rejoice! Covidien has just announced the world wide release of a new line of endotracheal tubes called Mallinckrodt™ TaperGuard™. Designed to "substantially" reduce the risk of microaspirations thanks to its taper-shaped cuff, the tubes come in two models: TaperGuard™ and TaperGuard™ Evac (shown in the picture). More details in the press release... Product page: TaperGuard...
Source: Medgadget Anesthesiology - October 21, 2009 Category: Anesthesiology Tags: Anesthesiology Source Type: info

Pacira's Phase III Study Of EXPAREL(TM) Meets Primary Pain Relief Endpointemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Pacira Pharmaceuticals, Inc., an acute care specialty pharmaceutical company, announced that its Phase III study of its new analgesic EXPAREL(TM) (DepoBupivacaine) in patients undergoing a bunionectomy procedure met its primary endpoint. The multicenter, randomized, double-blind, parallel-group, placebo controlled study showed a statistically significant reduction in area under the curve analysis (AUC) of the NRS scores in the subjects receiving EXPAREL(TM) compared to placebo (p=0.
Source: Pain / Anesthetics News From Medical News Today - October 21, 2009 Category: Anesthesiology Tags: Pain / Anesthetics Source Type: news

GE's New Ultra Small Ultrasound May Become as Ubiquitous as Stethoscopeemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Yesterday at the Web 2.0 Summit in San Francisco, GE showed off their new handheld ultrasound device. The Vscan looks like a cross between an iPod and a cell phone, making it possibly the world's smallest ultrasound. Later today we'll be attending GE's healthymagination technology showcase in New York where further details and specs will hopefully become available. For critical care clinicians, Vscan can offer an immediate look beyond patient vital signs with the potential to identify critical issues, like fluid around the heart, which could be a sign of congestive heart failure. And for cardiologists, Vscan provides a de...
Source: Medgadget Anesthesiology - October 21, 2009 Category: Anesthesiology Tags: Anesthesiology Source Type: info

Hip Fracture, Cardiovascular Disease Linkedemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Title: Hip Fracture, Cardiovascular Disease LinkedCategory: Health NewsCreated: 10/21/2009 10:58:00 AMLast Editorial Review: 10/21/2009 10:58:55 AM
Source: MedicineNet Chronic Pain General - October 21, 2009 Category: Anesthesiology Source Type: consumer

Glucosamine Fails Osteoarthritis Testemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Title: Glucosamine Fails Osteoarthritis TestCategory: Health NewsCreated: 10/20/2009 2:10:00 PMLast Editorial Review: 10/21/2009
Source: MedicineNet Chronic Pain General - October 21, 2009 Category: Anesthesiology Source Type: consumer

Medications for RA Linked to Skin Canceremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Title: Medications for RA Linked to Skin CancerCategory: Health NewsCreated: 10/20/2009 11:18:00 AMLast Editorial Review: 10/20/2009 11:18:19 AM
Source: MedicineNet Chronic Pain General - October 20, 2009 Category: Anesthesiology Source Type: consumer

Fighting Gout With Skim Milk and Wateremail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Title: Fighting Gout With Skim Milk and WaterCategory: Health NewsCreated: 10/20/2009 11:00:00 AMLast Editorial Review: 10/20/2009 11:00:46 AM
Source: MedicineNet Chronic Pain General - October 20, 2009 Category: Anesthesiology Source Type: consumer

Some People Vulnerable to Persistent Post-Op Painemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Title: Some People Vulnerable to Persistent Post-Op PainCategory: Health NewsCreated: 10/19/2009 2:10:00 PMLast Editorial Review: 10/20/2009
Source: MedicineNet Chronic Pain General - October 20, 2009 Category: Anesthesiology Source Type: consumer

U.S. Relaxes Opposition to Medical Marijuanaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Title: U.S. Relaxes Opposition to Medical MarijuanaCategory: Health NewsCreated: 10/19/2009 4:10:00 PMLast Editorial Review: 10/20/2009
Source: MedicineNet Chronic Pain General - October 20, 2009 Category: Anesthesiology Source Type: consumer

Difficult tracheal intubation in randomized controlled studies: ethical considerations.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
PMID: 19841997 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - October 19, 2009 Category: Anesthesiology Authors: Adnet F, Jabre P, Lapostolle F Tags: Can J Anaesth Source Type: journals

Video Games Can Play Havoc With Kids' Jointsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Title: Video Games Can Play Havoc With Kids' JointsCategory: Health NewsCreated: 10/17/2009 4:10:00 PMLast Editorial Review: 10/19/2009
Source: MedicineNet Chronic Pain General - October 19, 2009 Category: Anesthesiology Source Type: consumer

Scientists Find New Key to Lupusemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Title: Scientists Find New Key to LupusCategory: Health NewsCreated: 10/19/2009 12:10:00 PMLast Editorial Review: 10/19/2009
Source: MedicineNet Chronic Pain General - October 19, 2009 Category: Anesthesiology Source Type: consumer

Interpreting the clinical importance of group differences in chronic pain clinical trials: IMMPACT recommendationsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Abstract: An essential component of the interpretation of results of randomized clinical trials of treatments for chronic pain involves the determination of their clinical importance or meaningfulness. This involves two distinct processes—interpreting the clinical importance of individual patient improvements and the clinical importance of group differences—which are frequently misunderstood. In this article, we first describe the essential differences between the interpretation of the clinical importance of patient improvements and of group differences. We then discuss the factors to consider when evaluating the clini...
Source: Pain - October 19, 2009 Category: Anesthesiology Authors: Robert H. Dworkin, Dennis C. Turk, Michael P. McDermott, Sarah Peirce-Sandner, Laurie B. Burke, Penney Cowan, John T. Farrar, Sharon Hertz, Srinivasa N. Raja, Bob A. Rappaport, Christine Rauschkolb, Cristina Sampaio Tags: Review and recommendations Source Type: journals

Nordic guidelines for neuraxial blocks in disturbed haemostasis from the Scandinavian Society of Anaesthesiology and Intensive Care Medicineemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Central neuraxial blocks (CNBs) for surgery and analgesia are an important part of anaesthesia practice in the Nordic countries. More active thromboprophylaxis with potent antihaemostatic drugs has increased the risk of bleeding into the spinal canal. National guidelines for minimizing this risk in patients who benefit from such blocks vary in their recommendations for safe practice. The Scandinavian Society of Anaesthesiology and Intensive Care Medicine (SSAI) appointed a task force of experts to establish a Nordic consensus on recommendations for best clinical practice in providing effective and safe CNBs in patients wit...
Source: Acta Anaesthesiologica Scandinavica - October 18, 2009 Category: Anesthesiology Authors: H. BREIVIK, U. BANG, J. JALONEN, G. VIGFÚSSON, S. ALAHUHTA, M. LAGERKRANSER Source Type: journals

MHRA guidance on new requirements for packaging of OTC medicines containing codeine and dihydrocodeineemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: MHRA Area: News The MHRA has issued guidance outlining the new requirements for all packaging components of OTC solid dose medicines containing codeine or dihydrocodeine. This follows a review in July 2009 by the Commission on Human Medicines which recommended a package of measures to minimise the risk of overuse of-and addiction to such medicines. The measures included changes to pack sizes, indications, the PIL, labelling, advertising and promotional activity.
Source: NeLM - Pain control - October 18, 2009 Category: Anesthesiology Source Type: organizations

[Chronic pain alters the structure of the brain.]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Local morphologic alterations of the brain in areas ascribable to the transmission of pain were recently detected in patients suffering from phantom pain, chronic back pain, irritable bowl syndrome, fibromyalgia and frequent headaches. These alterations were different for each pain syndrome, but overlapped in the cingulate cortex, the orbit frontal cortex, the insula and dorsal pons. As it seems that chronic pain patients have a common "brain signature" in areas known to be involved in pain regulation, the question arises whether these changes are the cause or the consequence of chronic pain. The in vivo demonstration ...
Source: Schmerz - October 16, 2009 Category: Anesthesiology Authors: May A Tags: Schmerz Source Type: journals

[Spinal cord stimulation at the level of the conus medullaris : Treatment option for therapy-resistant postoperative neuralgia of the pudendal nerve.]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Injuries of the pudendal nerve, due to a perineal tear during delivery for example, can cause significant and debilitating neurological deficits. Aconuresis and anal incontinence, as well as sensory loss of the outer genitals or even impotency in men are the well known consequences. In addition some patients suffer from a severe neuropathic pain syndrome which is resistant to conservative treatment options. Epidural spinal cord stimulation at the level of the terminal cone of the spinal cord may be a new and successful therapeutic concept in otherwise untreatable cases. PMID: 19838740 [PubMed - as supplied by publisher]
Source: Schmerz - October 16, 2009 Category: Anesthesiology Authors: Reichart R, Kuhn SA, Vogel I, Walter J, Kalff R Tags: Schmerz Source Type: journals

[An abbreviated version of RDC/TMD.]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSION: A single question about facial pain is a strong predictor for a pain-related CMD disorder and could provide an effective CMD short test. PMID: 19838739 [PubMed - as supplied by publisher]
Source: Schmerz - October 16, 2009 Category: Anesthesiology Authors: Reißmann DR, John MT, Schierz O, Hirsch C Tags: Schmerz Source Type: journals

Anaesthesia for Day Case Surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: British Journal of Anaesthesia - October 16, 2009 Category: Anesthesiology Authors: Armstrong, I. R. Tags: Book Reviews Source Type: journals

Ultrasound-guided Nerve Blocks on DVD: Lower Limbemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Source: British Journal of Anaesthesia - October 16, 2009 Category: Anesthesiology Authors: Gupta, P. K., Hopkins, P. M. Tags: Book Reviews Source Type: journals

Ultrasound-guided transversus abdominis plane block for analgesia after Caesarean deliveryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions The US-guided TAP block reduces morphine requirements after Caesarean delivery when used as a component of a multimodal analgesic regimen. Registered with the Australia New Zealand Clinical Trials Registry ACTRN12608000540314. URL: http://www.anzctr.org.au/trial_view.aspx?ID=83176.
Source: British Journal of Anaesthesia - October 16, 2009 Category: Anesthesiology Authors: Belavy, D., Cowlishaw, P. J., Howes, M., Phillips, F. Tags: Obstetrics Source Type: journals

Relative potencies of bupivacaine, levobupivacaine, and ropivacaine for neonatal spinal anaesthesiaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions Appropriate doses for infant spinal anaesthesia are 1 mg kg–1 of isobaric 0.5% bupivacaine and ropivacaine and 1.2 mg kg–1 of isobaric 0.5% levobupivacaine.
Source: British Journal of Anaesthesia - October 16, 2009 Category: Anesthesiology Authors: Frawley, G., Smith, K. R., Ingelmo, P. Tags: Paediatrics Source Type: journals

Comparison of sub-Tenon's block with i.v. fentanyl for paediatric vitreoretinal surgeryemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions Sub-Tenon's block provides more effective analgesia than i.v. fentanyl for paediatric VR surgery.
Source: British Journal of Anaesthesia - October 16, 2009 Category: Anesthesiology Authors: Chhabra, A., Sinha, R., Subramaniam, R., Chandra, P., Narang, D., Garg, S. P. Tags: Paediatrics Source Type: journals

Deletion of {micro}-opioid receptor in mice does not affect the minimum alveolar concentration of volatile anaesthetics and nitrous oxide-induced analgesiaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions These results suggest that MOP is not required for the anaesthetic action of volatile anaesthetics and the analgesic effect of N2O. Opioid receptors other than MOP may mediate the analgesic action of N2O.
Source: British Journal of Anaesthesia - October 16, 2009 Category: Anesthesiology Authors: Koyama, T., Mayahara, T., Wakamatsu, T., Sora, I., Fukuda, K. Tags: Pain Source Type: journals

Comparison of intrathecal fentanyl and sufentanil in low-dose dilute bupivacaine spinal anaesthesia for transurethral prostatectomyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions Low-dose diluted bupivacaine with fentanyl 25 µg or sufentanil 5 µg can provide adequate anaesthesia without haemodynamic instability for TURP in elderly patients. However, sufentanil was superior to fentanyl in the quality of the spinal block produced.
Source: British Journal of Anaesthesia - October 16, 2009 Category: Anesthesiology Authors: Kim, S. Y., Cho, J. E., Hong, J. Y., Koo, B. N., Kim, J. M., Kil, H. K. Tags: Regional Anaesthesia Source Type: journals