Πέμπτη 14 Ιουνίου 2018
The importance of appropriate control groups in perioperative analgesic studies: One size does not fit all
Postoperative pain remains poorly treated [1]. Specifically in the United States, opioids continue to be the main weapon used by clinicians to optimize postoperative analgesia [2]. Nonetheless, opioids can worsen patient reported quality of postoperative recovery [3,4]. In addition, the current national focus in the US to reduce the prescription of opioid analgesics and, subsequently, opioid diversion makes the use of multimodal analgesic strategies a very important topic in the perioperative care of surgical patients [5].
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We need more studies to guide the perioperative management of high risk seniors undergoing surgery
The number of surgical procedures in the ambulatory care setting in the United States has increased by over 300% during the past decade with over 30 million ambulatory surgeries (AS) being performed yearly [1]. Of these, 6 million are done in seniors (≥65years of age) and, with the aging of the US population, the number of seniors undergoing surgery will expand exponentially. In addition, more complex surgeries (e.g. hysterectomy, thyroidectomy, spine surgery) are also now conducted in the ambulatory setting [2–4].
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Postoperative outcomes in patients with a do-not-resuscitate (DNR) order undergoing elective procedures
Do-not-resuscitate (DNR) status has been shown to be an independent risk factor for mortality in the post-operative period. Patients with DNR orders often undergo elective surgeries to alleviate symptoms and improve quality of life, but there are limited data on outcomes for informed decision making.
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Hypnotic agents for induction of general anesthesia in cesarean section patients: A systematic review and meta-analysis of randomized controlled trials
An ideal induction drug for cesarean section (CS) must have quick action, with minimum side effects such as awareness, hemodynamic compromise, and neonatal depression. Thiopentone is frequently used; however, no reliable evidence is available to support its use as a dedicated hypnotic agent in this setting.
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Infraclavicular and supraclavicular approaches to brachial plexus for ambulatory elbow surgery: A randomized controlled observer-blinded trial
To compare the effectiveness of supraclavicular and infraclavicular approaches to brachial plexus block for elbow surgery.
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