Labour epidural analgesia is highly effective but can be limited by slow onset and incomplete blockade. The administration of warmed, compared with room temperature, bupivacaine has resulted in more rapid-onset epidural anaesthesia. These authors hypothesised that the administration of bupivacaine with fentanyl at 37°C versus 20°C would result in improved initial and ongoing labour epidural […]
Z. H. Anastasian Br J Anaesth. 2014;113(S2):ii9-ii16. Abstract and Introduction Abstract Anaesthetic management of the acute stroke patient demands consideration of the penumbra as the central focus. Recent studies have shown that patients who receive general anaesthesia for endovascular therapy for acute ischaemic stroke have worse outcomes than those who receive local anaesthesia. Although baseline condition […]
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LAS VEGAS—Forty-eight percent of hip fracture patients, aged 65 years and older, experienced delirium before, during and after surgery, resulting in significantly longer hospital stays and higher costs for care (Paper 308), Michael G. Zywiel, MD, reported at the 2015 annual meeting of the American Academy of Orthopaedic Surgeons (AAOS).
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Ongoing evidence continues to support the finding that postoperative pain remains the greatest concern for patients presenting for surgery. In fact, recent surveys demonstrate that patients continue to suffer moderate to severe pain postoperatively. Additionally, patient satisfaction is becoming an increasingly important aspect of health care reimbursements reported via the Hospital Consumer Assessment of Healthcare […]
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