Tag: pain

Lidocaine infusions for pain

BJA Educ, April 2016. Intravenous lidocaine for acute pain: an evidence-based clinical update Lidocaine Infusion for Perioperative Pain Management – Vanderbilt Cocharane Library, July 2015. Continuous intravenous perioperative lidocaine infusion for postoperative pain and recovery. Perioperative Use of Intravenous Lidocaine. Anesthesiology 4 2017, Vol.126, 729-737. Open Access Journals, Jan 2017. Lidocaine Infusion: A Promising Therapeutic Approach for

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Methadone and acute and chronic pain management

We had a journal club where we discussed this article: Anesthesiology, May 2017; Clinical effectiveness and safety of intraoperative methadone in patients undergoing posterior spinal fusion surgery: a randomized, double-blinded, controlled trial. IV Methadone 0.2 mg/kg vs IV hydromorphone 2mg at surgical closure in 2+ level spinal fusion Decreased postop IV and opioid requirements and

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OB Anesthesia

Today, I’m on call covering OB. MGH: OB anesthesia Q&A for patients BWH: OB anesthesia Q&A for patients IARS 2010: OB anesthesia in the 21st century IARS 2011: OB anesthesia update A&A 2013: A Randomized Controlled Comparison of Epidural Analgesia and Combined Spinal-Epidural Analgesia in a Private Practice Setting: Pain Scores During First and Second

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Adductor Canal Blocks #adductor #regional #anesthesia #femoral #blocks

What is the adductor canal? Why all this talk about an adductor canal block (ACB)? For years, femoral nerve blocks (FNB) have been the gold standard for pain control in more invasive knee/lower leg surgeries (total knees, ACLs, etc.).  More recently, adductor canal blocks have been gaining in popularity over femoral nerve blocks because there

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Paravertebral block basics and cancer recurrence #paravetebral #block #regional #ultrasound #anesthesia #cancer

 Why do paravertebral blocks? Journal of Anesthesiology Clinical Pharmacology – Paravertebral Blocks Paravertebral blocks and decreased cancer recurrence BJA 2010 – Efficacy and Safety of Paravertebral Blocks in Breast Surgery: a meta-analysis of randomized clinical trials BJA 2010 – Effect of Anesthetic Technique and Other Perioperative Factors on Cancer Reccurence Anesthesiology 2006 – Can anesthetic

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Adversity

After A While by Veronica A. Shoffstall After a while you learn the subtle difference between holding a hand and chaining a soul And you learn that love doesn’t mean leaning and company doesn’t mean security. And you begin to learn that kisses aren’t contracts and presents aren’t promises And you begin to accept your

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What’s in a consult?

I happily went into anesthesia for the acute patient care, procedures, pharmacological/physiological immediate impact of my decision-making…. and no clinic visits. Today, I’m covering the acute pain service on call.  My pager just went off for a consult.  A patient who is about 3 weeks out from an abdominal procedure.  This patient has been on

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