Propofol May Decrease Delay in Neurocognitive Recovery
Less delay versus sevoflurane general anesthesia in older patients undergoing major cancer surgery
Conclusion: Addition of intercostal block to epidural analgesia does not confer any benefit in terms of post-operative pain, fentanyl requirements or volume achieved on spirometry.
PMID: 32215840 [PubMed - as supplied by publisher]
This study compares historical rates of grade 3+ OM (35-40%) in HNC patients undergoing definitive concurrent CRT versus our cohort of patients with locally advanced head and neck squamous cell carcinoma (HNSCC) treated with prophylactic PBM.
PMID: 32175947 [PubMed - as supplied by publisher]
z S Abstract The perineal approach for prostate biopsy (PB) is a sterile alternative to conventional transrectal PB. Targeted local anesthesia allows perineal prostate biopsy (pPB) to be performed without general anesthesia. This paper presents the first results after establishing perineal MRI/ultrasound fusion biopsy (pFB) under local anesthesia without standard perioperative antibiotic prophylaxis. For this purpose, 144 patients were included in the study after pFB at the Vivantes Klinikum am Urban. No peri-interventional antibiotic prophylaxis was applied. Peri- and postoperatively, the pain sensation, mea...
Conclusions Neither perioperative aspirin nor clonidine have significant long-term effects after noncardiac surgery. Perioperative aspirin in patients with previous percutaneous coronary intervention showed persistent benefit at 1 yr, a plausible sub-group effect.Editor ’s PerspectiveWhat We Already Know about This TopicThe Perioperative Ischemic Evaluation-2 study (POISE-2) authors previously reported that neither aspirin nor clonidine reduced a 30-day composite of nonfatal myocardial infarction or death. Aspirin caused perioperative bleeding, and clonidine provoked hypotension and bradycardia.In a subgroup analysis...
Discussion: The Z-track method minimizes fluid leakage from the puncture site. Injecting medication into the skin using this method is important to preventing post-procedure leaking. Once a needle has entered subcutaneous tissue and muscle, it opens a track that may not reseal immediately. There are also studies suggesting that Z tracks may reduce pain during injection. We suggest using the method during your paracentesis procedure.Z tracks are used for all kinds of intramuscular injections and can be applied to other sites on the body. Pull and press the skin and tissue 2 cm caudad to the deep abdominal wall and insert th...
Opioid use has increased substantially in the last 2 decades, in large part owing to the ubiquitous nature of narcotic prescriptions and the Purdue Pharma-funded programs that drove the use of narcotics for non-cancer pain management.1 The current opioid epidemic is seen as 3 phases, the first starting at the end of the 20th century with prescription narcotics. The second phase occurred at the start of the 21st century with a rise in heroin use, presumably in response to reduced prescription narcotics.
CONCLUSIONS: Sedation has fewer side effects and complications related to the transrectal prostate biopsy procedure with respect to transrectal local anesthesia. The choice of the antibiotic prophylaxis scheme is decisive in the onset of complications arising from the performance of a transrectal prostate biopsy. PMID: 32127231 [PubMed - as supplied by publisher]