Accuracy and trending of non-invasive oscillometric blood pressure monitoring at the wrist in obese patients
Publication date: Available online 14 February 2020Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): Maha MA Mostafa, Ahmed M Hasanin, Fatema Alhamade, Bassant Abdelhamid, Ahmed G Safina, Sahar M Kasem, Osama Hosny, Mohamed Mahmoud, Eman Fouad, Ashraf Rady, Sarah M Amin
In this study, we examined the effect of laparoscopic-guided transversus abdominis plane block (LG TAP) for further optimizing multimodal pain control.MethodsThis is a retrospective analysis of a prospectively collected database of 140 consecutive patients undergoing LSG without TAP block (pre-TAP group) compared to 131 patients undergoing LSG with LGTAP (TAP group). All operations were performed laparoscopically utilizing uniform clinical pathways. Baseline characteristics for both groups were comparable. Both groups received standardized anesthesia. Outcomes included time to postoperative ambulation, pain scores, PCA vol...
Ethos Medical, a startup founded by Georgia Tech alumni, has developed the Iris needle guidance system to assist clinicians in successfully performing lumbar punctures. The system allows a clinician to visualize the needle traveling through tissue in...
Publication date: Available online 14 March 2020Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): Karim Lakhal
In some categories of patients like morbidly obese, obstructive sleep apnea (OSA), and opioid-dependent, postoperative pain control may be particularly challenging, and whenever feasible, opioid-sparing analgesic techniques are preferred to minimize postoperative use of opioids.1-5 A multimodal analgesic strategy should be employed with an emphasis on regional analgesic modalities whenever possible.
Publication date: Available online 14 February 2020Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): Audrey De Jong, Amélie Rollé, François-Régis Souche, Olfa Yengui, Daniel Verzilli, Gérald Chanques, David Nocca, Emmanuel Futier, Samir JaberAbstractThe obese patient is at risk of perioperative complications including difficult airway access (intubation, difficult or impossible ventilation), and postextubation acute respiratory failure due to the formation of atelectases or to airway obstruction. The association of obstructive sleep apnoea syndrome (OSA) with obesity is very ...
Conditions: Obesity; Postoperative Pain; Postoperative Nausea; Postoperative Vomiting; Opioid Use Interventions: Drug: Dexmedetomidine Hydrochloride [Dexdor]; Drug: Remifentanil [Ultiva]; Drug: Ketamine [Ketalar]; Drug: Lidocaine [Xylocaine 2%]; Drug: Magnesium Sulphate [Inj. Magnesii Sulfurici Polpharma]; Drug: Fentanyl [Fentanyl WZF] Sponsor: Medical University of Warsaw Not yet recruiting
Conclusions: The study suggests ASA scores are not associated with postoperative recovery in pain and disability after MIS TLIF. Our results indicate that regardless of the preoperative ASA score, patients are likely to achieve similar improvements in PROs through 6 months follow-up. Although using ASA as a risk stratification tool to predict perioperative complications, its utility in predicting improvement in PROs is still uncertain at this time.
AbstractMorbidly obese individuals often require surgery, including bariatric (weight management) surgery. Acute pain management in the morbidly obese must consider the risk of chronic post-surgical pain, opioid dependence, and comorbidities (e.g. sleep-disordered breathing). A stepped, multimodal, opioid-sparing approach titrated to the type and severity of pain type should be taken, with co-administration of systemic and local anaesthetic agents when appropriate.