Insufficient sleep among Anaesthesiologists and Intensive Care Physicians: it’s time to wake up!

Publication date: Available online 28 September 2020Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): Philippe Ariès, Antoine Lamblin
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research

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In conclusion, the human fetus can feel pain when it undergoes surgical interventions and direct analgesia must be provided to it. IMPACT: Fetal pain is evident in the second half of pregnancy.Progress in the physiology of fetal pain, which is reviewed in this report, supports the notion that the fetus reacts to painful interventions during fetal surgery.Evidence here reported shows that it is an error to believe that the fetus is in a continuous and unchanging state of sedation and analgesia.Data are given that disclose that drugs used for maternal analgesia cross the placenta only partially, so that they cannot guarantee...
Source: Pediatric Research - Category: Pediatrics Authors: Tags: Pediatr Res Source Type: research
AbstractBackgroundGuidelines for acute postoperative pain management recommend administering analgesics in multimodal combination to facilitate synergistic benefit, reduce opioid requirements and decrease side ‐effects. However, limited observational research has examined the extent to which multimodal analgesics are prescribed and administered postoperatively following joint replacement.MethodsIn this longitudinal study, we used three ‐point prevalence surveys to observe the 6‐year trends in prescribing and use of multimodal analgesics on the orthopaedic wards of a single Australian private hospital. We collected ba...
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: ORIGINAL ARTICLE Source Type: research
Shortly after the end of WWII, a British medical officer inspecting a military hospital in Germany observed a treatment for pressure injuries developed by Nazi doctors.  The officer’s name was Captain James Fulton Neil and his case report was published in the British Medical Journal along with a photograph of the unfortunate patient reproduced above.  The treatment employed suspension by wires drilled into pelvic bones, and I discovered Captain Neil’s article while researching the history of wound care. This post is a summary of my paper recently published in Advances in Skin &Wound Care that desc...
Source: Jeffrey M. Levine MD | Geriatric Specialist | Wound Care | Pressure Ulcers - Category: Geriatrics Authors: Tags: Featured Medical Articles Geriatric Medicine Pressure Injuries & Wound Care bedsore bedsores decubiti decubitus ulcer Jeff Levine MD Jeffrey M Levine MD medical history pressure sore pressure sores pressure ulcer pressure ulcers Source Type: blogs
A study found that green light therapy resulted in about a 60% reduction in the pain intensity of the headache phase and number of days per month people experienced migraine headaches. Stacy Pigott Today University of Arizona Health SciencesGreen light_klh2661-web.jpg The first clinical trial for green light therapy resulted in real benefits for people with migraine.HealthCollege of Medicine - TucsonResearcher contact: Mohab Ibrahim 520-626-7221mibrahim@anesth.arizona.edu  Media contact: Stacy Pigott 520-539-4152spigott@arizona.eduNew research from the  University of Arizona Health Sciences found that ...
Source: The University of Arizona: Health - Category: Universities & Medical Training Authors: Source Type: research
Alert: rant ahead. Early in my career working in persistent pain management, it was thought that “chronic pain is chronic pain is chronic pain” and pretty much anything that helped one person would help the next. Over time we’ve learned a lot more about persistent pain: the mechanisms differ a lot between neuropathic mechanisms and nociplastic mechanisms. Even within these groups, the mechanisms are very different. We’ve also learned a lot more about the psychosocial variables that are associated with prolonged disability and distress when pain persists. Some of the earliest work by Turk and coll...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Chronic pain Groupwork Interdisciplinary teams Pain conditions Research Science in practice Source Type: blogs
AbstractPurpose of ReviewWe aim to (1) identify the benefits and risks of patient-controlled analgesia and (2) analyze the risks of using various modalities of PCA among patients with traumatic injuries, sleep apnea, chronic pain, or neuropathies.Recent FindingsAn oral sufentanil PCA system may be as effective as an intravenous PCA. The overall incidence of PCA device error is less than 1%. While IV PCA may not be more effective than nurse-administered opioid among trauma patients, thoracic epidural analgesia may improve outcomes. Patients with obstructive sleep apnea or obesity are at increased risk of opioid-induced resp...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
Authors: Shi H, Du X, Wu F, Hu Y, Xv Z, Mi W Abstract Perioperative neurocognitive disorder (PND) is a common complication following thoracic surgery that frequently occurs in patients ≥65 years. PND includes postoperative cognitive dysfunction (POCD) and postoperative delirium (POD). To investigate whether intravenous dexmedetomidine (DEX) is able to improve neurocognitive function in elderly male patients following thoracoscopic lobectomy, a randomized, double-blinded, placebo-controlled trial was performed at the Affiliated Hospital of Inner Mongolia Medical University (Hohhot, China). Patients aged ≥65 ye...
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
We hypothesized that early postoperative administration of celecoxib would reduce pain scores and improve sleep quality and active range of motion (ROM) after total knee arthroplasty (TKA) under general anesthesia.
Source: The Journal of Arthroplasty - Category: Orthopaedics Authors: Source Type: research
TITUSVILLE, N.J. – (August 3, 2020) – The Janssen Pharmaceutical Companies of Johnson &Johnson today announced that the U.S. Food and Drug Administration (FDA) has approved the supplemental new drug application (sNDA) for SPRAVATO® (esketamine) CIII nasal spray, taken with an oral antidepressant, to treat depressive symptoms in adults with major depressive disorder (MDD) with acute suicidal ideation orbehavior.1 SPRAVATO® is the first and only approved medicine that has been shown to reduce depressive symptoms within 24 hours,1 providing a new option for significant symptom relief until a longer-ter...
Source: Johnson and Johnson - Category: Pharmaceuticals Tags: Innovation Source Type: news
Publication date: Available online 30 July 2020Source: Anaesthesia Critical Care &Pain MedicineAuthor(s): Florian Robin, Hugues De Courson, Maxim Roy, Joffrey Lemeux, Pierre Philip, Stéphanie Bioulac, Karine Nouette-Gaulain
Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
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