In this retrospective cohort study of 147,895 singleton births, epidural anesthesia was used in 74.2% of cases and the hazard ratio for the subsequent diagnosis of autism spectrum disorders was 1.37 (95% confidence interval, 1.23-1.53).
Opioid therapy can be an effective form of pain management in the ED for acute painful conditions. The risk of addiction and abuse should be considered in every case. Alternatives to opioid therapy include systemic agents, such as acetaminophen, NSAIDs, lidocaine, alpha agonists, anticonvulsants, ketamine, corticosteroids, and local and regional anesthesia.
The authors of a recent study examined how compassionate 65 anesthesia residents were during a simulated preoperative evaluation of a patient in acute pain scheduled for urgent surgery. They found substantial variability in the compassionate care behaviors of anesthesiology residents during the informed consent procedure.
Cannabis use is ubiquitous across the nation as states continue to legalize marijuana, both for medicinal and personal uses. Surgery patients who ingest the drug are at a higher risk of complications, which is why surgery center directors and physicians should understand legal, medical, and other implications of cannabis use.
As emergency physicians, we want to ensure our patients are not suffering severe pain. But, at the same time, we clearly need to reduce the use of opioids. Balancing these two priorities is difficult but important to our patients and society as a whole.
Measuring patient satisfaction is important in all aspects of healthcare, but anesthesia can pose a particular challenge. There is a lack of standardized tools and anesthesia does not fall easily into the Hospital Consumer Assessment of Healthcare Providers and Systems categories.
A study of people who received anesthesia for surgery after age 40 found no association between the anesthesia and development of mild cognitive impairment later in life. The study was conducted by the Mayo Clinic in Rochester, MN.
SmartTots has issued a supplement to its recent revised consensus statement on anesthesia and young children in response to a clinical trial’s preliminary outcome that found no difference in the developing brain between 2-year-olds who had undergone general anesthesia and those who had received regional anesthesia as infants.