In this randomized controlled trial comparing local anesthesia and general anesthesia for loop electrosurgical excision procedure of the cervix, there was no difference in patient satisfaction. However, women in the local anesthesia group had significantly smaller cone volumes and less blood loss than those in the general anesthesia group.
Tens of thousands of nurse anesthetists helped care for critically ill patients during the COVID-19 pandemic, making certified registered nurse anesthetists among the top specialties that served Medicare patients in non-telehealth during the first few months of the pandemic.
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.