Regional Anesthesia and Sickle Cell Crisis in Pediatric Patients
A recent review published in Pediatric Anesthesia discussed the current evidence supporting the use of regional anesthesia in sickle cell disease patients who are experiencing acute pain crisis. Given the challenges in controlled sickle cell disease pain, this study is worth a look. Follow link for the paper: https://onlinelibrary.wiley.com/doi/abs/10.1111/pan.14801
Does Preoperative Mental Health Diagnosis Affect Pain Outcomes in Scoliosis Patients?
A new retrospective study published in the Journal of Pediatric Orthopedics has found that patients with preoperative mental health diagnosis, when compared to a control group, had significant differences in opioid consumption and duration of opioid use after surgery. Follow the link for the study: https://journals.lww.com/pedorthopaedics/abstract/2024/01000/does_a_preoperative_mental_health_diagnosis_affect.11.aspx
2023 AMA Overdose Epidemic Report
The American Medical Association Substance Use and Pain Care Task Force continues to advance evidence-based recommendations for policymakers and physicians to help end the nation’s drug-related overdose and death epidemic. Physicians’ positive actions, however, are limited by an insufficient focus on meaningful policy implementation and enforcement to support affordable, accessible, evidence-based care for patients with […]
Association of Genetic Variants with Postsurgical Pain: A Systematic Review and Meta-analyses
A new study in Anesthesiology examines the association between genetic variants and their possible association with postsurgical pain. Provoking study with results that may be a bit surprising. Read the study here: https://pubs.asahq.org/anesthesiology/article/doi/10.1097/ALN.0000000000004677/139139/Association-of-Genetic-Variants-with-Postsurgical
Comparing Hemidiaphragmatic Paralysis In Various Approaches to Brachal Plexus Nerve Blockade
Hemidiaphragmatic paralysis is a known consequence of brachial plexus blockade, with pre-existing respiratory disease sometimes being a contraindication to considering such blocks. This meta-analysis assessed the impact of various approaches to brachial plexus blockade with the costoclavicular approach with positive findings that may impact clinical practice. Read the study here: https://ekja.org/upload/pdf/kja-22718.pdf