All news from Anaesthesiology

Opioid Weaning And Pain Management In Postsurgical Patients

A unique pain program is helping complex surgical patients wean off opioids safely and effectively while offering alternative ways to cope with their pain and improve how they function. A study following 251 surgical patients at risk of developing chronic pain or persistent opioid use.

They found that almost half of patients who did not take opioids before surgery were able to wean off opioids, and one in four of those who did take opioids before surgery were able to wean completely. The study was published in the Canadian Journal of Pain, "Opioid Weaning and Pain Management in Post-Surgical patients at the Toronto General Hospital Transitional Pain Service."

Anesthesia Levels Reduces The Risk Of Postoperative Delirium

Researchers say a study designed to see if reducing the amount of anesthesia reduces the risk of postoperative delirium in older patients surprisingly found that lighter sedation failed to do so in severely ill people undergoing hip fracture repair.

But the study of 200 men and women also showed that for those in relatively better health, deep sedation more than doubled the risk of postoperative delirium compared with those having light sedation. Contrary to what we expected, sedation levels do not appear to affect postoperative delirium for sicker patients.

The study was published in JAMA Surgery, underscores the need for tailoring the amount and type of anesthesia to each individual's overall health status.

In Cardiac Surgery, Regional Anesthesia Is Been used

Regional anesthesia in cardiac surgery implied the use of thoracic epidural anesthesia. Despite proven and potential benefits, fear of permanent neurologic deficits prevented anesthesiologists from using epidural blocks routinely. 

Local Anesthesia

Shorter-acting antiplatelet medications are neither recommended nor are there any on the horizon of manufacture. In addition, use of local anesthetic agents to provide postoperative analgesia instead of opioids in tandem provides a vista of opportunity to reduce or avoid the opioid use and move toward opioid-free anesthesia

Multi Sectoral Approach to Tackle Malnutrition

In the remote haor areas in Sunamganj, Bangladesh, a band of community actors are working in collaboration with different stakeholders, from different sectors to create a resistance against malnutrition.

Nasima is one such Community Health Care Provider (CHCP), who enquires and confirm antenatal services and Iron and Folic Acid (IFA) tablet consumption of pregnant mothers with the support of Community Support Group (CSG) members.