All news from Anaesthesiology

PIEB Versus CEI for Postoperative Analgesia

Continuous epidural infusion (CEI) is the standard application setting for epidural infusion. A new mode, the programmed intermittent epidural bolus (PIEB) technique, showed reduced local anesthetic (LA) consumption and improved analgesia in obstetric analgesia. Goal of this trial was to evaluate the effects of PIEB versus CEI [combined with patient-controlled bolus (PCEA)] on LA consumption and pain scorings in major abdominal cancer surgery.

In New Zealand, The Prevalence of Pain is Increasing

Pain is an extremely common condition and increasing in prevalence in New Zealand, University of Otago researchers say. In the latest issue of the New Zealand Medical Journal out, a team of researchers from the University have written an editorial about pain. Dr. Nicola Swain, Associate Professor in the Department of Psychological Medicine, says pain is the number one reason why people visit their GP.

Role of Dexamethasone in the Para-vertebral Block

Surgery for aortic coarctation requires special care during anesthesia due to severe pain during the lateral thoracotomy incision, intraoperative hemodynamic instability and the need for large doses of intra- and postoperative analgesics and vasodilators. Additionally, the postoperative care of patients is very important.

Prebiotic Galacto-oligosaccharide's Effect on Postoperative Cognitive Dysfunction

Surgery-induced neuroinflammation plays an important role in postoperative cognitive dysfunction (POCD). Gut microbiota is a key regulator of neurological inflammation. Nurturing with prebiotics is an effective microbiota manipulation that can regulate host immunity and cognition.

The aim of the present study was to test whether administration of the prebiotic Bimuno® (galactooligosaccharide (B-GOS) mixture) could ameliorate POCD and attenuate surgery-induced neuroinflammation through the microbiota-brain-axis.