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Pain can be common after surgery of hip fracture regardless of anaesthesia type
Over 73% of the patients who received spinal or general anaesthesia reported severe pain during the initial 24 hours following the surgery, as per the REGAIN trial. Compared to patients on general anaesthesia, patients who received spinal anaesthesia reported worse pain in the first 24 hours following surgery, and more of them used prescription analgesics till 60 days.
Court cancels the license of a Mount Carmel doctor for accelerating death
The court attorney said that Dr William Husel was punished with the murder penalty and cancellation of his medical licence to practice in Ohio state for administering large doses of fentanyl to speed up death in 14 patients. Court took this decision after hearing from almost 53 prosecution witnesses, including medical experts and family members of 14 dead patients.
Patients respond faster to ketamine IV formulation than to intranasal
The time to achieve significant clinical response and remission was faster with IV ketamine administration than with intranasal formulation, Esketamine in patients with treatment-resistant depression, as per a study. Also, the average number of treatments needed to achieve clinical response in people receiving IV ketamine was 2.3 compared to 4.6 for people on Esketamine.
An anesthesiologist punished for failure to provide standard care
The state Board of Medicine instructed a Miami anesthesiologist to attend continuing medical education for three hours and pay $5,920.45 after examining a complaint about the death of a patient after heart surgery. The doctor's negligence while shifting the patient made the patient lose ventilation for nearly nine minutes and finally caused cardiac arrest and death.
Patients using cannabis might require a higher level of sedation for endoscopy
Patients using cannabis needed increased levels of sedation during gastroscopy compared to non-users, as per a study. Also, cannabis users required midazolam 5 mg or higher, diphenhydramine, or fentanyl 100 mcg or higher during gastric endoscopy. However, cannabinoids use was not associated with the use of fentanyl or adverse events and discomfort within procedures.
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Around 1 in 10 people could be conscious during general anaesthesia
About 11% of the participants under general anaesthesia responded to the commands, as per a study. Female participants were three times more likely to respond to commands compared to male participants. Additionally, half of the responded participants reported pain while under general anaesthetics. However, no responded participant recalled commands after surgery.
ASA decision tree tool could help manage difficult airways
The American Society of Anesthesiologists (ASA) created a decision tree tool using inductive assessments to help the anesthesiologists choose a pathway in the ASA Difficult Airway Algorithm. This tool integrates four essential elements: likely success of supraglottic or facemask ventilation, ease of tracheal intubation, tolerance of prolonged apnea, and aspiration risk.
Insights to separate facts from fiction regarding anaesthesia
An anaesthesiologist explained that all anaesthesias don't always make a person go to sleep. He added that anaesthesia is very safe due to advancements in medicine and technology, and its side effects are relatively minor. Al person need not worry about waking up during surgery. There is minimal risk of paralysis due to anaesthetics if a person has a spinal or epidural block.
Ohio doctor found not guilty after being accused of killing 14 patients
Dr William Husel was accused of hastening the 14 deaths of patients in intensive care units of Mount Carmel West hospital by prescribing high doses of fentanyl. But he was found not guilty of murders. The age of the dead patients ranged from 37 to 82 years. All 14 patients died immediately within 30 minutes of being administered fentanyl doses of 500 to 2,000 micrograms.
Hospital to pay $14.6 million to settle a lawsuit over double-booked surgeries
An anesthesiologist alleged the Massachusetts General Hospital for keeping patients under anaesthesia more than the required time due to juggling procedures in two operating rooms. The lawsuit alleged that government insurance was overbilled for anaesthesia charges, and the hospital failed to allot a backup surgeon for medical trainees.