Montana Anesthesia Services

10/05/2026

Orthopedic procedures are among the most painful in surgical practice and account for an estimated 7.7% of all opioid prescriptions in the United States. With well-documented risks of opioid-related adverse drug events and long-term dependence, medicine has been experiencing a sustained shift toward multimodal, opioid-sparing analgesic strategies in perioperative care, including in the orthopedic context.

However, non-opioid analgesia after orthopedic surgery is more challenging than in many other procedural settings due to the relatively high levels...

09/01/2026

International Medical Graduates (IMGs) are significant contributors to the healthcare systems of the US and Canada, particularly in rural and underserved regions.

While IMGs in the US and Canada aim to maintain high standards of patient safety and physician competence, the US process is more centralized...

07/27/2026

Postoperative nausea and vomiting (PONV) affects roughly 25 to 30% of surgical patients, and although the condition is rarely life-threatening, it remains a significant source of patient distress, delayed recovery, and unplanned hospital admission.

In addition to severe discomfort and distress, intractable postoperative nausea and vomiting (PONV) can result in complications involving...

06/30/2026

The choice between general anesthesia and neuraxial techniques (spinal or epidural block) for total hip replacement has evolved substantially as surgical techniques and the practice of anesthesia have advanced.

05/18/2026

Intraoperative awareness is defined as explicit postoperative recall of events during planned general anesthesia due to intraoperative consciousness.

Intraoperative awareness is defined as explicit postoperative recall of events during planned general anesthesia due to intraoperative...

04/16/2026

Effective perioperative pain management is critical for optimizing patient outcomes and preventing complications associated with inadequate analgesia.

Duration of nerve blocks for perioperative analgesia determines pain control quality. Explore strategies including adjuvants, dexamethasone, and...