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https://www.readbyqxmd.com/read/29656120/systemic-inflammatory-response-syndromes-in-the-era-of-interventional-cardiology
#1
REVIEW
Riccardo Gorla, Raimund Erbel, Kim A Eagle, Eduardo Bossone
Systemic inflammatory response syndrome (SIRS), initially reported after cardiovascular surgery, has been described after various interventional cardiology procedures, including endovascular/thoracic aortic repair (EVAR/TEVAR), implantation of heart rhythm devices, percutaneous coronary intervention (PCI), electrophysiology procedures (EP), and transcatheter aortic valve implantation (TAVI). In these settings, a comprehensive understanding of the triggers, pathogenesis as well as a common diagnostic/therapeutic algorithm is lacking and will be discussed in this review...
April 12, 2018: Vascular Pharmacology
https://www.readbyqxmd.com/read/29652782/impaired-trunk-posture-in-women-with-fibromyalgia
#2
Núria Sempere-Rubio, Marta Aguilar-Rodríguez, Gemma V Espí-López, Sara Cortés-Amador, Eliseo Pascual, Pilar Serra-Añó
STUDY TYPE: A cross-sectional study OBJECTIVES.: The main goal of the study was to analyze posture of Fibromyalgia syndrome (FMS) in women compared to healthy subjects in order to establish if posture assessment could be useful to characterize the syndrome. Secondarily, we explored the impact of sedentary behavior on trunk posture. SUMMARY OF BACKGROUND DATA: Pain has been associated with poor static postures, however there is little information on the effect of FMS, which is characterized by widespread pain, on trunk posture...
April 12, 2018: Spine
https://www.readbyqxmd.com/read/29650881/-combination-therapy-of-oxycodone-and-tapentadol-was-effective-for-intractable-pain-caused-by-breast-cancer-bone-metastasis-a-case-report
#3
Tetsuya Matsuura, Akihiko Kusakabe, Takaomi Kessoku, Yasushi Honda, Asuka Yoshimi, Ayumu Goto, Haruhisa Yoshida, Akiko Sukegawa, Atsushi Nakajima, Yasushi Ichikawa
A 52-year-old woman had been prescribed oral medication of acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs), and oxycodone for intractable pain associated with thoracic metastasis of breast cancer. However, the pain control was poor. Although pregabalin and gabapentin were used as supplementary analgesics, they could not be continued because of their side effects. Based on the noradrenalin reincorporation-inhibiting action of tapentadol, a combination therapy of tapentadol and oxycodone was introduced and satisfactory pain control was achieved...
March 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29650222/value-of-ultrasound-as-a-diagnostic-tool-for-a-painful-thoracic-nodule
#4
D Morgado-Carrasco, S Gómez, L Alós, P Giavedoni
No abstract text is available yet for this article.
April 9, 2018: Actas Dermo-sifiliográficas
https://www.readbyqxmd.com/read/29649086/the-morphology-and-clinical-significance-of-the-extraforaminal-ligaments-at-the-t1-t12-levels
#5
Qinghao Zhao, Weicong Zhang, Zhihai Su, Min Wang, Lianjun Yang, Enyi Zhong, Zihai Ding, Qingchu Li, Hai Lu
STUDY DESIGN: A dissection-based study of 10 embalmed human cadavers. OBJECTIVE: The purpose of this study was to describe the extraforaminal ligaments in the exit regions of the T1-T12 intervertebral foramina and to discuss their possible clinical significance. SUMMARY OF BACKGROUND DATA: The ligaments at the lumbar intervertebral foramina have been well studied. However, detailed descriptions of the extraforaminal ligaments at the T1-T12 levels are lacking...
April 11, 2018: Spine
https://www.readbyqxmd.com/read/29643586/efficacy-of-exercise-on-pelvic-pain-and-posture-associated-with-endometriosis-within-subject-design
#6
Eman Awad, Hamada Ahmed Hamada Ahmed, Amal Yousef, Rami Abbas
[Purpose] This study was carried out to determine the effect of an exercise program on pelvic pain and posture associated with endometriosis. [Subjects and Methods] This study was designed as repeated measures design that compared one group of 20 patients (age range 26-32 years) diagnosed by laparoscope as having mild or moderate endometriosis before, after 4 weeks, and after 8 weeks of exercise program. The exercise program parameters were based on the American College of Obstetricians and Gynecologists guidelines for exercise suitable for sedentary women...
December 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29629202/enhanced-recovery-pathways-in-thoracic-surgery-from-italian-vats-group-perioperative-analgesia-protocols
#7
REVIEW
Federico Piccioni, Matteo Segat, Stefano Falini, Marzia Umari, Olga Putina, Lucio Cavaliere, Riccardo Ragazzi, Domenico Massullo, Marco Taurchini, Carlo Del Naja, Andrea Droghetti
Video-assisted thoracoscopic surgery (VATS) is a minimally invasive technique that allows a faster recovery after thoracic surgery. Although enhanced recovery after surgery (ERAS) principles seem reasonably applicable to thoracic surgery, there is little literature on the application of such a strategy in this context. In regard to pain management, ERAS pathways promote the adoption of a multimodal strategy, tailored to the patients. This approach is based on combining systemic and loco-regional analgesia to favour opioid-sparing strategies...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29629197/enhanced-recovery-after-thoracic-surgery-patient-information-and-care-plans
#8
REVIEW
Majed Refai, Marco Andolfi, Paolo Gentili, Gilda Pelusi, Francesca Manzotti, Armando Sabbatini
Many studies have confirmed that the implementation of enhanced recovery after surgery (ERAS) protocols has the advantages of reducing the potential complications after thoracic surgery and the length of hospital stay. The ERAS program involves a multidisciplinary team, aimed at integrating evidence-based knowledge into clinical practice in order to reduce the patient's stress response to the surgical procedure and improve the response to stress, guaranteeing a combination of better outcomes and cost savings...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29628834/comparison-of-analgesic-efficacy-and-safety-of-continuous-epidural-infusion-versus-local-infiltration-and-systemic-opioids-in-video-assisted-thoracoscopic-surgery-decortication-in-pediatric-empyema-patients
#9
Priyanka Pradeep Karnik, Nandini Malay Dave, Madhu Garasia
Introduction: The stripping of the densely innervated and inflamed parietal pleura in empyema during video-assisted thoracoscopic surgery (VATS) decortication can lead to significant pain and major postoperative respiratory compromise. Hence, we compared the analgesic efficacy of continuous epidural infusion versus local infiltration and systemic opioids in children undergoing VATS decortications. Methodology: Following ethics approval and informed consent, forty patients from 1 to 12 years of age were randomized into two groups, Group E (epidural) and Group L (local infiltration) after induction of anesthesia...
April 2018: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29628832/efficacy-and-safety-of-pulsed-radiofrequency-and-steroid-injection-for-intercostobrachial-neuralgia-in-postmastectomy-pain-syndrome-a-clinical-trial
#10
Beshoy Nabil Fam, Ghada Gamal El-Din El-Sayed, Raafat Mahfouz Reyad, Ikramy Mansour
Background: Breast cancer is a common neoplastic tumor in women, and the postmastectomy pain syndrome has been reported frequently after surgical treatment. The injury of the intercostobrachial nerve is considered the major cause of this type of pain. Purpose: Evaluation of efficacy and safety of pulsed radiofrequency (PRF) and steroid injection on the 2nd and 3rd thoracic (T2 and T3) dorsal root ganglions (DRGs) for intercostobrachial neuralgia (ICBN) postmastectomy...
April 2018: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/29628010/initial-electromyography-fails-to-predict-long-term-outcome-of-isolated-serratus-palsy
#11
M Vastamäki, H Vastamäki, V Pikkarainen, L Ristolainen
BACKGROUND AND AIMS: The course of isolated serratus palsy is difficult to predict, especially if, in initial electromyographic examination, long thoracic nerve function is totally absent. How initial electromyography correlates with long-term outcome of isolated serratus palsy is unknown. We evaluated initial electromyographic examinations of isolated serratus palsy patients and compared these to their long-term outcome. We hypothesized that long-term outcome after electromyographic examination-verified partial nerve injuries is better than that seen in cases of total nerve injuries...
April 1, 2018: Scandinavian Journal of Surgery: SJS
https://www.readbyqxmd.com/read/29627630/awake-intradural-spinal-tumour-resection
#12
Anan Shtaya, Chan Bao Luong, Erlick Pereira
BACKGROUND: Meningioma is a common slow growing spinal tumour with a predilection for intradural occurrence. Patients usually present with pain followed by ataxia and sensory and sphincter problems. The gold standard treatment in these cases is gross total microsurgical resection under general anaesthesia. However, there exist high anaesthetic risk patients unsuitable for general anaesthesia. Performing spinal surgeries under local anaesthesia and sedation has been reported albeit rarely for mostly minimally invasive procedures but not for open intradural pathologies...
April 5, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29625268/trunk-muscle-activation-patterns-during-walking-among-persons-with-lower-limb-loss-influences-of-walking-speed
#13
Courtney M Butowicz, Julian C Acasio, Christopher L Dearth, Brad D Hendershot
Persons with lower limb amputation (LLA) walk with altered trunk-pelvic motions. The underlying trunk muscle activation patterns associated with these motions may provide insight into neuromuscular control strategies post LLA and the increased incidence of low back pain (LBP). Eight males with unilateral LLA and ten able-bodied controls (CTR) walked over ground at 1.0 m/s, 1.3 m/s, 1.6 m/s, and self-selected speeds. Trunk muscle onsets/offsets were determined from electromyographic activity of bilateral thoracic (TES) and lumbar (LES) erector spinae...
March 26, 2018: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/29624542/effects-of-combined-lower-thoracic-epidural-general-anesthesia-on-pain-control-in-patients-undergoing-elective-lumbar-spine-surgery-a-randomized-controlled-trial
#14
Marvin Thepsoparn, Jariya Sereeyotin, Patt Pannangpetch
STUDY DESIGN: Randomized controlled trial. OBJECTIVE: Our objective was to compare postoperative pain relief and operating field condition of single shot low thoracic epidural anesthesia combined with general anesthesia versus general anesthesia alone. SUMMARY OF BACKGROUND DATA: Prior studies have suggested that continuous epidural analgesia provides better postoperative pain relief and less intraoperative blood loss, but with the risk of the epidural catheter contaminating the surgical field...
April 5, 2018: Spine
https://www.readbyqxmd.com/read/29621191/syringomyelia-in-an-adult-american-paint-horse
#15
Jacqueline P Kurz, Kate E Schoenhals, Gordon A Hullinger, Arnaud J Van Wettere
Syringomyelia is a form of myelodysplasia defined by the formation of one or more fluid-filled cavities within the spinal cord that do not communicate with the central canal. The defect may be congenital or acquired. Clinical signs correlate to the segment of spinal cord affected and include pain, paresis, proprioceptive deficits, alterations in sensation, scoliosis, and autonomic dysfunction. This report describes the clinical and pathologic changes in a case of acquired syringomyelia in a 10-year-old American Paint Horse mare...
April 5, 2018: Veterinary Sciences
https://www.readbyqxmd.com/read/29620622/cc1-emergent-endovascular-repair-of-a-ruptured-descending-thoracic-aortic-aneurysm-in-an-arresting-patient
#16
Warren Naselsky, Charles F Evans, Brody Wehman, Bradley S Taylor
OBJECTIVE: Our goal was to present a case of emergent endovascular repair of a ruptured descending aortic aneurysm in an actively arresting patient. PATIENT: The patient was a 75-year-old woman with a known history of a 6.5-cm descending thoracic aortic aneurysm with acute onset of back pain and syncope. A computed tomographic angiogram revealed disruption of the descending thoracic aorta and a mediastinal hematoma. The patient was taken emergently to the operating room...
April 4, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/29617509/a-rare-cause-of-abdominal-pain-in-childhood-cardiac-angiosarcoma
#17
Elvan Caglar Citak, Murat Ozeren, M Kerem Karaca, Derya Karpuz, Feryal Karahan, Eda Bengi Yilmaz, Yuksel Balci, Pelin Ozcan Kara, Rabia Bozdogan Arpaci
Cardiac angiosarcomas are extremely rare in childhood, they are rapidly progressive tumours that often present themselves as diagnostic dilemmas, resulting in delayed diagnosis. Also, extracardiac manifestations, including abdominal pain, are extremely rare in patients with intracardiac tumors. We herein present the case of a 15-year-old girl who presented with abdominal pain. Echocardiography and thoracic computed tomography showed right atrial mass. The patient underwent surgery, chemotherapy, and radiotherapy...
January 2018: Brazilian Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/29615351/the-incidence-of-delayed-complications-in-acute-type-b-aortic-dissections-is-underestimated
#18
Benedikt Reutersberg, Matthias Trenner, Bernhard Haller, Sarah Geisbüsch, Christian Reeps, Hans-Henning Eckstein
OBJECTIVE: Acute type B aortic dissections (TBADs) can have immediate or delayed complications within the first 2 weeks. Because the majority of clinical series retrospectively categorized TBAD, the incidence and outcome of delayed complications in initially uncomplicated TBAD within the first 14 days are not well described. METHODS: We retrospectively analyzed 86 patients (78% male; age, 62.5 ± 13 years) with acute TBAD treated consecutively between January 2004 and May 2016 at a tertiary referral center...
March 31, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29614260/primary-hydatid-cyst-of-the-thoracic-aorta-revealed-by-peripheral-arterial-embolism
#19
Zied Chaari, Aymen Damak, Nizar Kardoun, Saif Hadhri, Raghda Hbaieb, Nizar Elleuch, Abdelhamid Karoui, Imed Frikha
Primitive aortic-hydatidosis is exceptional. We report the case of a 55-year-old-woman complaining of pain in left lower limb for a week. A CT angiogram showed multi-vesicular and fluid-density-mass intimately contiguous to descending thoracic aorta with endoluminal subtraction image and hydatid cysts in the spleen. Surgical approach was through a thoraco-phreno-lombotomy with right femoro-femoral bypass. Complete resection of destroyed aortic portion was performed, and continuity was restored by aorto-aortic bypass using Dacron prosthesis...
March 31, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29608431/postoperative-pain-outcomes-after-nuss-procedures-comparison-of-epidural-analgesia-continuous-infusion-of-local-anesthetic-and-preoperative-self-hypnosis-training
#20
Renee C B Manworren, Matthew N Anderson, Eric D Girard, Kimberly A Ruscher, Ana Maria Verissimo, Hannah Palac, Richard Weiss, Christine Rader, Donald Hight
BACKGROUND/PURPOSE: The Nuss procedure to correct pectus excavatum is associated with severe postoperative pain. The purpose of this retrospective study was to compare pain management outcomes of thoracic epidural analgesia and continuous infusion of local anesthetic (CILA) with and without preoperative self-hypnosis training (SHT) after Nuss procedure (4 treatment groups). METHODS: Between February 2010 and December 2013, 24 of 53 adolescents who underwent Nuss procedure received SHT...
April 2, 2018: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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