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https://www.readbyqxmd.com/read/29777714/efficiency-of-neuromuscular-electrical-stimulation-and-transcutaneous-nerve-stimulation-on-hemiplegic-shoulder-pain-a-prospective-randomized-controlled-trial
#1
Meimei Zhou, Fang Li, Weibo Lu, Junfa Wu, Song Pei
OBJECTIVE: To compare the efficacy of neuromuscular electrical stimulation (NMES) and transcutaneous nerve stimulation (TENS) on hemiplegic shoulder pain (HSP). DESIGN: This is a prospective randomized controlled trial (RCT). SETTING: A total of 184 HSP patients, aged 18-80 years, were recruited in the Rehabilitation Hospital from February 2014 to July 2016. The Ethics approval was obtained from the Institutional Review Board of the Hospital...
May 16, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29775161/surgical-treatment-of-middle-cluneal-nerve-entrapment-neuropathy-technical-note
#2
Juntaro Matsumoto, Toyohiko Isu, Kyongsong Kim, Naotaka Iwamoto, Daijiro Morimoto, Masanori Isobe
OBJECTIVE The etiology of low-back pain (LBP) is heterogeneous and is unknown in some patients with chronic pain. Superior cluneal nerve entrapment has been proposed as a causative factor, and some patients suffer severe symptoms. The middle cluneal nerve (MCN) is also implicated in the elicitation of LBP, and its clinical course and etiology remain unclear. The authors report the preliminary outcomes of a less invasive microsurgical release procedure to address MCN entrapment (MCN-E). METHODS The authors enrolled 11 patients (13 sites) with intractable LBP judged to be due to MCN-E...
May 18, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/29761672/emergency-department-administration-of-oxycodone-by-nurses-treating-musculoskeletal-pain-an-observational-prospective
#3
Mansour Khoury, Sigalit Caspi, Ruth Stalnikowics, Elad Peless, Ela Raiizman, Shaden Salameh
BACKGROUND: Acute musculoskeletal pain is one of the most commonly reported symptoms among patients visiting the emergency department (ED). Treatment with over-the-counter pain medications, given by nurses, results in improved pain management and reduces the waiting time to drug administration without significant side effects. Opioid analgesics are extensively used for acute pain in the ED. Compared to morphine, oxycodone has a much more specific pharmacological activity, higher analgesic potential, and more tolerable side effects...
May 2018: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29756695/stimulating-versus-non-stimulating-catheter-for-lumbar-plexus-continuous-infusion-after-total-hip-replacement
#4
Gianluca Cappelleri, Daniela Ghisi, Andrea L Ambrosoli, Alice Ascari, Elisa Compagnino, Marco Gemma, Giorgio Danelli
BACKGROUND: This study was aimed to investigate whether stimulating catheters for continuous lumbar plexus block reduce local anesthetic consumption after hip arthroplasty if compared with traditional non-stimulating catheters. METHODS: Seventy-two ASA I-III, 18-82 year-old, undergoing primary hip replacement (THA) for osteoarthritis with spinal anesthesia were randomized into two groups: Stim group (stimulating catheter, n=36) and Nonstim group (non-stimulating catheter, n=36)...
May 11, 2018: Minerva Anestesiologica
https://www.readbyqxmd.com/read/29756060/factors-associated-with-acute-and-chronic-pain-after-inguinal-herniorraphy
#5
Elif Erdogan, Ecder Ozenc
Objectives: The aim of this study was to analyse the relationship between types of anaesthesia, patients' demographic variables, preoperative emotional states and the prevalence of postoperative pain. Method: In this randomized prospective study, postoperative pain was assessed in 100 patients, who were ASA (American Society of Anaesthesiologist) I-II and between 18-65 years old, undergoing inguinal herniorrhaphy with either general or spinal anaesthesia. In addition, postoperative pain compared with patients' demographic properties and psychological conditions in each group was also considered...
April 2018: Romanian Journal of Anaesthesia and Intensive Care
https://www.readbyqxmd.com/read/29753099/validation-of-the-dyspnea-exertion-scale-of-breathlessness-in-people-with-life-limiting-illness
#6
Jacob Sandberg, Miriam J Johnson, David C Currow B Med, Magnus Ekström
BACKGROUND: Although chronic breathlessness is common in life-limiting illnesses, validated, feasible instruments to measure functional impact of the symptom in this population are scarce. We aimed to validate the Dyspnea Exertion Scale (DES) compared with the modified Medical Research Council (mMRC) breathlessness scale for test-retest reliability, concurrent validity and responsiveness in people with life-limiting illness. METHODS: A total of 188 participants, 66% male, with chronic breathlessness mostly (70%) due to chronic pulmonary disease (COPD) self-reported evening scores of mMRC, DES, Numerical rating scale (NRS) and Eastern Cooperative Oncology Group (ECOG) over 9 days...
May 9, 2018: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/29751181/adult-spinal-deformity-patients-with-previous-fusions-have-an-equal-chance-of-reaching-substantial-clinical-benefit-thresholds-in-health-related-quality-of-life-measures-but-do-not-reach-the-same-absolute-level-of-improvement
#7
Tamir Ailon
BACKGROUND: Substantial clinical benefit (SCB) represents a threshold above which patients recognize substantial improvement and represents a rational target for defining clinical success. In adult spinal deformity (ASD) surgery, previous fusions may impact outcomes after deformity correction. OBJECTIVE: Investigate the impact of prior spinal fusion on the likelihood of reaching SCB thresholds for 2-year health-related quality of life (HRQOL) after ASD surgery. METHODS: We conducted a retrospective review comparing baseline demographic, HRQOL, and radiographic features for ASD patients undergoing primary versus revision procedures...
May 8, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29750900/robot-guided-neuronavigated-repetitive-transcranial-magnetic-stimulation-rtms-in-central-neuropathic-pain-an-update-of-long-term-follow-up
#8
Charles Quesada, Benjamin Pommier, Camille Fauchon, Claire Bradley, Christelle Créac'h, François Vassal, Roland Peyron
OBJECTIVE: To confirm and extend previous results involving repetitive transcranial magnetic stimulation (rTMS) aimed at alleviating refractory central neuropathic pain(CNP). To evaluate pain relief in detail and to assess ongoing benefits after one year of treatment. DESIGN: Prospective observational study. SETTING: University hospital. Outpatient settings. PARTICIPANTS: 80 patients with chronic central pain after brain or spinal cord injuries...
May 8, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29750695/proximal-versus-distal-continuous-adductor-canal-blocks-does-varying-perineural-catheter-location-influence-analgesia-a-randomized-subject-masked-controlled-clinical-trial
#9
Jacklynn F Sztain, Bahareh Khatibi, Amanda M Monahan, Engy T Said, Wendy B Abramson, Rodney A Gabriel, John J Finneran, Richard H Bellars, Patrick L Nguyen, Scott T Ball, Francis B Gonzales, Sonya S Ahmed, Michael C Donohue, Jennifer A Padwal, Brian M Ilfeld
BACKGROUND: A continuous adductor canal block provides analgesia after surgical procedures of the knee. Recent neuroanatomic descriptions of the thigh and knee led us to speculate that local anesthetic deposited in the distal thigh close to the adductor hiatus would provide superior analgesia compared to a more proximal catheter location. We therefore tested the hypothesis that during a continuous adductor canal nerve block, postoperative analgesia would be improved by placing the perineural catheter tip 2-3 cm cephalad to where the femoral artery descends posteriorly to the adductor hiatus (distal location) compared to a more proximal location at the midpoint between the anterior superior iliac spine and the superior border of the patella (proximal location)...
May 9, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29747399/short-range-correlated-magnetic-core-shell-cro%C3%A2-cr%C3%A2-o%C3%A2-nanorods-experimental-observations-and-theoretical-considerations
#10
Ashish C Gandhi, Tai-Yue Li, Ting Shan Chan, Sheng Yun Wu
With the evolution of synthesis and the critical characterization of core-shell nanostructures, short-range magnetic correlation is of prime interest in employing their properties to develop novel devices and widespread applications. In this regard, a novel approach of the magnetic core-shell saturated magnetization (CSSM) cylinder model solely based on the contribution of saturated magnetization in one-dimensional CrO₂/Cr₂O₃ core-shell nanorods (NRs) has been developed and applied for the determination of core-diameter and shell-thickness...
May 9, 2018: Nanomaterials
https://www.readbyqxmd.com/read/29742567/erbium-yttrium-aluminum-garnet-laser-versus-traditional-bur-in-the-extraction-of-impacted-mandibular-third-molars-analysis-of-intra-and-postoperative-differences
#11
Ilaria Giovannacci, Giovanna Giunta, Giuseppe Pedrazzi, Marco Meleti, Maddalena Manfredi, Mario Migliario, Matteo Brucoli, Alberta Greco Lucchina, Carmen Mortellaro, Paolo Vescovi
INTRODUCTION: Different osteotomy techniques have been proposed in order to improve postoperative course of impacted third molar extraction. The aim is to evaluate the possible advantages achieved with erbium yttrium-aluminum-garnet (Er:YAG) laser osteotomy compared with traditional burs. MATERIALS AND METHODS: Seventy-six extractions were randomly classified into 2 groups according to osteotomy instrument: group 1 (G1)-Er:YAG laser: 35 patients; group 2 (G2)-traditional bur: 41 patients...
May 8, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29741718/comparison-of-outcomes-following-anterior-vs-posterior-fusion-surgery-for-patients-with-degenerative-cervical-myelopathy-an-analysis-from-quality-outcomes-database
#12
Anthony L Asher, Clinton J Devin, Panagiotis Kerezoudis, Silky Chotai, Hui Nian, Frank E Harrell, Ahilan Sivaganesan, Matthew J McGirt, Kristin R Archer, Kevin T Foley, Praveen V Mummaneni, Erica F Bisson, John J Knightly, Christopher I Shaffrey, Mohamad Bydon
BACKGROUND: The choice of anterior vs posterior approach for degenerative cervical myelopathy that spans multiple segments remains controversial. OBJECTIVE: To compare the outcomes following the 2 approaches using multicenter prospectively collected data. METHODS: Quality Outcomes Database (QOD) for patients undergoing surgery for 3 to 5 level degenerative cervical myelopathy was analyzed. The anterior group (anterior cervical discectomy [ACDF] or corpectomy [ACCF] with fusion) was compared with posterior cervical fusion...
May 8, 2018: Neurosurgery
https://www.readbyqxmd.com/read/29741660/intravenous-lidocaine-provides-similar-analgesia-to-intravenous-morphine-for-undifferentiated-severe-pain-in-the-emergency-department-a-pilot-unblinded-randomized-controlled-trial
#13
Eben J Clattenburg, Anthony Nguyen, Tina Yoo, Stefan Flores, Christian Hailozian, Derex Louie, Andrew A Herring
Objectives: We compared the analgesic effects of intravenous (IV) lidocaine and IV morphine for the treatment of severe pain in the emergency department (ED). Methods: This was a pilot, unblinded randomized controlled study comparing the efficacy of IV lidocaine vs IV morphine for patients aged ≥18 years with severe pain (numerical rating scale [NRS] ≥ 7). Participants were randomized to receive IV lidocaine (75 mg if <50 kg, 100 mg if 50-100 kg, and 150 mg if >100 kg) over 10 minutes, followed by a 50-minute IV lidocaine infusion of the same dose or provider-chosen dose of morphine...
May 7, 2018: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/29740688/the-safety-and-efficacy-of-oxycodone-versus-fentanyl-in-percutaneous-microwave-ablation-of-a-liver-tumour-abutting-the-capsule
#14
Wen-Tao Wu, Zhen-Yu Jia, Yu Chen, Qi-Feng Chen, Qing-Quan Zu, Zheng-Qiang Yang, Sheng Liu, Hai-Bin Shi
PURPOSE: The present study compared the safety and efficacy of oxycodone with those of fentanyl under non-intubated general anaesthesia in percutaneous microwave ablation (MWA) of a liver tumour abutting the capsule. MATERIALS AND METHODS: Thirty-eight patients underwent MWA of liver cancers abutting the capsule. Patients received 0.1 mg/kg oxycodone (O group) or 1 μg/kg fentanyl (F group) prior to the start of ablation. Both groups received continuous infusions of propofol for non-intubated general anaesthesia during ablation...
May 8, 2018: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/29736619/-the-german-version-of-the-bath-body-perception-disturbance-scale-bbpds-d-translation-cultural-adaptation-and-linguistic-validation-on-patients-with-complex-regional-pain-syndrome
#15
M Tschopp, J Swanenburg, M W Wertli, A Langenfeld, C S McCabe, J Lewis, E Baertschi, F Brunner
BACKGROUND: Besides the classical clinical manifestations, body perception disturbances are common among patients with complex regional pain syndrome (CRPS). The Bath Body Perception Disturbance Scale (BBPDS) represents a useful tool to assess these changes in CRPS patients; however, to date no validated German version is available. OBJECTIVE: The aim of this study was to translate the BBPDS into German, to perform a cross-cultural adaptation and linguistic validation in patients with acute (symptoms <3 months) and stable (symptoms ≥3 months) CRPS...
May 7, 2018: Der Schmerz
https://www.readbyqxmd.com/read/29735881/-the-effect-of-pain-relieving-intervention-during-infiltration-among-gamma-knife-surgery-patients-for-stereotactic-frame-fixation
#16
Young Jun Jang, Hyeon Ok Kim
PURPOSE: This study aimed to compare the effects of three interventions on pain, blood pressure, and pulse rate during infiltration anesthesia in patients about to undergo gamma knife surgeries. METHODS: The three interventions employed in a university-affiliated Hospital in J City, South Korea were as follows: EMLA cream plus Vapocoolant spray (Vapocoolant, n=30), EMLA cream plus 10.0% Lidocaine spray (Lidocaine, n=30), and EMLA cream only (EMLA, n=30). The equivalent control-group pre test - post test study design was used...
April 2018: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/29733098/oxycodone-is-safe-and-effective-for-general-anesthesia
#17
Stefan Wirz, Richard K Ellerkmann, Martin Soehle, Christian-Dieter Wirtz
PURPOSE: In clinical practice, using different opioid analgesics is common during the induction and maintenance of general anesthesia and for postoperative analgesia. However, if the opioid analgesic could be limited to a single drug, we hypothesized that the risk of adverse drug interactions could be reduced, with fewer adverse effects. We examined the use of oxycodone as a single opioid in a well-defined cohort of orthopedic patients undergoing general anesthesia. METHODS: In this retrolective, monocentric investigation, we reviewed data from 83 patients who underwent general anesthesia and received intravenous oxycodone as the sole analgesic (0...
March 2018: Journal of Opioid Management
https://www.readbyqxmd.com/read/29732426/significance-and-pitfalls-of-percutaneous-endoscopic-lumbar-discectomy-for-large-central-lumbar-disc-herniation
#18
Mikihito Kondo, Yasushi Oshima, Hirokazu Inoue, Yuichi Takano, Hirohiko Inanami, Hisashi Koga
Background: Percutaneous endoscopic lumbar discectomy (PELD) is a relatively less invasive treatment for lumbar disc herniation (LDH). The present study focused on the transforaminal approach (TFA) and investigated the significance of PELD via this approach for large central LDH. Methods: LDH that did not show cerebrospinal fluid (CSF) on axial T2-weighted magnetic resonance images was defined as large central LDH. PELD via the TFA was performed in 11 patients with large central LDH...
March 2018: Journal of Spine Surgery (Hong Kong)
https://www.readbyqxmd.com/read/29732352/pegfilgrastim-for-primary-prophylaxis-of-febrile-neutropenia-in-breast-cancer-patients-undergoing-tac-chemotherapy
#19
Jihyoun Lee, Jong Eun Lee, Zisun Kim, Sun Wook Han, Sung Mo Hur, Sung Yong Kim, Min Hyuk Lee, Cheol Wan Lim
Purpose: Primary prophylaxis with granulocyte colony-stimulating factor can effectively prevent febrile neutropenia (FN) during breast cancer treatment. The aims of this study were to evaluate the incidence of FN and the ANC profile in patients undergoing chemotherapy and pegfilgrastim primary prophylaxis. Methods: Patients receiving 6 cycles of adjuvant docetaxel, doxorubicin, and cyclophosphamide (TAC) chemotherapy were included in this study. Pegfilgrastim was administered with analgesics 24 hours after treatment...
May 2018: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/29731662/test-retest-reliability-validity-and-minimum-detectable-change-of-visual-analog-numerical-rating-and-verbal-rating-scales-for-measurement-of-osteoarthritic-knee-pain
#20
Ahmad H Alghadir, Shahnawaz Anwer, Amir Iqbal, Zaheen Ahmed Iqbal
Objective: Several scales are commonly used for assessing pain intensity. Among them, the numerical rating scale (NRS), visual analog scale (VAS), and verbal rating scale (VRS) are often used in clinical practice. However, no study has performed psychometric analyses of their reliability and validity in the measurement of osteoarthritic (OA) pain. Therefore, the present study examined the test-retest reliability, validity, and minimum detectable change (MDC) of the VAS, NRS, and VRS for the measurement of OA knee pain...
2018: Journal of Pain Research
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