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By Carlos Henrique Castro Anesthesiologist
Dwight E Moulin, A John Clark, Allan Gordon, Mary Lynch, Patricia K Morley-Forster, Howard Nathan, Cathy Smyth, Cory Toth, Elizabeth VanDenKerkhof, Ammar Gilani, Mark A Ware
This prospective observational cohort study addressed the long-term clinical effectiveness of the management of chronic neuropathic noncancer pain at 7 Canadian tertiary pain centers. Patients were treated according to standard guidelines and were followed at 3, 6, 12, 18, and 24 months. Standard outcome measures for pain, mood, quality of life, and overall treatment satisfaction were administered, with the primary outcome measure designated as the composite of 30% reduction in average pain intensity and 1-point decrease in the mean Interference Scale Score (0-10) of the Brief Pain Inventory at 12 months relative to baseline...
September 2015: Journal of Pain: Official Journal of the American Pain Society
K Leslie, D McIlroy, J Kasza, A Forbes, A Kurz, J Khan, C S Meyhoff, R Allard, G Landoni, X Jara, G Lurati Buse, K Candiotti, H-S Lee, R Gupta, T VanHelder, W Purayil, S De Hert, T Treschan, P J Devereaux
BACKGROUND: We assessed associations between intraoperative neuraxial block and postoperative epidural analgesia, and a composite primary outcome of death or non-fatal myocardial infarction, at 30 days post-randomization in POISE-2 Trial subjects. METHODS: 10 010 high-risk noncardiac surgical patients were randomized aspirin or placebo and clonidine or placebo. Neuraxial block was defined as intraoperative spinal anaesthesia, or thoracic or lumbar epidural anaesthesia...
January 2016: British Journal of Anaesthesia
Brit J Long, Alex Koyfman
No abstract text is available yet for this article.
February 2016: Annals of Emergency Medicine
Rachel Quibell, Marie Fallon, Mary Mihalyo, Robert Twycross, Andrew Wilcock
No abstract text is available yet for this article.
August 2015: Journal of Pain and Symptom Management
Hanns Ulrich Zeilhofer, Martin Schmelz
No abstract text is available yet for this article.
September 2015: Pain
Suneel Upadhye, Dinesh Kumbhare
No abstract text is available yet for this article.
January 2016: Annals of Emergency Medicine
Frederick D'Aragon, Emilie P Belley-Cote, Maureen O Meade, François Lauzier, Neill K J Adhikari, Matthias Briel, Manoj Lalu, Salmaan Kanji, Pierre Asfar, Alexis F Turgeon, Alison Fox-Robichaud, John C Marshall, François Lamontagne
Physicians often prescribe vasopressors to correct pathological vasodilation and improve tissue perfusion in patients with septic shock, but the evidence to inform practice on vasopressor dosing is weak. We undertook a systematic review of clinical studies evaluating different blood pressure targets for the dosing of vasopressors in septic shock. We searched MEDLINE, EMBASE, CENTRAL (to November 2013), reference lists from included articles, and trial registries for randomized controlled trials (RCTs) and observational and crossover intervention studies comparing different blood pressure targets for vasopressor therapy in septic shock...
June 2015: Shock
Mohammad H Mobasheri, Maximilian Johnston, Usama M Syed, Dominic King, Ara Darzi
BACKGROUND: Smartphones and tablet devices have become ubiquitous, and their adoption in the health care arena is growing. Reviews have looked at their utilities within medical specialties. Despite the many surgical apps available currently, there has not been a comprehensive literature review evaluating uses of these platforms within surgical disciplines. We reviewed the literature systematically in this regard. METHODS: Embase, MEDLINE, Health Management Informatics Consortium, and PsychINFO databases were searched for empiric quantitative studies evaluating interventions based in the use of smartphone or tablet device within surgical disciplines targeted at surgeons, patients, or the wider public...
November 2015: Surgery
Seniyye Ulgen Zengin, Ayten Saracoglu, Zeynep Eti, Tumay Umuroglu, Fevzi Yilmaz Gogus
OBJECTIVES: To evaluate and compare the effects of preoperative oral pregabalin and perioperative intravenous lidocaine infusion on postoperative morphine requirement, adverse effects, patients' satisfaction, mobilization, time to first defecation and time to discharge in patients undergoing laparotomy. METHODS: Eighty patients (18 to 65 years of age) undergoing elective laparotomy were randomly divided into four groups (n=20 in each group): group C, placebo capsules and normal saline infusion perioperatively (control); group L, placebo capsules and lidocaine 1 mg⁄kg intravenous bolus dose followed by 2 mg⁄kg⁄h infusion until skin closure; group P, 150 mg oral pregabalin and normal saline infusion perioperatively; and group PL, 150 mg oral pregabalin and lidocaine 2 mg⁄kg⁄h infusion until skin closure...
July 2015: Pain Research & Management: the Journal of the Canadian Pain Society
David M Kietrys, Kerstin M Palombaro, Erica Azzaretto, Richard Hubler, Bret Schaller, J Mathew Schlussel, Mary Tucker
STUDY DESIGN: Systematic review and meta-analysis. BACKGROUND: Myofascial pain syndrome (MPS) is associated with hyperalgesic zones in muscle called myofascial trigger points. When palpated, active myofascial trigger points cause local or referred symptoms, including pain. Dry needling involves inserting an acupuncture-like needle into a myofascial trigger point, with the goal of reducing pain and restoring range of motion. OBJECTIVE: To explore the evidence regarding the effectiveness of dry needling to reduce pain in patients with MPS of the upper quarter...
September 2013: Journal of Orthopaedic and Sports Physical Therapy
(no author information available yet)
BACKGROUND: Perioperative visual loss, a rare but dreaded complication of spinal fusion surgery, is most commonly caused by ischemic optic neuropathy (ION). The authors sought to determine risk factors for ION in this setting. METHODS: Using a multicenter case-control design, the authors compared 80 adult patients with ION from the American Society of Anesthesiologists Postoperative Visual Loss Registry with 315 adult control subjects without ION after spinal fusion surgery, randomly selected from 17 institutions, and matched by year of surgery...
January 2012: Anesthesiology
Jason M Beneciuk, Michael E Robinson, Steven Z George
UNLABELLED: Early screening for psychological distress has been suggested to improve patient management for individuals experiencing low back pain. This study compared 2 approaches to psychological screening (ie, multidimensional and unidimensional) so that preliminary recommendations on which approach may be appropriate for use in clinical settings other than primary care could be provided. Specifically, this study investigated aspects of the STarT Back Screening Tool (SBT): 1) discriminant validity by evaluating its relationship with unidimensional psychological measures and 2) construct validity by evaluating how SBT risk categories compared to empirically derived subgroups using unidimensional psychological and disability measures...
January 2015: Journal of Pain: Official Journal of the American Pain Society
Andrew A Taitano, Michael Markow, Jon E Finan, Donald E Wheeler, John Paul Gonzalvo, Michel M Murr
Nonalcoholic fatty liver disease (NAFLD) is prevalent in obese patients. We sought to determine the effects of bariatric surgery on the histological features of NAFLD. Two blinded pathologists graded liver biopsies done during bariatric procedures and subsequent operations in 160 patients using the Brunt classification. Data are mean ± SD. Interval between biopsies was 31 ± 26 months. Initial biopsies demonstrated steatosis 77 %, lobular inflammation 39 %, and chronic portal inflammation 56 %...
March 2015: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
Ary Serpa Neto, Fabienne D Simonis, Marcus J Schultz
PURPOSE OF REVIEW: There is convincing evidence for benefit from lung-protective mechanical ventilation with lower tidal volumes in patients with the acute respiratory distress syndrome (ARDS). It is uncertain whether this strategy benefits critically ill patients without ARDS also. The present article summarizes the background and clinical evidence for ventilator settings that have the potential to protect against ventilator-induced lung injury. RECENT FINDINGS: There has been a paradigm shift from treating ARDS to preventing ARDS...
February 2015: Current Opinion in Critical Care
W H Kim, H J Ahn, C J Lee, B S Shin, J S Ko, S J Choi, S A Ryu
BACKGROUND: This study was performed to assess whether intubation is more difficult in obese patients and to assess the ability of a new index: the ratio of the neck circumference to thyromental distance (NC/TM), to predict difficult intubation in obese patients. METHODS: The incidence of difficult tracheal intubation in 123 obese (BMI≥27.5 kg m(-2)) and 125 non-obese patients was compared. Difficult intubation was determined using the intubation difficulty scale (IDS≥5)...
May 2011: British Journal of Anaesthesia
Gerald W Smetana, Valerie A Lawrence, John E Cornell
BACKGROUND: The importance of clinical risk factors for postoperative pulmonary complications and the value of preoperative testing to stratify risk are the subject of debate. PURPOSE: To systematically review the literature on preoperative pulmonary risk stratification before noncardiothoracic surgery. DATA SOURCES: MEDLINE search from 1 January 1980 through 30 June 2005 and hand search of the bibliographies of retrieved articles. STUDY SELECTION: English-language studies that reported the effect of patient- and procedure-related risk factors and laboratory predictors on postoperative pulmonary complication rates after noncardiothoracic surgery and that met predefined inclusion criteria...
April 18, 2006: Annals of Internal Medicine
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