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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 3.

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Intranasal Self-Administration of Remifentanil as the Foray into Opioid Abuse by an Anesthesia Resident.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Remifentanil is a potent mu-opioid receptor agonist that produces intense analgesia. This anilidopiperidine analog of fentanyl was approved by the United States Food and Drug Administration and became commercially available in the United States in 1997. Because of its unique chemical structure, remifentanil must be reconstituted; it has a rapid onset, and because of ester hydrolysis, it has a rapid rate of degradation. Although remifentanil's package insert warns against the potential for addiction, because of its rapid rate of degradation there was little concern that health care workers would abuse this drug. Herein,...
Source: Anesthesia and Analgesia - November 16, 2009 Category: Anesthesiology Authors: Levine AI, Bryson EO Tags: Anesth Analg Source Type: journals

The C-MAC Videolaryngoscope: First Experiences with a New Device for Videolaryngoscopy-Guided Intubation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We studied the efficacy of the C-MAC((R)) (Karl Storz, Tuttlingen, Germany), a new portable videolaryngoscope, in 60 patients during routine induction of anesthesia. It was possible to insert the blade (Size 3) of the C-MAC and to get a view of the glottis on the first attempt in all patients. Tracheal intubation also was successful in all 60 patients; 52 patients were intubated on the first attempt, 6 on the second, and 2 on the third. In 8 patients (13%), a gum elastic bougie guide was required. A Cormack-Lehane Class 1 view of the glottis was seen in 30 patients without external manipulation and in 45 with external ...
Source: Anesthesia and Analgesia - November 16, 2009 Category: Anesthesiology Authors: Cavus E, Kieckhaefer J, Doerges V, Moeller T, Thee C, Wagner K Tags: Anesth Analg Source Type: journals

Preamputation Mirror Therapy May Prevent Development of Phantom Limb Pain: A Case Series.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the cases of 4 patients who performed daily mirror therapy for 2 wk before undergoing elective limb amputation. One patient experienced no phantom limb pain (PLP). Two patients experienced rare episodes of mild PLP without effect on their participation in physical therapy (PT) or their quality of life. One patient reported daily, brief episodes of moderate PLP without effect on his participation in PT or his stated quality of life. These results indicate that preoperative mirror therapy may improve postamputation PT compliance and decrease the incidence of PLP. Future prospective studies are needed to confirm the...
Source: Anesthesia and Analgesia - November 16, 2009 Category: Anesthesiology Authors: Hanling SR, Wallace SC, Hollenbeck KJ, Belnap BD, Tulis MR Tags: Anesth Analg Source Type: journals

Beyond Anesthetic Properties: The Effects of Isoflurane on Brain Cell Death, Neurogenesis, and Long-Term Neurocognitive Function.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Anesthetic drugs cause brain cell death and long-term neurocognitive dysfunction in neonatal rats. Recently, human data also suggest that anesthesia early in life may cause cognitive impairment. The connection between cell death and neurocognitive decline is uncertain. It is conceivable that mechanisms other than brain cell death contribute to neurocognitive outcome of neonatal anesthesia. In a series of experiments, we demonstrate that isoflurane exposure causes significant hypercarbia in postnatal day 7 rats and that exposure to isoflurane or carbon dioxide for 4 h provoked brain cell death. However, 1 h of isofluran...
Source: Anesthesia and Analgesia - November 16, 2009 Category: Anesthesiology Authors: Stratmann G, Sall JW, May LD, Loepke AW, Lee MT Tags: Anesth Analg Source Type: journals

Abbott To Acquire Novel Investigational Biologic To Treat Chronic PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abbott announced today a definitive agreement to acquire the global rights to PanGenetics BV's PG110 fully humanized antibody to Nerve Growth Factor (NGF), expanding the company's pain care portfolio and leveraging its expertise in biologics. PG110 is a novel biologic in Phase I clinical trial development that targets NGF for the treatment of chronic pain.
Source: Pain / Anesthetics News From Medical News Today - November 15, 2009 Category: Anesthesiology Tags: Pain / Anesthetics Source Type: news

[The simplicity of the concept of somatization.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: PMID: 19915876 [PubMed - as supplied by publisher]
Source: Schmerz - November 15, 2009 Category: Anesthesiology Tags: Schmerz Source Type: journals

[Albrecht Struppler deceased : In memory of a pioneer in neurology and trailblazer in pain research.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19915875 [PubMed - as supplied by publisher]
Source: Schmerz - November 15, 2009 Category: Anesthesiology Authors: Tölle TR Tags: Schmerz Source Type: journals

[From a wheelchair to ability to walk.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19915874 [PubMed - as supplied by publisher]
Source: Schmerz - November 15, 2009 Category: Anesthesiology Authors: Gaus P, Hyhlik-Dürr A Tags: Schmerz Source Type: journals

[Pain, suffering and compassion : Guidance in dealing with death.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19915873 [PubMed - as supplied by publisher]
Source: Schmerz - November 15, 2009 Category: Anesthesiology Authors: Radbruch L, Schaible HG Tags: Schmerz Source Type: journals

Cadence Pharmaceuticals Announces FDA Extends New Drug Application Review For Intravenous Acetaminophen By Three MonthsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cadence Pharmaceuticals, Inc. (Nasdaq: CADX) announced that the U.S. Food and Drug Administration (FDA) has extended the Prescription Drug User Fee Act (PDUFA) goal date for its Priority Review of the New Drug Application (NDA) for intravenous (IV) acetaminophen by three months. The extended PDUFA goal date is February 12, 2010.
Source: Pain / Anesthetics News From Medical News Today - November 14, 2009 Category: Anesthesiology Tags: Pain / Anesthetics Source Type: news

More Pain Means Real Gain In Complex Regional Pain Syndrome TreatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Los Angeles, London, New Delhi, Singapore and Washington DC (November 12, 2009) The saying "more pain, more gain" may be true for those already in terrible pain due to a chronic and debilitating condition, contrary to received wisdom. For those with Type I Complex Regional Pain Syndrome (CRPS), working through the pain of an aggressive physiotherapy program often leads to far better results than a more cautious pain-free approach.
Source: Pain / Anesthetics News From Medical News Today - November 14, 2009 Category: Anesthesiology Tags: Pain / Anesthetics Source Type: news

[Hypernatremic alkalosis : Possible counterpart of hyperchloremic acidosis in intensive care patients?]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: From the available data hypernatremic alkalosis could not be defined as an independent metabolic disorder. In would seem more appropriate to use the term "strong ion alkalosis" in this context. PMID: 19911108 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - November 14, 2009 Category: Anesthesiology Authors: Hofmann-Kiefer KF, Chappell D, Jacob M, Schülke A, Conzen P, Rehm M Tags: Anaesthesist Source Type: journals

Too Much Texting Linked To Neck And Shoulder PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Preliminary research on college students in the US suggests that too much texting can lead to neck and shoulder pain, similar to that found in older adults who develop injuries from prolonged and repeated use of computers. Judith Gold, an ergonomics researcher at Temple University in Philadelphia, Pennsylvania, presented the preliminary findings of her study at this year's annual meeting of the American Public Health Association, that took place this week in Philadelphia.
Source: Pain / Anesthetics News From Medical News Today - November 13, 2009 Category: Anesthesiology Tags: Rehabilitation / Physical Therapy Source Type: news

Pain From Breast Cancer Treatment Can Linger For Years, Study FindsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Nearly half of all breast cancer patients experienced chronic pain two to three years after treatment and more than half felt discomfort, according to a study by Danish researchers published Tuesday in the Journal of the American Medical Association, the New York Times reports.
Source: Pain / Anesthetics News From Medical News Today - November 13, 2009 Category: Anesthesiology Tags: Breast Cancer Source Type: news

Efficacy Of Low-Level Laser Therapy In The Treatment Of Neck PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
An article published Online First and in a future edition of The Lancet reports that low-level laser therapy (LLLT) reduces pain after treatment for non-specific neck pain. The article is the work of Dr Roberta Chow, Nerve Research Foundation, Brain and Mind Research Institute, University of Sydney, Australia, and colleagues. In the next thirty years, chronic pain is predicted to reach epidemic proportions in developed countries with ageing populations.
Source: Pain / Anesthetics News From Medical News Today - November 13, 2009 Category: Anesthesiology Tags: Body Aches Source Type: news

Laser Therapy Seems to Relieve Neck PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: Laser Therapy Seems to Relieve Neck PainCategory: Health NewsCreated: 11/12/2009 6:10:00 PMLast Editorial Review: 11/13/2009
Source: MedicineNet Chronic Pain General - November 13, 2009 Category: Anesthesiology Source Type: consumer

Body positions and esophageal sphincter pressures in obese patients during anesthesiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The lower esophageal sphincter (LES) and the upper esophageal sphincter (UES) play a central role in preventing regurgitation and aspiration. The aim of the present study was to evaluate the UES, LES and barrier pressures (BP) in obese patients before and during anesthesia in different body positions. Using high-resolution solid-state manometry, we studied 17 patients (27[ndash]63 years) with a BMI[ge]35 kg/m2 who were undergoing a laparoscopic bariatric surgery before and after anesthesia induction. Before anesthesia, the subjects were placed in the supine position, in the reverse Trendelenburg position (+20°) and in the...
Source: Acta Anaesthesiologica Scandinavica - November 13, 2009 Category: Anesthesiology Authors: A. DE LEON, S.-E. THÖRN, J. OTTOSSON, M. WATTWIL Source Type: journals

Epidural analgesia and breastfeeding: a randomised controlled trial of epidural techniques with and without fentanyl and a non-epidural comparison groupEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We compared breastfeeding initiation and duration in 1054 nulliaparae randomised to bupivacaine Control epidural, Combined Spinal Epidural or Low Dose Infusion and 351 matched non-epidural comparisons. Women were interviewed after delivery and completed a postal questionnaire at 12 months. Regression analysis determined factors which independently predicted breastfeeding initiation. Breastfeeding duration was subjected to Kaplan[ndash]Meier analysis. A similar proportion of women in each epidural group initiated breastfeeding. Women with no epidural did not report a higher initiation rate relative to epidural groups and th...
Source: Anaesthesia - November 13, 2009 Category: Anesthesiology Authors: M. J. A. Wilson, C. MacArthur, G. M. Cooper, D. Bick, P. A. S. Moore, A. Shennan Source Type: journals

Epidural anesthesia and cancer recurrence rates after radical prostatectomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: No difference was observed between the epidural and control groups in disease-free survival at a median follow-up time of 4.5 years. There is a need for large randomized controlled trials to determine the ability of epidural analgesia to alter disease recurrence rates following radical prostatectomy. PMID: 19911247 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - November 13, 2009 Category: Anesthesiology Authors: Tsui BC, Rashiq S, Schopflocher D, Murtha A, Broemling S, Pillay J, Finucane BT Tags: Can J Anaesth Source Type: journals

BioElectronics To Announce Results Of Acetaminophen Comparison StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
BioElectronics Corp. (PINKSHEETS: BIEL), the maker of inexpensive, disposable drug-free anti-inflammatory devices, announced that results from the recently completed acetaminophen comparison study will be released on Monday, November 16th after the close of the market. The study compares the effects of ActiPatch® Therapy to acetaminophen in the form of Extra Strength Tylenol® for the treatment of Delayed Onset Muscle Soreness (DOMS).
Source: Pain / Anesthetics News From Medical News Today - November 12, 2009 Category: Anesthesiology Tags: Pain / Anesthetics Source Type: news

Texting Can Be a Pain in the Neck, ShouldersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: Texting Can Be a Pain in the Neck, ShouldersCategory: Health NewsCreated: 11/12/2009 10:06:00 AMLast Editorial Review: 11/12/2009 10:06:43 AM
Source: MedicineNet Chronic Pain General - November 12, 2009 Category: Anesthesiology Source Type: consumer

Room for improvement: nurses' and physicians' views of a post-operative pain management programEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The practice of post-operative pain therapy continues to be a problem. We conducted a survey among nurses and physicians about their views of an established post-operative pain management program. A questionnaire was sent to all nurses and physicians of nine surgical wards (general, trauma, cardio-thoracic and oromaxillofacial surgery and gynecology). Questions were developed from qualitative interviews with staff. Patient data were derived from a post-operative pain registry. Seventy-eight physicians and nurses answered; the overall response rate was 23%. Post-operative pain therapy had high personal priority on an 11-poi...
Source: Acta Anaesthesiologica Scandinavica - November 12, 2009 Category: Anesthesiology Authors: C. S. HARTOG, J. ROTHAUG, A. GOETTERMANN, A. ZIMMER, W. MEISSNER Source Type: journals

Intranasal cooling with or without intravenous cold fluids during and after cardiac arrest in pigsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Intranasal balloon catheters circulated with cold saline have previously been used for the induction and maintenance of selective brain cooling in pigs with normal circulation. In the present study, we investigated the feasibility of therapeutic hypothermia initiation, maintenance and rewarming using such intranasal balloon catheters with or without addition of intravenous ice-cold fluids during and after cardiac arrest treatment in pigs. Cardiac arrest was induced in 20 anaesthetised pigs. Following 8 min of cardiac arrest and 1 min of cardiopulmonary resuscitation (CPR), cooling was initiated after randomisation with eit...
Source: Acta Anaesthesiologica Scandinavica - November 12, 2009 Category: Anesthesiology Authors: L. COVACIU, M. ALLERS, A. LUNDERQUIST, S. RUBERTSSON Source Type: journals

Published evidence for off-label gabapentin uses is incompleteEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: NEJM Area: News A comparison of the published evidence for off-label uses of gabapentin with reports available to the manufacturer found significant discrepancies in outcome reporting and unpublished negative trials. There is substantial evidence that selective and biased outcome reporting in published clinical trials exists - this is one of the reasons that clinical trial databases now available were set up. The authors of this paper report an analysis of the outcomes reported in published papers describing unlicensed (off-label) uses of gabapentin, using internal company documents made available as a ...
Source: NeLM - Pain control - November 12, 2009 Category: Anesthesiology Source Type: organizations

Preoperative opioid consumption increases morphine requirement after leg amputation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Despite the use of regional anesthesia, chronic opioid consumption before leg amputation is associated with increased postoperative morphine consumption and phantom limb pain. PMID: 19908106 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - November 12, 2009 Category: Anesthesiology Authors: Roullet S, Nouette-Gaulain K, Biais M, Bernard N, Bénard A, Revel P, Capdevila X, Sztark F Tags: Can J Anaesth Source Type: journals

Ketamine, but not priming, improves intubating conditions during a propofol-rocuronium induction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: A low-dose ketamine used with a propofol-rocuronium induction improved intubating conditions and shortened onset time. Priming did not influence intubating conditions or onset time. PMID: 19908105 [PubMed - as supplied by publisher]
Source: Canadian Journal of Anaesthesia - November 12, 2009 Category: Anesthesiology Authors: Topcuoglu PT, Uzun S, Canbay O, Pamuk G, Ozgen S Tags: Can J Anaesth Source Type: journals

[Anesthesiologic procedure for elective aortic surgery.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Aortic aneurysms are frequent in the elderly who often suffer from relevant co-morbidities. In Germany it is estimated that approximately 250,000 patients suffer from an aortic aneurysm. Due to the high risk of cardiac or pulmonary complications operative management poses a challenge to the anesthesiologist. Especially hemodynamic management during aortic cross-clamping requires anesthesiologic know-how and an anticipatory use of vasodilators and catecholamines. Furthermore, the anesthesiologist has to protect renal function. In order to avoid paraplegia due to spinal ischemia cerebrospinal fluid drainage may be necess...
Source: Der Anaesthesist - November 12, 2009 Category: Anesthesiology Authors: Knapp J, Bernhard M, Rauch H, Hyhlik-Dürr A, Böckler D, Walther A Tags: Anaesthesist Source Type: journals

The Effect of Hydroxyethyl Starches (HES 130/0.42 and HES 200/0.5) on Activated Renal Tubular Epithelial Cells.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: This in vitro study shows that both HES products modulate cell injury upon inflammatory stimulation. The effect was more pronounced in the HES 200/0.5 group than for HES 130/0.42, suggesting a possible biological difference between the HES types. PMID: 19910630 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Wittlinger M, Schläpfer M, De Conno E, Z'graggen BR, Reyes L, Booy C, Schimmer RC, Seifert B, Burmeister MA, Spahn DR, Beck-Schimmer B Tags: Anesth Analg Source Type: journals

The Long-Term Effect of Four Hours of Hyperventilation on Neurocognitive Performance and Lesion Size After Controlled Cortical Impact in Rats.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Although hyperventilation enhanced histologic damage, there was no long-term adverse neurocognitive effect from 4 h of posttraumatic hyperventilation (Paco(2) = 28-32 mm Hg) in rats. PMID: 19910629 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Eberspächer E, Blobner M, Werner C, Ruf S, Eckel B, Engelhard K, Schmahl W, Gelb AW Tags: Anesth Analg Source Type: journals

The Effect of Preoperative Heart Rate and Anxiety on the Propofol Dose Required for Loss of Consciousness.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Increased perioperative HR is associated with increased propofol dose required for LOC. Perioperative anxiety accounts for increased HR. PMID: 19910628 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Gras S, Servin F, Bedairia E, Montravers P, Desmonts JM, Longrois D, Guglielminotti J Tags: Anesth Analg Source Type: journals

A Randomized, Double-Blind, Placebo-Controlled Trial of Epidural Morphine Analgesia After Vaginal Delivery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: There was a 78% reduction in analgesic requirements in women given epidural morphine after vaginal delivery compared with placebo for both primiparous and multiparous patients. Women who receive epidural labor analgesia for vaginal deliveries and stay in the hospital for 24 h after delivery may benefit from postpartum administration of epidural morphine. PMID: 19910627 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Macarthur A, Imarengiaye C, Tureanu L, Downey K Tags: Anesth Analg Source Type: journals

The Risk-Benefit Profile of Aprotinin Versus Tranexamic Acid in Cardiac Surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Aprotinin tends to have a better risk-benefit profile than tranexamic acid in high-risk, but not low- to moderate-risk, patients. Its use in high-risk cases may therefore be warranted. PMID: 19910626 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Karkouti K, Wijeysundera DN, Yau TM, McCluskey SA, Tait G, Beattie WS Tags: Anesth Analg Source Type: journals

Up-Down Determination of the 90% Effective Dose of Phenylephrine for the Treatment of Spinal Anesthesia-Induced Hypotension in Parturients Undergoing Cesarean Delivery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In this study, we estimated that the ED(90) of phenylephrine required to treat spinal anesthesia-induced hypotension in cesarean delivery is approximately 150 mug. PMID: 19910625 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: George RB, McKeen D, Columb MO, Habib AS Tags: Anesth Analg Source Type: journals

Day-Surgery Patients Anesthetized with Propofol Have Less Postoperative Pain than Those Anesthetized with Sevoflurane.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The patients anesthetized with propofol appeared to have less pain than patients anesthetized with sevoflurane. PMID: 19910624 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Tan T, Bhinder R, Carey M, Briggs L Tags: Anesth Analg Source Type: journals

The Assessment of Cold Hyperalgesia After an Incision.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The present data give strong evidence that a surgical incision does not cause cold hyperalgesia. Furthermore, a lack of cold hyperalgesia in unrestrained male and female mice after incision was not due to increased skin temperature after incision. Finally, we demonstrated that in contrast to a surgical incision, inflammation and nerve injury generate intense cold hyperalgesia and an increase in skin temperature, suggesting that different mechanisms are involved in surgical and inflammatory or neuropathic pain. PMID: 19910623 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Scherer M, Reichl SU, Augustin M, Pogatzki-Zahn EM, Zahn PK Tags: Anesth Analg Source Type: journals

Native Aortic Root Endocarditis with Invasion of the Right Outflow Tract.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19910622 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Stechert MM, London MJ Tags: Anesth Analg Source Type: journals

The Effect of Bispectral Index Monitoring on Long-Term Survival in the B-Aware Trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Monitoring with BIS and absence of BIS values <40 for >5 min were associated with improved survival and reduced morbidity in patients enrolled in the B-Aware Trial. PMID: 19910621 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Leslie K, Myles PS, Forbes A, Chan MT Tags: Anesth Analg Source Type: journals

Single-Injection Percutaneous Peribulbar Anesthesia with a Short Needle as an Alternative to the Double-Injection Technique for Cataract Extraction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The single-injection technique for percutaneous peribulbar anesthesia with a short needle is a suitable alternative to the double-injection technique for cataract surgery. PMID: 19910620 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Ghali AM, Hafez A Tags: Anesth Analg Source Type: journals

Perioperative Oral Pregabalin Reduces Chronic Pain After Total Knee Arthroplasty: A Prospective, Randomized, Controlled Trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Perioperative pregabalin administration reduces the incidence of chronic neuropathic pain after TKA, with less opioid consumption and better range of motion during the first 30 days of rehabilitation. However, in the doses tested, it is associated with a higher risk of early postoperative sedation and confusion. PMID: 19910619 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Buvanendran A, Kroin JS, Della Valle CJ, Kari M, Moric M, Tuman KJ Tags: Anesth Analg Source Type: journals

Transforaminal 5% Phenol Neurolysis for the Treatment of Intractable Cancer Pain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This is the first case report of using a transforaminal approach for phenol administration. A 76-yr-old patient with a history of leiomyosarcoma and multiple metastatic lesions had unremitting pain in the right thoracic and lumbar regions and had prohibitive opioid-induced side effects. The patient underwent phenol neurolysis using a transforaminal approach in 2 stages at 3 levels (L3-4, L1-2, and T12-L1). The patient had complete resolution of pain, without any complications, and opioid treatment was nearly discontinued. Transforaminal phenol neurolysis is a reasonable treatment option for patients suffering from intr...
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Candido KD, Philip CN, Ghaly RF, Knezevic NN Tags: Anesth Analg Source Type: journals

The First Scintigraphic Detection of Tumor Necrosis Factor-Alpha in Patients with Complex Regional Pain Syndrome Type 1.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Tumor necrosis factor (TNF)-alpha has been identified as a pathogenic factor in many immunologically based diseases and complex regional pain syndrome (CRPS). In this case series, we used radiolabeled technetium anti-TNF-alpha antibody to scintigraphically image TNF-alpha in 3 patients with type 1 CRPS. The results show that TNF-alpha was localized only in affected hands of patients with early-stage CRPS. No uptake was seen in clinically unaffected hands and late-stage CRPS. Our findings support the growing evidence for neuroimmune disturbance in patients with CRPS and may have important further implications for specif...
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Bernateck M, Karst M, Gratz KF, Meyer GJ, Fischer MJ, Knapp WH, Koppert W, Brunkhorst T Tags: Anesth Analg Source Type: journals

A Survey of Current Management of Neuromuscular Block in the United States and Europe.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Our results suggest a lack of agreement among anesthesia providers about the best way to monitor neuromuscular function. Efforts to improve awareness by developing formal training programs and/or publishing official guidelines on best practices to reduce the incidence of postoperative neuromuscular weakness and patient morbidity are warranted. PMID: 19910616 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Naguib M, Kopman AF, Lien CA, Hunter JM, Lopez A, Brull SJ Tags: Anesth Analg Source Type: journals

Lateral Antebrachial Cutaneous Neuropathy as a Result of Positioning While Under General Anesthesia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a case of lateral antebrachial cutaneous neuropathy after prolonged general anesthesia for left medial meniscal transplant and microfracture surgery. In the orthopedic and sports medicine literature, <100 cases have been described. We discuss the possible causes and propose surgical positioning as the most likely cause of postoperative lateral antebrachial cutaneous neuropathy in our patient. PMID: 19910615 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Judge A, Fecho K Tags: Anesth Analg Source Type: journals

Pressures Available for Transtracheal Jet Ventilation from Anesthesia Machines and Wall-Mounted Oxygen Flowmeters.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Oxygen sources other than dedicated jet ventilator connectors to high-pressure pipeline oxygen may supply adequate working pressure, but each type of oxygen source needs testing to ensure that it supplies adequate working pressure. PMID: 19910614 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - November 12, 2009 Category: Anesthesiology Authors: Fassl J, Jenny U, Nikiforov S, Murray WB, Foster PA Tags: Anesth Analg Source Type: journals

Control of perioperative muscle strength during ambulatory surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose of review: This review describes strategies to control perioperative muscle strength in patients undergoing ambulatory surgery. Recent findings: Although it is impossible to improve muscle relaxation (defined as absence of electrical activity) of intact resting muscle by hypnotics, analgesia is required to prevent pain-evoked muscular contractions during surgery. Regional anesthesia, as well as hypnotics and opioids, promotes intraoperative muscle relaxation. Neuromuscular blocking agents (NMBAs) induce dose-dependent muscle relaxation, but their effects vary widely between individuals, and postoperative residual ...
Source: Current Opinion in Anaesthesiology - November 11, 2009 Category: Anesthesiology Tags: Ambulatory anesthesia: Edited by Girish Joshi Source Type: journals

Depth of anesthesiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose of review: The present review article provides a summary of the recent literature evaluating the technology for monitoring depth of anesthesia and patient outcomes associated with its use. Recent findings: The tentative and controversial findings of a 2006 study suggesting a correlation of mortality with lower intraoperative bispectral index scores were reproduced in a more recent study, but the correlation could be accounted for by controlling for patient comorbidities, particularly malignancy. In a large trial involving patients at high risk for awareness, general anesthesia with volatile agents guided by bispec...
Source: Current Opinion in Anaesthesiology - November 11, 2009 Category: Anesthesiology Tags: Technology, education, training and information systems: Edited by Kirk Shelley Source Type: journals

Perioperative management of outpatients with implantable cardioverter defibrillatorsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose of review: Implantable cardioverter defibrillators (ICDs) are increasingly being placed in patients worldwide. These patients pose significant perioperative challenges and are at an increased risk of complications; the suitability of ambulatory surgery in this patient population remains controversial. The purpose of the present review is to examine the potential challenges and optimal perioperative care of patients with an ICD. Recent findings: The American Society of Anesthesiologists Advisory for the perioperative management of patients with cardiac rhythm management devices as well as the American College of Ca...
Source: Current Opinion in Anaesthesiology - November 11, 2009 Category: Anesthesiology Tags: Ambulatory anesthesia: Edited by Girish Joshi Source Type: journals

Too Much Texting Could Cause Neck Pain In College StudentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The world record for fastest text message typing is held by a 21-year old college student from Utah, but his dexterous digits could mean serious injury later on. Most adults aged 18-21 prefer texting over e-mail or phone calls, and ergonomics researchers are starting to wonder whether it's putting the younger generation at risk for some overuse injuries - once reserved for older adults who have spent years in front of a computer.
Source: Pain / Anesthetics News From Medical News Today - November 11, 2009 Category: Anesthesiology Tags: IT / Internet / E-mail Source Type: news

'Emotions Increase Or Decrease Pain'Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Getting a flu shot this fall? Canadians scientists have found that focusing on a pretty image could alleviate the sting of that vaccine. According to a new UniversitÃ© de MontrÃ©al study, published in the latest edition of the Proceedings of the National Academy of Science (PNAS), negative and positive emotions have a direct impact on pain.
Source: Pain / Anesthetics News From Medical News Today - November 11, 2009 Category: Anesthesiology Tags: Pain / Anesthetics Source Type: news

Brief Training in Meditation Eases PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Title: Brief Training in Meditation Eases PainCategory: Health NewsCreated: 11/11/2009 10:42:00 AMLast Editorial Review: 11/11/2009 10:42:25 AM
Source: MedicineNet Chronic Pain General - November 11, 2009 Category: Anesthesiology Source Type: consumer

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