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Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Acute Pain - June 1, 2009 Category: Anesthesiology Source Type: journals

Analgesic effectiveness of flurbiprofen axetil after uterine curettage on abortion: A randomized controlled trialEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Preoperative flurbiprofen axetil 50mg is a clinically effective analgesic means after uterine curettage on abortion.
Source: Acute Pain - June 1, 2009 Category: Anesthesiology Authors: FuZhou Wang, XiaoFeng Shen, XiRong Guo, ShiQin Xu, LiangLiang He, YuSheng Liu Tags: Articles Source Type: journals

Misinterpretation of the Faces Pain Scale-Revised in adult clinical practiceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: A substantial proportion of surveyed nurses were unable to describe the correct use of the FPS-R at either point of knowledge canvassing. In practice, it would appear that these nurses, if using the FPS-R, would not ask the patient about the intensity of their pain in situations when the patient is capable of a self-report. Implemented education strategies did not contribute to the correct application of FPS-R tool. Clinicians need to be aware of the possibility of misinterpreted application of self-reporting pain intensity measurement tools which employ a facial expression.
Source: Acute Pain - June 1, 2009 Category: Anesthesiology Authors: Grazyna Jastrzab, Susie Kerr, Greg Fairbrother Tags: Articles Source Type: journals

Preoperative gabapentin in patients undergoing primary total knee arthroplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined whether preoperative gabapentin decreases acute postoperative pain and opioid consumption in this setting.Methods: Retrospective chart review of single institution, hospital-based orthopaedic practice. Consecutive patients undergoing unilateral elective primary knee arthroplasty were evaluated for perioperative gabapentin use. Sixty-one consecutive patients received gabapentin; for each, an age- and gender-matched control was identified.Results: Patients in both groups demonstrated similar demographics, all received lumbar plexus blockade. Catheters were removed on postoperative day 2 (95%). There were ...
Source: Acute Pain - June 1, 2009 Category: Anesthesiology Authors: Cassie C. Dietrich, Michelle A. Kinney, Juan N. Pulido, Sheila L. Hoehn, Laurence C. Torsher, Edward D. Frie, James R. Hebl, Carlos B. Mantilla Tags: Articles Source Type: journals

Efficacy of fentanyl iontophoretic transdermal system in postoperative pain—A meta-analysisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Fentanyl ITS is a promising novel modality for postoperative analgesia that is superior to placebo but may not be equivalent to morphine PCA as claimed by individual trials and recent reviews. Its use appears to be safe.
Source: Acute Pain - June 1, 2009 Category: Anesthesiology Authors: Keah-How Poon, Kian-Hian Tan, Kok-Yuen Ho Tags: Articles Source Type: journals

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Source: Acute Pain - June 1, 2009 Category: Anesthesiology Source Type: journals

Editorial BoardEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Source: Acute Pain - March 1, 2009 Category: Anesthesiology Source Type: journals

Acute and chronic pain following breast surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article aimed to evaluate the evidence for varied techniques described for peri-operative pain management in breast surgery, and to review the literature on chronic pain after breast surgery and particularly ‘post-mastectomy pain syndrome’.Method: A Pubmed search was performed, with the key words “mastectomy” and “pain” for articles in the English language in the adult human population (age>19 years), looking specifically for different analgesic techniques that have been evaluated.Results: Thirty-three peer-reviewed publications with pain outcome data were included, ranging from 15 to 289 patients per stud...
Source: Acute Pain - March 1, 2009 Category: Anesthesiology Authors: Serene H. Chang, Vivek Mehta, Richard M. Langford Tags: Review Source Type: journals

Dyloject®, a novel injectable diclofenac solubilised with cyclodextrin: Reduced incidence of thrombophlebitis compared to injectable diclofenac solubilised with polyethylene glycol and benzyl alcoholEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: Background: Thrombophlebitis is a common complication of a widely used formulation of injectable diclofenac that employs propylene glycol and benzyl alcohol (PG–BA) as solvents. Initial studies of Dyloject®, a novel injectable diclofenac solubilised with hydroxypropyl-β-cyclodextrin (HPβCD), suggested that this complication occurred less frequently and with lower severity with the newer formulation.Methods: We conducted a safety analysis of seven single-dose clinical trials that enrolled 531 patients receiving either a rapid intravenous (IV) bolus of Dyloject® or a 30min IV infusion of PG–BA diclofenac.Res...
Source: Acute Pain - March 1, 2009 Category: Anesthesiology Authors: Robert D. Colucci, Curtis Wright, Fred H. Mermelstein, Daniel G. Gawarecki, Daniel B. Carr Tags: Articles Source Type: journals

Can ropivacaine be effectively and safely used in analgesia after laparoscopically assisted gastrointestinal surgery?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: Objective: This prospective observer-blinded clinical trial is designed to evaluate the effectiveness and the safety of 0.5% ropivacaine 30ml (150mg) administrated via subcutaneous infiltration at incision with or without combination of intraperitoneal spray for analgesia after laparoscopically assisted gastrointestinal surgery.Methods: Ninety ASA grade I–III patients were randomized into three groups: Group R1 (29 patients) in which patients received infiltration of 0.5% ropivacaine 30ml at all incision sites before the suturing, Group R2 (31 patients) in which patients received 0.5% ropivacaine 20ml at all inc...
Source: Acute Pain - March 1, 2009 Category: Anesthesiology Authors: Jun Yan, Jue Jin, Min-hua Zheng, Bu-wei Yu Tags: Articles Source Type: journals

Postoperative analgesic and adverse effects of two low doses of intrathecal neostigmine and its influence on spinal bupivacaine anaesthesia after knee arthroscopyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study was conducted to evaluate the postoperative analgesic efficacy and the safety of two low doses of intrathecal (IT) neostigmine in patients undergoing knee arthroscopy under spinal bupivacaine anaesthesia.Methods: By using a double-blinded study design, 80 patients undergoing knee arthroscopy during spinal anaesthesia were divided into four groups: bupivacaine group (Group B) received 15mg hyperbaric bupivacaine; bupivacaine+fentanyl group (Group BF) received 15mg hyperbaric bupivacaine mixed with 25μg fentanyl; bupivacaine+neostigmine group 1 (Group BN1) received 15mg hyperbaric bupivacaine mixed with 25μg neo...
Source: Acute Pain - March 1, 2009 Category: Anesthesiology Authors: Azim Honarmand, Mohammad Reza Safavi, Mohammad Reza Habibzadeh Tags: Articles Source Type: journals

Thoracic paravertebral block for treatment of postembolization syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: Renal artery embolization (angio-infarction) of a large renal cell carcinoma, prior to excision, is an acceptable surgical option. It may reduce the tumour's size and vascularity. However, postembolization syndrome, as characterized by flank pain, fever, nausea, and/or vomiting, is a potential complication of such an approach. The flank pain of this syndrome may be resistant to conventional opioid therapy. Here we report the successful use of a unilateral paravertabral block for the control of the unilateral flank pain of postembolization syndrome secondary to renal artery embolization.
Source: Acute Pain - March 1, 2009 Category: Anesthesiology Authors: Joseph Atallah, Jihad Abbas, Steven H. Selman, Simmone S. Cooper, Vivian Onyewuche, Patricia Weis, Thomas J. Papadimos, Brenda G. Fahy Tags: Short Communication Source Type: journals

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Source: Acute Pain - March 1, 2009 Category: Anesthesiology Source Type: journals