Postoperative shoulder pain after laparoscopic hysterectomy with deep neuromuscular blockade and low-pressure pneumoperitoneum

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Source: European Journal of Anaesthesiology - Category: Anesthesiology Tags: Correspondence Source Type: research

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Improved patient outcomes and satisfaction associated with enhanced recovery after surgery protocols have increasingly replaced traditional peri-operative anesthesia care. Fast-track surgery pathways have been extensively validated in patients undergoing hysterectomies, yet impact on fertility-sparing laparoscopic gynecologic operations, particularly those addressing chronic pain conditions, has not been examined.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Original Research: Gynecology Source Type: research
CONCLUSIONS: Improved pain control, bowel function and reduced side effects were observed with OXN compared to morphine in patients who underwent hysterectomy. PMID: 31994365 [PubMed - as supplied by publisher]
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
Conclusions: In comparison with fentanyl, sufentanil showed comparable analgesic efficacy and safety with less analgesic consumption (under a potency ratio of 1:5) in IV-PCA after total laparoscopic hysterectomy. Therefore, we suggest that sufentanil can be a useful alternative to fentanyl for IV-PCA. PMID: 31673234 [PubMed - in process]
Source: International Journal of Medical Sciences - Category: Biomedical Science Tags: Int J Med Sci Source Type: research
CONCLUSIONS: We were able to define predictors of admission for patients having LH/RAH managed with an ERAS pathway. Increased ASA physical status, being African American, and increased length of procedure were significantly associated with admission after LH/RAH performed under an ERAS pathway. In addition, the incidences of urgent clinic and ER visits, readmissions, and reoperations within 90 days of surgery were similar for patients who were discharged on the day of surgery compared to those admitted. PMID: 31425219 [PubMed - in process]
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
Conclusions: Magnesium sulfate is an important adjuvant drug in the practice of anesthesia, with several clinical effects and a low incidence of adverse events when used at recommended doses. Introduction Magnesium is the fourth most common ion in the body, and it participates in several cellular processes, including protein synthesis, neuromuscular function and stability of nucleic acid, as well as regulating other electrolytes such as calcium and sodium. Magnesium acts as a cofactor in protein synthesis, neuromuscular function and stability and the function of nucleic acids. It is a component of adenosine 5-triph...
Source: Frontiers in Pharmacology - Category: Drugs & Pharmacology Source Type: research
We thank Dr. Lovett-Carter for her comments and observations regarding our paper which concluded that injecting the cervix with 10 mL of 0.5% bupivacaine prior to a laparoscopic hysterectomy significantly reduces immediate post-operative pain. 1 We agree that pain reduction after surgery is a topic of paramount importance in perioperative medicine, particularly pertaining to hysterectomies, as this is one of the most frequent surgical procedures performed in the United States. 2,3 Furthermore, it has been found that adequate pain control in the post-anesthesia care unit is directly correlated with overall patient satisfaction.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: LETTER TO THE EDITOR Source Type: research
Publication date: Available online 6 December 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Steven Radtke, Todd Boren, Stephen DepasqualeAbstractStudy ObjectiveTo determine if performing a paracervical block with .5% bupivacaine before laparoscopic hysterectomy reduces postoperative pain.DesignDouble-blind randomized controlled trial (Canadian Task Force classification I).SettingUniversity-affiliated hospital.PatientsWomen aged between 18 and 65 years scheduled to undergo total laparoscopic hysterectomy for benign indications.InterventionsEligible patients were allocated to control or treatment groups usin...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Backgroud: The purpose of this study was to evaluate the effects of trigger point injection (TPI) and eutectic mixture local anesthetics (EMLA) cream on the postoperative shoulder pain in patients undergoing total laparoscopic hysterectomy. Methods: In this randomized, single-blinded, and controlled study, total 75 patients were randomly allocated to TPI group (n = 25), EMLA group (n = 25), and control group (n = 25). TPI group received TPIs with 2 mL of 0.2% ropivacaine, and EMLA group received an occlusive dressing with EMLA cream 2 g on both shoulders. Overall, abdominal, and shoulder pains were eva...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Trial/Experimental Study Source Type: research
Conclusion: We concluded that bilateral US-guided OSTAP blocks reduced 24th hour tramadol requirements and VAS scores after laparoscopic hysterectomy. The OSTAP block is a promising technique for producing effective and prolonged postoperative analgesia in patients undergoing laparoscopic hysterectomy surgeries.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Trial/Experimental Study Source Type: research
Publication date: Available online 6 December 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Steven RADTKE, Todd BOREN, Stephen DEPASQUALEAbstractStudy ObjectiveTo determine if performing a para-cervical block with 0.5% bupivacaine prior to laparoscopic hysterectomy reduces post-operative pain.DesignDouble-blind randomized controlled trial (Canadian Task Force classification I).SettingUniversity affiliated hospital.PatientsBetween 18 and 65 years of age scheduled to undergo total laparoscopic hysterectomy for benign indications.InterventionsEligible patients were allocated to control or treatment groups usi...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
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