Palliative medicine - at the borderlines of life and death.

[Palliative medicine - at the borderlines of life and death]. Anaesthesist. 2017 Mar 13;: Authors: Bausewein C PMID: 28289765 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - Category: Anesthesiology Authors: Tags: Anaesthesist Source Type: research

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AbstractPain is a common symptom associated with advanced cancer. An estimated 66.4% of people with advanced cancer experience pain from their disease or treatment. Pain management is an essential component of palliative care. Opioids and adjuvant therapies are the mainstay of cancer pain management. Nevertheless, a proportion of patients may experience complex pain that is not responsive to conventional analgesia. Interventional analgesia procedures may be appropriate and necessary to manage complex, cancer-related pain. This narrative review uses a theoretical case to highlight core principles of palliative care and inte...
Source: Canadian Journal of Anesthesia - Category: Anesthesiology Source Type: research
This study aimed to compare the prophylactic effects of intravenous (IV) dexamethasone and lidocaine on hemodynamic condition, respiratory complications, pain control, and vomit incidence following cleft palate repair surgery. This double-blind randomized controlled trial was carried out on 87 children assigned to three groups. Prior to anesthesia, subjects in groups D and L received 0.2 and 1 mg/kg IV dexamethasone and lidocaine, respectively. Moreover, group C received placebo in a similar condition. The outcome variables were recorded prior to the surgery and then every 15 minutes during the surgical and r...
Source: Journal of Pain and Palliative Care Pharmacotherapy - Category: Palliative Care Tags: J Pain Palliat Care Pharmacother Source Type: research
Conclusion: Ketamine along with low-dose fentanyl, when used for anesthetic induction, in comparison to high-dose fentanyl, reduces postoperative extubation time and ICU stay, in pediatric patients undergoing corrective/palliative surgery under CPB and epidural analgesia for congenital cardiac defects.
Source: Annals of Pediatric Cardiology - Category: Cardiology Authors: Source Type: research
Authors: Abdelhakim AM, Elghazaly SM, Lotfy A Abstract Intraperitoneal local anesthetics have been increasingly used nowadays. However, they are not routinely given in laparoscopic appendectomy and a lot of controversies are found about their administration in this procedure. The goal of this study is to review effectiveness and safety of intraperitoneal local anesthetics in laparoscopic appendectomy. We conducted a computer search of four authentic databases. We included randomized controlled trials (RCTs) which compared intraperitoneal local anesthetics versus control group in laparoscopic appendectomy. Data were...
Source: Journal of Pain and Palliative Care Pharmacotherapy - Category: Palliative Care Tags: J Pain Palliat Care Pharmacother Source Type: research
From 2013 to 2017, more patients discharged alive, consistent with palliative care earlier in illness
Source: The Doctors Lounge - Oncology - Category: Cancer & Oncology Tags: Cardiology, Internal Medicine, Critical Care, Nursing, Oncology, Pulmonology, Geriatrics, Anesthesiology & amp; Pain, Journal, Source Type: news
Authors: Schönhofer B, Geiseler J, Dellweg D, Fuchs H, Moerer O, Weber-Carstens S, Westhoff M, Windisch W, Hirschfeld-Araujo J, Janssens U, Rollnik J, Rosseau S, Schreiter D, Sitter H, Weitere beteiligte wissenschaftliche Fachgesellschaften und Institutionen: Deutsche Gesellschaft für Anästhesiologie und Intensivmedizin e. V. (DGAI), Deutsche Gesellschaft für Chirurgie e. V. (DGCH), Deutsche Gesellschaft für Ernährungsmedizin e. V. (DGEM), Deutsche Gesellschaft für Geriatrie e. V. (DGG), Deutsche Gesellschaft für Internistische Intensivmedizin und Notfallmedizin e. V. (DGII...
Source: Pneumologie - Category: Respiratory Medicine Tags: Pneumologie Source Type: research
An Analysis of the Decision-Making Process After "Decision not to Operate" in Acutely Unwell, High-Risk General Surgery Patients. Am J Hosp Palliat Care. 2019 Dec 09;:1049909119893598 Authors: Pinto-Lopes R, Thahir A, Halahakoon VC Abstract OBJECTIVES: The purpose of this study was to analyze the decision-making process in emergency general surgery in an attempt to ascertain whether surgeons make the correct decision when decisions not to operate in high-risk acutely unwell surgical patients are taken. BACKGROUND: A decision not to operate is sometimes associated with a certain degree o...
Source: The American Journal of Hospice and Palliative Care - Category: Palliative Care Authors: Tags: Am J Hosp Palliat Care Source Type: research
ConclusionsPatients undergoing treatment with ICI or targeted therapies can safely undergo surgery without substantially increased risk of serious intraoperative and postoperative complications.
Source: World Journal of Surgery - Category: Surgery Source Type: research
Conclusions: Tracheo-bronchial Y stenting followed by esophageal stenting is an effective and suitable method of palliation in advance esophageal carcinoma. Interventional management in them is almost always palliative and should only be considered when definitive treatment is not feasible.
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Interventional pulmonology Source Type: research
The room is half-lit from the sunset. Crowding around the bed, in almost saint-like postures, is the family of our patient who is in her last moments of life. I do my best to console the family, a light touch on the shoulder, and honest stare. Then, there ’s the inevitable moment, the palliative extubation. Our […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Anesthesiology Critical Care Source Type: blogs
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