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Effects of Acupuncture in Anesthesia for Craniotomy: A Meta-Analysis

Background: Acupuncture treatment has been used in China for>2500 years, and at present it is used worldwide as a form of analgesia in patients with acute and chronic pain. Furthermore, acupuncture is regularly used not only as a single anesthetic technique but also as a supplement or in addition to general anesthesia (GA). Objectives: The aim of this systematic review and meta-analysis was to assess the level of evidence for the clinical use of acupuncture in addition to GA in patients undergoing craniotomy. Design: This is a systematic review of randomized controlled trials with meta-analyses. Data Sources: The literature search (PubMed, Cochrane Library, and Web of Science) yielded 56 citations, published between 1972 and March 01, 2015. No systematic review or meta-analyses on this topic matched our search criteria. Each article of any language was assessed and rated for the methodological quality of the studies, using the recommendation of the Oxford Centre for Evidence Based Medicine. Ten prospective randomized controlled clinical trials with a total of 700 patients were included. Eligibility Criteria: Included in the meta-analysis were studies that involved any craniotomy under GA compared with a combination of GA and acupuncture. Exclusion criteria were no acupuncture during surgery, no GA during surgery, only postoperative data available, animal studies, and low grade of evidence. Results: The use of acupuncture significantly reduced the amount of volatile an...
Source: Journal of Neurosurgical Anesthesiology - Category: Anesthesiology Tags: Clinical Investigations Source Type: research

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Conclusions In this study, we detected a relationship between duration of the disease, level of perceived stress and quality of life. The longer the disease lasts, the higher it tends to catastrophize. This may influence development or increase of the anxiety and depression and may decrease patients ’ quality of life.
Source: Journal of Applied Oral Science - Category: Dentistry Source Type: research
AbstractA substantial amount of people with a rheumatic disease perceive invalidation consisting of lack of understanding and discounting (negative social responses). To get insight into the potential buffering role of self-efficacy and pain acceptance against invalidation, this cross-sectional study examined associations between these variables. Spanish speaking people (N = 1153, 91% female, mean age 45 ± 11 years) with one or multiple rheumatic diseases completed online the Illness Invalidation Inventory, the Chronic Pain Acceptance Questionnaire, and the Chronic Disease Self-Efficacy Scal...
Source: Rheumatology International - Category: Rheumatology Source Type: research
The treatment of patients with painful chronic pancreatitis (CP) and dominant main pancreatic duct (MPD) stricture remains a challenge. The current recommendations suggest, as the standard modality of endoscopic treatment, the insertion of a single pancreatic plastic stent (PPS) in the MPD with the aim of relieving pain related to outflow obstruction, and for MPD strictures persisting beyond 1 year after the initial PPS insertion, to consider other options such as surgical pancreaticojejunostomy, the insertion of multiple plastic stents, or a trial of 3 to 6 months with a fully covered-self expandable metal stent (FC-SEMS).
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Original article Source Type: research
Authors: Pergolizzi JV, Lequang JA, Taylor R, Raffa RB, Colucci D, NEMA Research Group Abstract Cannabinoids appear to possess many potential medical uses, which may extend to pain control. A narrative review of the literature has found a variety of studies testing botanical and synthetic cannabinoids in different pain syndromes (acute pain, cancer pain, chronic noncancer pain, fibromyalgia pain, migraine, neuropathic pain, visceral pain, and others). Results from these studies are mixed; cannabinoids appear to be most effective in controlling neuropathic pain, allodynia, medication-rebound headache, and chronic no...
Source: Minerva Anestesiologica - Category: Anesthesiology Tags: Minerva Anestesiol Source Type: research
Authors: Frank RM, Cotter EJ, Strauss EJ, Jazrawi LM, Romeo AA Abstract Management of proximal and distal biceps tendon pathology is evolving. The long head of the biceps tendon, if inflamed, may be a pain-producing structure. In appropriately indicated patients, a symptomatic long head of the biceps tendon can be surgically managed via tenotomy, tenodesis, and/or superior labrum anterior to posterior repair. In some patients, primary superior labrum anterior to posterior pathology can be managed via biceps tenodesis. Determining which procedure is most appropriate and which technique and implant are preferred for ...
Source: The Journal of the American Academy of Orthopaedic Surgeons - Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research
Purpose: Mindfulness-based interventions (MBIs) have been shown to have positive impacts on mental health and well-being for adolescents living with chronic health conditions. However, many teens with chronic illnesses experience barriers such as pain, reduced mobility and distance making it difficult to attend mindfulness programs in person and compromising accessibility. The aim of this study was to compare the acceptability and effectiveness of a MBI for adolescents with chronic illnesses delivered in person vs.
Source: Journal of Adolescent Health - Category: Child Development Authors: Source Type: research
Conditions:   Neck Pain;   Chronic Pain;   Myofascial Pain Syndrome Interventions:   Procedure: Low frequency;   Procedure: High frequency Sponsor:   Centro Universitario La Salle Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Inappropriate Dose of Drug Administered;   Pain, Chronic;   Health Behavior Intervention:   Other: Direct-to-consumer educational brochure Sponsors:   Centre de Recherche de l'Institut Universitaire de Geriatrie de Montreal;   Canadian Institutes of Health Research (CIHR) Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Chronic Refractory Neuropathic Pain Intervention:   Procedure: Deep brain Stimulation of cingulum anterior Sponsor:   Centre Hospitalier Universitaire de Nice Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Inappropriate Dose of Drug Administered;   Pain, Chronic;   Health Behavior Intervention:   Other: Direct-to-consumer educational brochure Sponsors:   Centre de Recherche de l'Institut Universitaire de Geriatrie de Montreal;   Canadian Institutes of Health Research (CIHR) Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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