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Pre - Op Accelerometry Can Assess Cardiopulmonary Fitness

Accelerometry variables correlate with cardiopulmonary exercise variables
Source: Pulmonary Medicine News - Doctors Lounge - Category: Respiratory Medicine Tags: Cardiology, Family Medicine, Geriatrics, Gynecology, Internal Medicine, Nursing, Pulmonology, Surgery, Anesthesiology & amp; Pain, Journal, Source Type: news

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CONCLUSION: PAT performed in a clinic setting is both safe and efficacious with results comparative to that performed in theatre. There was no difference in post-operative complications or recurrence. Parental satisfaction to this procedure is excellent. There are significant financial advantages. Based on this data, our institution now performs all releases in an outpatient setting. PMID: 29771901 [PubMed - in process]
Source: New Zealand Medical Journal - Category: General Medicine Tags: N Z Med J Source Type: research
This study aimed to establish a scientific rationale for choosing the optimal insertion angle and insertion point for access to the subarachnoid space or the epidural space by using a computer algorithm to perform measurements in computed tomography (CT) scans in 52 patients at different spine levels.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Mechanisms, Equipment, Hazards Source Type: research
(J Clin Anesth. 2017;43:6–10) It is well recognized that lumbar epidural analgesia using local anesthetic with or without an adjuvant is a consistently effective method of pain relief during labor. However, newer adjuvants, such as clonidine and neostigmine, are associated with adverse side effects and may be less suitable in pregnant women. A potential alternative is dexamethasone, a well-known anti-inflammatory drug. As there are limited studies regarding its intrapartum use, the authors of the present study evaluated the role of intravenous dexamethasone as an adjuvant to neuraxial analgesia for labor pain in a d...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Anesthesia Analgesia: Alternative Methods of Analgesia Source Type: research
(Reg Anesth Pain Med. 2017;42(5):669–673) Acute opioid tolerance (AOT) and opioid-induced hyperalgesia have recently been raised as concerns associated with the use of opioids as an adjunct to local anesthetics in subarachnoid block for cesarean delivery. Ondansetron has been shown in animal studies to significantly prevent and reverse AOT and opioid-induced hyperalgesia. Such effects have not yet been examined in humans, so this study aimed to investigate whether intravenous (IV) ondansetron would attenuate opioid-induced AOT. The study hypothesized that patients receiving IV ondansetron prior to cesarean delivery ...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Anesthesia Analgesia: Postoperative Analgesia Source Type: research
(BJOG. 2017;124(7):1063–1070) Effective postcesarean analgesia is important as untreated pain can impair maternal bonding with her infant and decrease the rate of successful breastfeeding. Postoperative pain can also lead to decreased ambulation, which is associated with an increased risk of thromboembolic events and other postoperative complications. Although many options for postcesarean pain treatment are available, the use of oral analgesic medications is simple and may promote maternal mobilization. However, the data are limited and inconclusive regarding the superiority of dosing oral analgesics using a fixed ...
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Anesthesia Analgesia: Postoperative Analgesia Source Type: research
(Am J Obstet Gynecol. 2017;217(3):303–313) Preemptive analgesia, which may include multimodal pain management, is administered before surgery and is believed to prevent central sensitization. This can include narcotic or non-narcotic medications and may be administered in many ways. This systematic review used current studies of women receiving preemptive medication for abdominal hysterectomy, with a primary outcome of pain control. The aim was to determine the best method of pain control while decreasing narcotic consumption and adverse events.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Anesthesia Analgesia: Postoperative Analgesia Source Type: research
(Anaesthesia. 2017;72(8):1016–1028) Guidelines from both the American Society of Anesthesiologists (ASA) and the American College of Obstetricians and Gynecologists (ACOG) recommend epidural analgesia as the most effective and flexible analgesic option for labor pain management, but some laboring women have contraindications to neuraxial analgesia and others may prefer alternatives. This Cochrane systematic review analyzed the effectiveness of intravenous remifentanil patient-controlled analgesia (PCA) compared with other labor analgesia techniques as measured by patient satisfaction and adverse maternal or neonatal effects.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Editorials and Reviews Source Type: research
With the current trend toward ambulatory joint replacements, it is important to identify the approach to postoperative analgesia which best balances comfort and mobility. Adductor canal blocks provide analgesia after unicondylar knee replacement and can be performed with either an infusion catheter [adductor canal block catheter (ACB-C)] or as a single-shot injection [adductor canal block single-shot injection (ACB-SS)]. We conducted a retrospective analysis comparing the perceived quality of analgesia achieved by the 2 techniques, hypothesizing that patients receiving ACB-Cs would have less opioid consumption and lower pa...
Source: Techniques in Orthopaedics - Category: Orthopaedics Tags: Special Technical Articles Source Type: research
Conditions:   Pain, Postoperative;   Chronic Postoperative Pain Interventions:   Procedure: QLB;   Device: PCA;   Procedure: GA;   Drug: Oxycodone;   Drug: Sevoflurane;   Drug: Fentanyl;   Drug: Rocuronium Sponsors:   Medical University of Lublin;   Department of Anesthesiology and Intensive Care, F. Chopin Hospital in Rzeszów;   Department of Anesthesiology and Intensive Care, J. Śniadecki Hospital in Białystok Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
The Nuss procedure is named after Dr. Donald Nuss, who pioneered his technique for the repair of Pectus Excavatum in the late 1990 ’s. In 1998, he published his 10-year experience with the minimally invasive repair [1]. Since then, hospitals across the world have adopted this method of repair for Pectus Excavatum, also known as Minimally Invasive Repair of Pectus Excavatum (MIRPE).
Source: Seminars in Pediatric Surgery - Category: Pediatrics Authors: Source Type: research
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