Pre - Op Accelerometry Can Assess Cardiopulmonary Fitness
Accelerometry variables correlate with cardiopulmonary exercise variables
ConclusionsContinuous quadratus lumborum type II block was an effective postoperative analgesic option. Blocking of somatic nerves and visceral afferent pathways provided abdominal and visceral wall analgesia, allowing the reduction of opioid consumption. We consider relevant to explore the analgesic capacity of the quadratus lumborum block and its different approaches, as well as the possibility of it becoming an alternative in patients scheduled for kidney surgery.ResumoJustificativa e objetivosO bloqueio do quadrado lombar foi descrito pela primeira vez em 2007 e atualmente existem descrições da sua realiz...
This study was conducted to assess the effect of acetaminophen versus fentanyl on postoperative pain relief in patients who underwent urologic surgeries.MethodsThis clinical trial was conducted on patients aged 18–65 years. Patients were randomly assigned to receive either 2000 mg acetaminophen (propacetamol) or 2 mcg.kg−1 fentanyl intravenously, 15 min before the end of surgery. The postoperative pain was evaluated every 6 h for 24 h using the Visual Analog Scale. Total morphine dose taken in 24 h and hemodynamic status were evaluated.ResultsEighty patients were enrolled into the ...
Children with abdominal pain commonly had clinically significant anxiety, moderate disability, pain
This study was conducted to systematically review the effectiveness of analgesic efficacy of liposome bupivacaine infiltration at the surgical site versus plain local anesthetic bupivacaine or ropivacaine in patients undergoing surgery. Methods: PRISMA statement guidelines were followed. A search of electronic databases National Library of Medicine's PubMed database, Cochrane Database of Systematic Reviews, Embase, and Google Scholar from January 2012 to September 2017 was performed. Among the 1,612 records identified, 9 randomized controlled trials involving 779 patients were eligible for data extraction and meta-anal...
PMID: 30113971 [PubMed - in process]
Juan F. Garc ía-Henares, Jose A. Moral-Munoz, Alejandro Salazar, Esperanza Del Pozo
Enhanced recovery programs for noncardiac surgery have permeated hospitals across the globe. An important target for these programs is improved analgesia through multimodal, opioid-sparing strategies. Krishna et al. have provided us with the largest reported study of the use of erector spinae plane (ESP) block that exists in the current literature.1 Their results with this regional technique are promising: reduced pain, opioid consumption, time to extubation, time to mobilization, and length of intensive care unit stay.
Outpatient total ankle arthroplasty is a potential significant source of cost savings. The ability to institute an effective outpatient total ankle program depends on appropriate patient selection, surgeon experience with total ankle replacement, addressing preoperative patient expectations, the involvement of an experienced multidisciplinary care team including experienced anesthesiologists, nurse navigators, recovery room nursing staff and physical therapists, and most importantly, such a program requires complete institutional logistical support.