Effect of Oral Magnesium on Anesthesia and Postoperative Analgesia After Surgical Removal of the Lower Third Molars.
Conditions: Postoperative Pain; Third Molar; Postoperative Complications Interventions: Dietary Supplement: Magnesium tablet group; Dietary Supplement: Placebo tablets group; Dietary Supplement: Magnesium lozenge group; Dietary Supplement: Placebo lozenges group Sponsor: Daniel Jerković Active, not recruiting
CONCLUSIONS: Our results suggest that acetaminophen reduces the risk and intensity of persistent incisional pain. However, there are other mechanisms by which acetaminophen might reduce persistent pain. KEY WORDS: Anesthesia, acetaminophen, Persistent surgical pain, Postoperative acute pain. PMID: 29779020 [PubMed - as supplied by publisher]
(American Society of Anesthesiologists) Contrary to what some studies may suggest, the local anesthetic drug, liposomal bupivacaine, did not reduce in-hospital opioid prescriptions or opioid-related complications in patients who received the drug during total knee replacement surgery as part of a multimodal approach to manage postsurgical pain, finds a new study published in the Online First edition of Anesthesiology, the peer-reviewed medical journal of the American Society of Anesthesiologists (ASA).
Publication date: Available online 19 May 2018 Source:European Journal of Obstetrics & Gynecology and Reproductive Biology Author(s): Solène Duros, Krystel Nyangoh Timoh
This study allows us to assess selection criteria used in our hospital to determine which patients can undergo cataract surgery under topical anesthesia without the anesthesia team. This procedure lowers organizational constraints while still insuring patient safety. Some patients still probably need an anesthesiologist present, such as those with an unstable disease or risk of agitation, in order to optimize the medications administered during surgery. PMID: 29776768 [PubMed - as supplied by publisher]
CONCLUSION: Inserting a smaller sized peripheral intravenous catheter did not result in a lower pain sensation. Moreover, to prevent pain upon inserting a peripheral intravenous catheter, an unsuccessful attempt must be avoided. PMID: 29772984 [PubMed - in process]
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]
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.
(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...
(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 ...
(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 ...