Perioperative Duloxetine + Etoricoxib for Lumbar Laminectomy Perioperative Duloxetine + Etoricoxib for Lumbar Laminectomy

This study evaluated the combination of a selective COX-2 inhibitor and an SSRI for reduction of postoperative pain after spine surgery.BMC Anesthesiology
Source: Medscape Orthopaedics Headlines - Category: Orthopaedics Tags: Anesthesiology Journal Article Source Type: news

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k S Abstract Spinal epidural hematoma (SEH) is a rare but a significant cause of spinal cord compression and neurologic deficits. Its etiology is usually unknown and requires emergency intervention. The present study aims to review the clinical significance, treatment strategies and clinical outcomes of traumatic SEH with a rare case presentation. Our patient was a 42-year-old female who presented with back pain and loss of sensation and strength in the legs. The patient did not have any disease and did not use anticoagulant drugs. The patient developed numbness in her legs half an hour after having a traditional ...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - Category: Emergency Medicine Authors: Tags: Ulus Travma Acil Cerrahi Derg Source Type: research
This study will add significant new knowledge to the effect and feasibility of preemptive local infiltration of betamethasone for postoperative pain management in laminoplasty and laminectomy.Trial registrationClinicalTrials.gov:NCT04153396. Registered on 6 November 2019.
Source: Trials - Category: Research Source Type: clinical trials
Mohammed K Al Harbi, Khaled A Alattas, Muhanad Alnajar, Muneera F AlbuthiSaudi Journal of Anaesthesia 2020 14(1):123-126 An 80-year-old male patient presented with 2 weeks history of low back pain undergoing posterior spinal fusion with laminectomy in the prone position. The patient was induced with fentanyl, propofol, and rocuronium, and then he was positioned in the prone position. After 6 h of starting the surgery, the patient started to be hypotension and bradycardia followed by pulseless electrical activity (PEA). Code blue was activated intraoperatively with immediate initiation of cardiopulmonary resuscitation (CPR...
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Background: Despite advances in pain management, several patients continue to experience severe acute pain after lumbar spine surgery. The aim of this study was to assess the safety and effectiveness of single ultra–low-dose intrathecal (IT) naloxone in combination with IT morphine for reducing pain intensity, pruritus, nausea, and vomiting in patients undergoing lumbar laminectomy with spinal fusion. Materials and Methods: In this double-blind trial, patients scheduled for lumbar laminectomy with spinal fusion were randomly assigned to receive single ultra–low-dose IT naloxone (20 μg) and IT mor...
Source: Journal of Neurosurgical Anesthesiology - Category: Anesthesiology Tags: Clinical Investigations Source Type: research
A novel surgical concept of transforaminal full-endoscopic lumbar undercutting laminectomy (TE-LUL) for central canal stenosis of the lumbar spine with local anesthesia : A case report and literature review. J Med Invest. 2019;66(3.4):224-229 Authors: Sairyo K, Yamashita K, Manabe H, Ishihama Y, Sugiura K, Tezuka F, Takata Y, Sakai T, Omichi Y, Takamatsu N, Hashimoto A, Maeda T Abstract Full-endoscopic spinal surgery was first developed for the lumbar herniated nucleus pulposus. Mainly, there are two types in the full-endoscopic lumbar surgery : i.e., transforaminal (TF) and interlaminar approach...
Source: Journal of Medical Investigation - Category: General Medicine Tags: J Med Invest Source Type: research
Spinal anesthesia (SA) has been shown in several studies to be a viable alternative to general anesthesia (GA) in laminectomies and discectomies. However, very few spine surgeons have extended the use of SA to lumbar fusion surgery, and few studies have documented its use in the literature. The authors posit that SA may lead to lower postoperative pain than GA, and thus have implemented use of a novel thoracolumbar interfascial plane (TLIP) block for additional long-lasting analgesia.
Source: The Spine Journal - Category: Orthopaedics Authors: Source Type: research
AbstractElderly patients with failed back surgery syndrome (FBSS) or post-laminectomy foraminal stenosis have a higher risk of perioperative morbidity with extensive revision surgery. Thus, there is a need for safer and less invasive surgical options, such as laser-assisted endoscopic lumbar foraminotomy (ELF). A pin-point laser beam can allow precise tissue ablation and dissection in fibrotic adhesion tissues while preventing normal tissue injury. The present study aimed to describe the surgical technique of laser-assisted ELF and to evaluate the clinical outcomes of elderly patients with FBSS. Two-year follow-up data wer...
Source: Lasers in Medical Science - Category: Laser Surgery Source Type: research
ConclusionSSH is a rare situation of acenocoumarol bleeding incident, it should be evoked in any patient treated by this molecule with signs of spinal cord compression.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
CONCLUSIONSAlthough uncommon, spinal BTs should be a diagnostic consideration in patients with ESRD. The thoracic spine is the most frequently affected site. ESRD is not a contraindication for surgery; with the assistance of experienced anesthesiologists, urgent surgery is the preferred option to alleviate neurological impairment and restore spinal stability. PMID: 30835712 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
Traumatic spinal cord injury (SCI) results in loss of sensorimotor functions below the level of injury besides other secondary complications such as pain. However, regardless of many efforts, management of the SCI patients is difficult. In the present study, we used a non-invasive and easy to implement extremely low-frequency electromagnetic field (ELF-EMF; 50 Hz, 17.96 μT) technique to stimulate whole body after SCI. Laminectomy was performed at T10-12 vertebrae (Sham group) in anesthetized adult male rat followed by complete transection of the spinal cord at T11 vertebra and then half of the rats were subsequently exp...
Source: BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation - Category: Neurology Authors: Source Type: research
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