Clinical Performance of the DentalVibe ® Injection System on Pain Perception During Local Anesthesia in Children
Decreases seen in hot flushes, day - and - night sweats, sleep problems, emotional and physical symptoms
Tips for dealing with pelvic pain during an OB-GYN exam.
In conclusion, opioid initiation and transition to chronic opioid therapy are frequent in a peripheral neuropathy population despite few patients receiving more than one guideline-recommended medication. Efforts to decrease opioid utilization and increase guideline-recommended medication use are needed to improve current neuropathic pain treatment.
Conditions: Acute Pain; Chronic Postsurgical Pain Interventions: Procedure: epidural anesthesia; Procedure: nerve block Sponsor: Shanghai Zhongshan Hospital Recruiting
Conclusions: Within a multimodal analgesic protocol, addition of IPACK blocks decreases lowest pain scores on POD 0. Although other outcomes were unchanged, there may be a role for new opioid-sparing analgesic techniques, and changing clinical practice change can occur rapidly. PMID: 30776878 [PubMed - as supplied by publisher]
CONCLUSION: Percutaneous ablation appears to be a safe and feasible method for treatment of metastatic LNs in patients with HCC. PMID: 30776925 [PubMed - as supplied by publisher]
(Anesthesiology. 2018;128:745–753) Neuraxial labor analgesia is usually administered by a combination of continuous infusion, clinician-administered boluses, and patient-administered boluses via patient-controlled epidural analgesia (PCEA). While the ideal labor analgesia regimen has yet to be determined, studies suggest programmed intermittent epidural boluses (PIEB) may be a superior option. PIEB has been shown to require less local anesthetic, reduce need for clinician intervention, and results in less motor block compared with a continuous infusion. High-rate delivery of epidural boluses may improve drug distrib...
The objective of this study was to use TGCS to evaluate potential associations between EA and cesarean and assisted vaginal delivery rates, according to the TGCS groups.
(Reg Anesth Pain Med. 2018;43:263–309) The American Society of Regional Anesthesia and Pain Medicine (ASRA) convened its Fourth Consensus Conference on Regional Anesthesia and Anticoagulation in conjunction with the European Society of Anesthesiology (ESA) in response to emerging patient safety issues. Among these are the heightened risk of neuraxial bleeding due to increasingly potent antithrombotic medications, changing standards for venous thromboembolism (VTE) prevention, and conflicting recommendations by various bodies and societies. Spinal hematoma is an uncommon and catastrophic complication of epidural or s...
(Anaesthesia. 2018;73:459–465) The use of programmed intermittent epidural bolus (PIEB) to provide labor analgesia has been increasing in popularity as commercially available pumps have become available. A variety of dosing strategies have been evaluated but the optimal settings for PIEB have not yet been established. The majority of studies have included PIEB in conjunction with patient controlled epidural analgesia (PCEA). The current investigators had previously investigated which PIEB dosing strategy would minimize breakthrough pain and the need for PCEA boluses. They determined the optimal regimen was 10&thinsp...