Combined Superficial and Deep Serratus Plane Block With Bupivacaine, Dexamethasone, and Clonidine in the Treatment of a Patient With Postmastectomy Pain Syndrome: A Case Report
We present the case of a 42-year-old woman who presented to our pain clinic with a 16-month history of postmastectomy pain. We performed a combined superficial and deep serratus plane block using bupivacaine, dexamethasone, and clonidine. At 1-month follow-up, the patient had 100% pain relief. At 2-month follow-up, her pain was 5/10. The block was repeated with the same drugs at 3 months with similar pain relief. This case illustrates the utility of a combined superficial and deep serratus plane block in postmastectomy pain syndrome with a possible benefit from added dexamethasone and clonidine.
Just wanted to give a shout out to the members of the anesthesia and pain management team at Cook County. Completed a rotation with them last month (August) and it was by far the best rotation experience I've had to date. The hands on experience and one-on-one with the residents had me feeling like I was a part of the team and actually useful (a feeling most of us can probably agree we don't often have as a medical student). Hours were good, team was great, and the experience overall was... Cook County Anesthesia elective
Publication date: Available online 17 September 2019Source: Orthopaedics &Traumatology: Surgery &ResearchAuthor(s): Yacine Carlier, Hubert Lenoir, Dominique M. Rouleau, Pierre Mansat, Anne Vidil, Matthieu Ferrand, Rémy Bleton, Olivier Herrisson, Vincent Salabi, Fabrice Duparc, François Kelberine, Pierre Desmoineaux, The French Arthroscopy Society (SFA)AbstractIntroductionOsteoarthritis is the second most frequent cause of elbow stiffness, after trauma sequelae. Surgical treatment mainly consists of debridement. The main aim of the present study was to assess the efficacy of arthroscopic treatment of o...
Publication date: Available online 17 September 2019Source: British Journal of Oral and Maxillofacial SurgeryAuthor(s): Shixing Ma, Xiaole Li, Aobo Zhang, Shaopeng Liu, Haoming Zhao, Huaqiang ZhaoAbstractThe purpose of this study was to assess the influence of two suture methods on the postoperative complications of extraction of mandibular third molars (M3M). We searched the MEDLINE (PubMed), Cochrane Library, and Web of Science databases until 18 May 2018 for randomised controlled trials (RCT) that evaluated the influence of any suture techniques on postoperative complications after the removal of impacted M3M. Pain, fac...
Publication date: Available online 18 September 2019Source: Journal of Bone OncologyAuthor(s): Sarah Danson, Matthew R Mulvey, Lesley Turner, Janet Horsman, K Jane Escott, Robert E Coleman, Sam H Ahmedzai, Michael I Bennett, David AndrewAbstractPain is a major symptom of bone metastases from advanced cancer and represents a clinical challenge to treat effectively. Basic neurobiology in preclinical animal models implicates enhanced sensory processing in the central nervous system, acting through N-methyl-D-aspartate (NMDA) glutamate receptors, as an important mechanism underpinning persistent pain. The non-receptor tyrosine...
ConclusionsWe conclude that AATG is a promising and safe modality for the treatment of the painful scar. There is an abundance of low-level evidence to support its use as an alternative treatment but there is a lack of high-level evidence at present to support its standard use. Future long-term randomized controlled trials with analgesic scores as the primary outcome measures are required to assess long-term efficacy.
Aspirin has long been prized for its pain and fever reducing properties – but 40 years ago New Scientist reported on the first inklings of wider benefits
CONCLUSION: Despite early diagnosis and management of this rare injury, the prognosis for functional recovery is guarded and largely dictated by the extent of neurological injury in the setting of concomitant brachial plexopathy. Brachial plexopathy is highly associated with axillary artery injury and its impact often underestimated in comparison due to its non-limb-threatening nature in the acute setting. Future studies should focus on the long-term prognosis for functional recovery in patients with this rare injury pattern. PMID: 31525793 [PubMed - as supplied by publisher]
CONCLUSIONS: Inpatient length of stay can be reduced by enhanced recovery concepts without increasing the risks to patients. Thus, in Germany these concepts will be applied increasingly. PMID: 31525792 [PubMed - as supplied by publisher]