Superior Hypogastric Plexus Neurolysis May Help Some With Cancer-Related Pelvic Pain Superior Hypogastric Plexus Neurolysis May Help Some With Cancer-Related Pelvic Pain

Superior hypogastric plexus neurolysis (SHPN) appears to offer some relief for cancer-related pelvic pain, researchers report.Reuters Health Information
Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Anesthesiology News Source Type: news

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This study is important because peritoneal recurrence carries a very poor prognosis with no cure. We are currently conducting a randomized clinical trial on this topic with a similar design in which the primary end point is 3-year overall survival. In the Guo et al article, the authors reported the short-term outcomes of their trial and found that the EIPL group had less postoperative complications, ileus, and wound pain; hence, they concluded that EIPL increases the safety of surgery. However, because the trial was powered to detect an absolute difference in 3-year overall survival of 11%, which is their primary end point...
Source: JAMA Surgery - Category: Sports Medicine Source Type: research
Conclusions From these data we conclude that the loperamide –oxymorphindole combination synergistically reverses complete Freund’s adjuvant–induced inflammatory hyperalgesia. The authors also conclude that this interaction is mediated by opioid receptors located in the peripheral nervous system.
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Editor ’s PerspectiveWhat We Already Know about This TopicPectoralis-II block is a potential alternative to paravertebral blocks to provide regional analgesia for breast cancer surgeryWhat This Article Tells Us That Is NewThis meta-analysis includes 14 randomized trials comparing pectoralis-II block with paravertebral blocks and found that there were no differences in pain scores or opioid consumption between the two groups in patients having surgery for breast cancerPectoralis-II blocks were noninferior to paravertebral blocks in reducing pain intensity and morphine consumption for the first 24 h after surgery and b...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
Conclusion: PECS II block is a more effective block when compared to ESP block in patients of MRM in terms of postoperative analgesia and opioid consumption.
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
Ashok Jadon, Shalabh Rastogi, Neelam Sinha, Mohammad AmirIndian Journal of Anaesthesia 2019 63(8):675-677
Source: Indian Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
This study was designed to compare the effects of epidural and intravenous analgesia on early post-operative cognitive dysfunction (POCD) in elderly patients undergoing radical resection of cervical cancer. For this purpose, 74 patients aged 60-78 years [body mass index (BMI), 18-25 kg/m2; American Society of Anesthesiologists (ASA) classification score of I-III) undergoing radical resection of cervical cancer were divided into the epidural group (group E) and parenteral group (group P) groups (37 patients in each group). All patients underwent their surgical procedures under epidural anesthesia and intravenously-delivered...
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
Hey everyone, What are off the beaten paths for anesthesiology that you know of? I know the traditional anesthesiology fellowships: CCM, CT, Peds, Pain, Regional, OB. What about a list of other specialties? Maybe some lesser known routes you've found. Looking for ACGME or Non-ACGME: Transfusion medicine (Could be a blood banker instead) Hospice/palliative (Make my own home hospice center) Sleep medicine Hyperbaric medicine Perioperative medicine (Non) Ambulatory/Non OR anesthesia Cancer... Fellowships available for Anesthesiologists
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
Publication date: Available online 31 July 2019Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Sudipta Sen, Veerandra Koyyalamudi, Darwin D. Smith, Ricardo A. Weis, Michael Molloy, Allyson L. Spence, Aaron J. Kaye, Carmen C. Labrie-Brown, O. Morgan Hall, Elyse M. Cornett, Alan David KayeAbstractCancer incidence worldwide will eclipse 18 million in 2019 with nearly 10 million cancer related deaths. It is estimated that in the United States, almost 40% of all individuals alive today will be diagnosed with cancer in their lifetimes. Surgical resection of primary tumors remains a cornerstone of cancer tr...
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research
In conclusion, the management of acute postoperative pain in patients with cancer can be challenging.
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research
Publication date: Available online 26 July 2019Source: Best Practice &Research Clinical AnaesthesiologyAuthor(s): Mark R. Jones, Matthew B. Novitch, O. Morgan Hall, Andrew P. Bourgeois, George M. Jeha, Rachel J. Kaye, Vwaire Orhurhu, Mariam Salisu Orhurhu, Matthew Eng, Elyse M. Cornett, Alan David KayeAbstractThe facsia iliaca block (FIB) is a relatively new regional technique where local anesthetic is delivered within the fascia iliaca region. Indications for a FIB include surgical anesthesia to the lower extremity after knee, femoral shaft, hip surgery, management of cancer pain or pain secondary to inflammatory cond...
Source: Best Practice and Research Clinical Anaesthesiology - Category: Anesthesiology Source Type: research
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