5 Things You Won 't Want to Miss at NASS 2019

1. How to Get the Best Outcome from Your Robotics and Navigation System. Wednesday, 3:35 p.m. to 5:05 p.m., Room W471ab Faculty will examine the optimal workflow for robotics, navigation, and 3D-printed guides. They will also discuss the spine surgeon perception of robotics and navigation systems and their outcomes. Technology included in this session: Mazor X Stealth Edition and the Excelsius GPS Robotic System 2. Innovative Technology Presentations Wednesday, 1 p.m. to 2 p.m., Skyline Ballroom W375d This session will highlight several different technologies that are being used in spine surgery including the use of augmented reality and a "virtual needle" for lumbar puncture, the Machine-vision Image Guided Surgery (MvIGS) system, and the Spineology Duo System. 3. The Real Deal of the Opioid Crisis Wednesday, 7:30 a.m. to 8:55 a.m., Skyline Ballroom W375ab This session includes several interesting presentations, including one on appropriate versus inappropriate use of opioids for acute pain and another on perioperative pain management in the era of an opioid crisis. 4. Surgical Innovation Lab Demos and Workshops Several companies are on tap to offer technology demonstrations and workshops throughout the conference, including Medtronic, Stryker, Globus Medical, Medacta, Misonix, Anchor Orthopedics, Orthofix, Relievant Medsystems, and Spineology. 5. Best Papers Wednesday, 9 a.m. to 10...
Source: MDDI - Category: Medical Devices Authors: Tags: Orthopedics Source Type: news

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ConclusionThis study shows response to intrathecal ziconotide test in 40% of the patients of a very specific population in whom other therapeutic options are not available. This data justifies the development further studies such as a long ‐term randomized controlled trial.SignificanceIntrathecal Ziconotide is a posible alternative for the treatment of pain in patients with spinal cord injury and below level neuropathic pain.
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: ORIGINAL ARTICLE Source Type: research
ConclusionThis study shows response to intrathecal ziconotide test in 40% of the patients of a very specific population in whom other therapeutic options are not available. This data justifies the development further studies such as a long term randomized controlled trial.This article is protected by copyright. All rights reserved.
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: ORIGINAL ARTICLE Source Type: research
​Some medical conditions have signs and symptoms that significantly overlap, making a diagnosis a little more difficult. Epididymitis, testicular torsion, and torsion of the testicular appendage are examples, but orbital and preseptal cellulitis are others that can cause significant diagnostic confusion.Both conditions are more common in children than in adults, and preseptal or periorbital cellulitis is more common in children under 5. The preseptal and orbital spaces are separated by only a thin membranous septum that originates in the orbital periosteum and inserts into the tarsal plates. It is only this thin septum t...
Source: M2E Too! Mellick's Multimedia EduBlog - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Conclusion: Symptomatic epidural CSF collections rarely occur in adults following LPs. Nevertheless, the management remains the same as for pediatric patients; bed rest for 72 h results typically in full resolution of symptoms/signs and regression of the collection on MR studies. PMID: 30210902 [PubMed]
Source: Surgical Neurology International - Category: Neurosurgery Tags: Surg Neurol Int Source Type: research
LITFL • Life in the Fast Lane Medical Blog LITFL • Life in the Fast Lane Medical Blog - Emergency medicine and critical care medical education blog aka Tropical Travel Trouble 009 The diagnosis of HIV is no longer fatal and the term AIDS is becoming less frequent. In many countries, people with HIV are living longer than those with diabetes. This post will hopefully teach the basics of a complex disease and demystify some of the potential diseases you need to consider in those who are severely immunosuppressed. While trying to be comprehensive this post can not be exhaustive (as you can imagine any patient with ...
Source: Life in the Fast Lane - Category: Emergency Medicine Authors: Tags: Clinical Cases Tropical Medicine AIDS art cryptococcoma cryptococcus HIV HIV1 HIV2 PEP PrEP TB toxoplasma tuberculoma Source Type: blogs
This article is an update to the 2009 (published 2010) American Society of Anesthesiologists' (ASA's) “Practice Advisory for the Prevention, Diagnosis, and Management of Infectious Complications Associated With Neuraxial Techniques by the ASA Task Force on Infectious Complications Associated With Neuraxial Techniques.” In this context “infectious complications” are serious infections that result from the use of neuraxial techniques, which range from spinal, epidural, or combined spinal-epidural administration of analgesics, anesthetics, or steroids; lumbar puncture/spinal tap; epidural blood patch; ...
Source: Survey of Anesthesiology - Category: Anesthesiology Tags: Regional Anesthesia and Pain Control Source Type: research
Conclusions:This case illustrates the nonspecific presentation SDAVF and difficulty of diagnosis from other causes of LETM including spinal stenosis, autoimmune disease. It also demonstrates acute worsening in the setting of possible SDAVF after oral and IV steroid administration, which contributed to increased morbidity following definitive treatment. The mechanism of acute worsening is believed to be hydrostatic steroid effect coupled with iatrogenic fluid co-administration causing increased venous congestion. Lastly, this case highlights management of comorbidities including thrombophilia and anticoagulation following s...
Source: Neurology - Category: Neurology Authors: Tags: Cerebrovascular Disease Case Reports II Source Type: research
Conclusions:While back pain is a common symptom following LP, physicians should also be aware of discitis as a rare, but potential, complication in patients with persistent pain even in the absence of focal neurological deficits and laboratory abnormalities. Our case also supports the hypothesis that multiple attempts during an LP may be a risk factor for post-LP discitis.Disclosure: Dr. Doherty has nothing to disclose. Dr. Saylor has nothing to disclose.
Source: Neurology - Category: Neurology Authors: Tags: Autoimmunity with Infection, Syphilis, Lyme, Tuberculosis, and other Bacteria Source Type: research
Conclusions: Ineffectiveness of conservative measures and epidural blood patches performed posteriorly to resolve PDPH should lead the physician both to question the diagnosis of PDPH by pursuing radiographic confirmation of a cerebral spinal fluid leak and, furthermore, identification of its location to best direct further therapy.
Source: Regional Anesthesia and Pain Medicine - Category: Anesthesiology Tags: Pediatric Analgesia: Case Report Source Type: research
CONCLUSIONS: Ineffectiveness of conservative measures and epidural blood patches performed posteriorly to resolve PDPH should lead the physician both to question the diagnosis of PDPH by pursuing radiographic confirmation of a cerebral spinal fluid leak and, furthermore, identification of its location to best direct further therapy. PMID: 28178090 [PubMed - as supplied by publisher]
Source: Pain Physician - Category: Anesthesiology Authors: Tags: Reg Anesth Pain Med Source Type: research
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