Use of local anesthetic for the resolution of benign anorectal pathology in the Social Security Institute of Guatemala (IGSS)

Conclusions68% of all the patients obtained good pain tolerance through anal anesthetic block, females manifested better pain tolerance than males, in non-complicated anorectal pathology local block ha shown to be safe and reproductible for the treatment of benign anorectal pathology in the Guatemalan Institute for Social Security.ResumoIntroduçãoO uso de bloqueio anestésico regional aumentou ao mesmo tempo em que diminuiu o uso do anestésico espinhal nesse campo específico da atividade cirúrgica. Na última década, a cirurgia ambulatorial e o anestésico local apresentaram um tempo cirúrgico menor, menos complicações associadas ao próprio anestésico e redução da permanência hospitalar.ObjetivoApresentar os resultados obtidos com o uso de anestésico local e analgésico na resolução da patologia anorretal benigna.MétodosEstudo prospectivo, longitudinal, realizado no período de janeiro a dezembro de 2017. Com o uso de uma escala visual analógica, os pacientes foram classificados para determinar a tolerância à dor durante o procedimento, 24 horas após a cirurgia e no quinto dia de pós-operatório.ResultadosNo total, 253 procedimentos foram realizados com 116 analgesias locais; 116 pacientes eram do sexo masculino (4586%) e 137 do sexo feminino (54%). A técnica de Milligan-Morgan...
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research

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Conclusions68% of all the patients obtained good pain tolerance through anal anesthetic block, females manifested better pain tolerance than males, in non-complicated anorectal pathology local block ha shown to be safe and reproductible for the treatment of benign anorectal pathology in the Guatemalan Institute for Social Security.ResumoIntroduçãoO uso de bloqueio anestésico regional aumentou ao mesmo tempo em que diminuiu o uso do anestésico espinhal nesse campo específico da atividade cirúrgica. Na última década, a cirurgia ambulatorial e o anestésico local a...
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research
This article originally appeared on Medium here.
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Health Technology Medical Practice Physicians AI Alex Logsdon Artificial intelligence Radiology Source Type: blogs
In this study, the researchers looked at opioid prescriptions in 2016, and the numbers are shocking. In the US, 22% of prescriptions written by dentists were for opioids, compared with just 0.6% for British dentists, and US dentists prescribed about 35 opioids per 1,000 population, compared to just 0.5 opioid prescriptions per 1,000 population in England. Additionally, the opioid prescribed in England was a relatively weak codeine-like drug, whereas in the US the majority of prescriptions were for hydrocodone, a stronger opioid with greater abuse potential. When does an opioid prescription make sense? It is simply impossib...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Addiction Pain Management Source Type: blogs
Conclusion The Classification Angle (ClassA) framework has been introduced to accurately capture stress-specific dynamics of the autonomic nervous system using heart rate variability (HRV). This has been achieved based on a second-order-difference-plot of HRV, which makes it possible to assess cardiac dynamics. The framework has been shown to identify which branch of the autonomic nervous system is dominating, without inheriting any of the controversies associated with the low- and high- frequency components of HRV. The Classification Angle framework is comprehensive and has been designed to produce four metrics to assess...
Source: Frontiers in Physiology - Category: Physiology Source Type: research
This study aims at investigating the still poorly clear pathogenesis of migraine and the potential role of anti-CGRP mAbs in the scenario of prophylaxis of migraine. Introduction: Migraine Clinic Migraine consists in unilateral headache accompanied by a cluster of other sensory, autonomic and cognitive symptoms and it has been identified by the global burden of disease (GBD) study 2016 as the sixth most prevalent disorder and one of the main causes of disability all over the world, often occuring in working age and in young adult and middle-aged women (Collaborators, 2018). Hence, migraine represents a very serious...
Source: Frontiers in Pharmacology - Category: Drugs & Pharmacology Source Type: research
Kate V. Meriwether1*, Zhenmin Lei1, Rajbir Singh2, Jeremy Gaskins3, Deslyn T. G. Hobson1 and Venkatakrishna Jala2 1Department of Obstetrics and Gynecology, University of Louisville, Louisville, KY, United States 2Department of Microbiology and Immunology, James Graham Brown Cancer Center, University of Louisville, Louisville, KY, United States 3Department of Bioinformatics and Biostatistics, University of Louisville, Louisville, KY, United States Interstitial cystitis/bladder pain syndrome (ICBPS) may be related to an altered genitourinary microbiome. Our aim was to compare the vaginal and urinary microbiomes b...
Source: Frontiers in cellular and infection microbiology - Category: Microbiology Source Type: research
Stereoelectroencephalography (SEEG) vs.Mindstrong HealthMood Monitoring via Invasive Brain Recordings or Smartphone SwipesWhich Would You Choose?That's not really a fair question. The ultimate goal of invasive recordings is one of direct intervention, by delivering targeted brain stimulation as a treatment. But first you have to establish a firm relationship between neural activity and mood. Well, um, smartphone swipes (the way you interact with your phone) aim to establish a firm relationship between your “digital phenotype” and your mood. And then refer you to an app for a precision intervention. Or to your t...
Source: The Neurocritic - Category: Neuroscience Authors: Source Type: blogs
Written by Pendell MeyersA 76 year old man with history of CHF, moderate aortic stenosis, insulin-dependent diabetes, hypertension, stroke, CAD s/p stents, CKD, PVD, OSA presented to the ED with shortness of breath and chest pain off and on for 2 weeks. This afternoon his symptoms intensified so he called EMS.In the ED he appeared acutely ill, with HR 100-115, RR 20-25, BP 93/52, hypoxic to 88-92% on 5L nasal cannula, afebrile.Here is his presentation ECG, followed by his baseline ECG on file:Presentation ECG.Baseline ECG.The presentation ECG shows ventricular paced rhythm at rate of approximately 120 bpm. The J-point in V...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
(CHICAGO) — When emergency tests showed the telltale right-sided pain in Heather VanDusen’s abdomen was appendicitis, she figured she’d be quickly wheeled into surgery. But doctors offered her the option of antibiotics instead. A new study from Finland shows her choice is a reasonable alternative for most patients with appendicitis. Five years after treatment with antibiotics, almost two-thirds of patients hadn’t had another attack. It’s a substantial change in thinking about how to treat an inflamed appendix. For decades, appendicitis has been considered a medical emergency requiring immediat...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized Disease healthytime onetime Source Type: news
This case was sent by Lou B, a paramedic and RN.He writes:" We were dispatched to a 58 yo male who had been out in the sun for 2-3 hours as a mailman. He stated he almost passed out, and bystanders called 911. They gave him water with salt, as he thought he was dehydrated. "" When we arrived, he was alert, sweating, and felt weak. Ambulated to ambulance for eval. Denied headache, chest pain, nausea / vomiting. No history, meds, or risk factors. Vitals were obtained, and placed on cardiac monitor, including a 12 lead EKG. "Here it is: The computer reads ***STEMI***What do you think?More from th...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
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