Pediatric pain review: what has happened since the First World Congress on Pediatric Pain in 1988? The past, the present and the future.
Pediatric pain review: what has happened since the First World Congress on Pediatric Pain in 1988? The past, the present and the future. Minerva Anestesiol. 2020 Apr 06;: Authors: Lonnqvist PA Abstract The present text summarizes the development within the field of pediatric pain during the last 30 years, with a special focus on pediatric postoperative pain. Insights concerning pain ontogeny, how pain influences the neuro-endocrine stress response and the induction of a "pain memory" is discussed as well as established and new options with regards to treatment of postoperative pain. Lastly, some aspects concerning future development within this field is discussed. It is now well-established that even the unborn fetus reacts with behavioral responses indicative of pain and is also capable of producing a neuro-endocrine stress response if subjected to a painful stimulus. These responses can successfully be treated by opioid administration. The babies stress response if proportional to the magnitude of the surgical procedure and various ways to provide better pain relief to babies undergoing major surgery has been shown to reduce morbidity and mortality. A wide variety of different options exist to treat postoperative pain both in infants and older children. The use of regional anesthetic techniques should be used whenever possible and combined with appropriate systemic options, thereby producing multi-modal analgesia. However, new concepts and dru...
CONCLUSION: We report the successful management of anesthesia without lethal arrhythmia in a patient with ARVC and an ICD. An adequate amount of analgesia should be administered during general anesthesia to maintain adequate anesthetic depth and to avoid stress and pain. PMID: 32473832 [PubMed - as supplied by publisher]
Conclusion Second-look PCNL without anesthesia and sheath after maturation of the nephrostomy tract may be an effective procedure for removing remnant stones in select patients without excessive levels of pain.
Conditions: MAP; Hypoxemia; Altered Mental Status; Urine Output Low; Chest Pain Intervention: Sponsors: Loma Linda University; University of California, Los Angeles Completed
Ramachandran Gopinath, Sangineni K S Dhanalakshmi, Kiran Tejavath, Polapally VenuIndian Journal of Anaesthesia 2020 64(6):453-455
This article describes the challenges in CPPs during COVID-19 pandemic and the use of telemedicine as the rescue management vehicle for CPPs in current scenario.
Conclusion: Intrathecal dexmedetomidine is more efficacious as compared to intravenous dexmedetomidine, due to favourable outcomes in terms of increased duration of postoperative analgesia and reduced rescue analgesic requirement.
Conclusion: Regional techniques for pain management in emergency laparotomies are less preferred, therefore, opioids are the mainstay. Lack of experience is essentially not the primary reason for regional techniques not gaining popularity. Pain management in this group needs a thorough re-evaluation.
Conclusion: ITM 5 μg/kg provides better intraoperative and postoperative analgesia and reduces postoperative PCA fentanyl requirement in laparoscopic donor nephrectomy compared to TAP block or intravenous fentanyl.
ConclusionsThis trial does not support the use of dexamethasone prior to intrathecal morphine for PONV prophylaxis in Cesarean delivery.Trial registrationwww.clinicaltrials.gov (NCT01734161); registered 27 November, 2012.
Conclusions: Occlusion of these catheters occurs at a very high rate, and the catheter embolus might be composed of clotted blood, plasma, and/or fibrin.