Optimal approach for ultrasound-guided transversus abdominis plane (TAP) blocks for abdominal surgeries: a protocol for systematic review and meta-analysis
Introduction
Transversus abdominis plane (TAP) blocks are commonly used for postoperative analgesia after various abdominal surgeries. There are several different approaches for performing TAP blocks, mainly including posterior, lateral and subcostal approaches. An increasing number of randomised controlled trials (RCTs) have compared the analgesic effects of different TAP block approaches, but the results have not been consistent. This protocol aims to determine the optimal approach of ultrasound-guided TAP blocks for postoperative analgesia after abdominal surgery.
Methods and analysis
Four databases, including Web of S...
Source: BMJ Open - May 2, 2024 Category: General Medicine Authors: Zhu, Q., Zhang, D., Wei, Y. Tags: Open access, Anaesthesia Source Type: research
Children and the Opioid Crisis: We Can Make a Difference
The use of opioid-sparing and opioid-free strategies in children can provide adequate analgesia while decreasing the risk of adverse events and contributing to the ongoing battle against the opioid crisis. However, every child must be evaluated individually so that a safe and efficacious perioperative pain management plan can be created. A working knowledge of the risks and benefits of opioids, nonopioid adjuncts, and regional anesthesia along with the ethical considerations for balancing stewardship and beneficent care is essential to the success of these strategies. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - May 2, 2024 Category: Nursing Authors: Lisa Allison Herbinger Tags: Clinical Source Type: research
Effects of Virtual Reality on Analgesia in Wound Care and Physical Therapy for Burn Patients: A Systematic Review and Meta-analysis
This systematic review and meta-analysis aimed to determine the effectiveness of virtual reality (VR) in alleviating pain and improving the experience of burn patients during wound care and physical therapy. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 2, 2024 Category: Nursing Authors: Jiaqi Lou, JiLiang Li, Youfen Fan, Chun Zhang, Neng Huang Tags: Review Article Source Type: research
A Qualitative Analysis of the Impact of Preoperative Mindfulness-Based Stress Reduction on Total Knee Arthroplasty Surgical Experiences
We qualitatively explored the impact of preoperative mindfulness-based stress reduction (MBSR) on total knee arthroplasty (TKA) experiences. Participants (n = 10) who received MBSR prior to TKA participated in semi-structured interviews concerning their experiences with MBSR and its perceived impact on surgery. We analyzed interviews according to reflexive thematic analysis, and coded data into three main themes: 1) Impact of MBSR on surgery experiences; 2) Contributors to change; and 3) Motivations for participation. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 2, 2024 Category: Nursing Authors: Kristin A. Reynolds, Jordana L. Sommer, Rachel Roy, Jennifer Kornelsen, Corey S. Mackenzie, Ren ée El-Gabalawy Tags: Original Research Source Type: research
Effect of Educational Interventions for Improving the Nurses' Knowledge, Attitude, and Practice of Pediatric Pain Management: A Aystematic Review and Meta-Analysis
This study aimed to evaluate the effectiveness of educational interventions in improving nurses' knowledge, attitude, and practice regarding pediatric pain management. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 2, 2024 Category: Nursing Authors: Ling Yuan Tags: Review Article Source Type: research
Optimising Health-Related Quality of Life in Children With Osteogenesis Imperfecta
AbstractOsteogenesis Imperfecta is a rare, hereditary bone condition with an incidence of 1/15,000 –20,000. Symptoms include bone fragility, long bone deformity, scoliosis, hypermobility, alongside secondary features such as short stature, basilar invagination, pulmonary and cardiac complications, hearing loss, dentinogenesis imperfecta and malocclusion. Osteogenesis Imperfecta can have a large impact on the child and their family; this impact starts immediately after diagnosis. Fractures, pain, immobility, hospital admissions and the need for equipment and adaptations all influence the health-related quality of life of ...
Source: Calcified Tissue International - May 2, 2024 Category: Orthopaedics Source Type: research
The Effect of Cannabinoids on Single-level Lumbar Arthrodesis Outcomes in a Rat Model
The opioid epidemic is a public health crisis affecting spine care and pain management. Medical marijuana is a potential non-opioid analgesic yet to be studied in the surgical setting since its effects on bone healing are not fully understood. Studies have demonstrated analgesic and potentially osteoinductive properties of cannabinoids with endocannabinoid receptor expression in bone tissue. (Source: The Spine Journal)
Source: The Spine Journal - May 2, 2024 Category: Orthopaedics Authors: Harold Fogel, Diana Yeritsyan, Kaveh Momenzadeh, Nadim Kheir, Caleb M. Yeung, Mohammadreza Abbasian, Edith Martinez Lozano, Rosalynn M. Nazarian, Ara Nazarian Tags: Basic Science Source Type: research
The wish to hasten death in patients with life-limiting conditions. A systematic overview
A systematic review of the wish to hasten death among people with life-limiting conditions was published in 2011. Since then, other reviews and primary studies have been published that have added to knowledge regarding the conceptual definition, aetiology and assessment of the wish to hasten death. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - May 2, 2024 Category: Palliative Care Authors: Andrea Rodr íguez-Prat, Denise Pergolizzi, Iris Crespo, Joaquim Julià-Torras, Albert Balaguer, Kerstin Kremeike, Raymond Voltz, Cristina Monforte-Royo Source Type: research
Knowledge of female genital schistosomiasis and urinary schistosomiasis among final-year midwifery students in the Volta Region of Ghana
ConclusionAwareness of FGS was limited among the study participants. The high prevalence of knowledge of some FGS symptoms related to the genitalia needs cautious interpretation. Health care training institutions must make deliberate efforts to highlight FGS in the training of midwives as the condition has diagnostic and management implications for some sexual and reproductive health conditions. (Source: PLoS One)
Source: PLoS One - May 2, 2024 Category: Biomedical Science Authors: Wisdom Klutse Azanu Source Type: research
Development and evaluation of RFID-integrated endoscopic clips for laparoscopic surgery marking
ConclusionsThe study evaluated the feasibility of using stainless steel clips for lesion detection in endoscopic surgery using computer-aided engineering analysis and ex-vivo experimentation. Results showed that STS304 was suitable for use while STS316L was not. The ex-vivo experiments revealed that the clip holding force and tissue retention length varied depending on the location of attachment. In-vivo experiments confirmed the accuracy and usefulness of the RFID lesion detection system. However, challenges remain for its use in clinical field, such as ensuring the stability of the clip and the safe attachment of the RFI...
Source: PLoS One - May 2, 2024 Category: Biomedical Science Authors: Hwan Yi Joo Source Type: research
Surgical Stabilization of Rib Fractures in the Geriatric Trauma Population Is Associated with Equivalent Outcomes to a Younger Cohort: A Propensity Matched Analysis
Traumatic rib fractures are a significant cause of morbidity and mortality[1]. Surgical rib fixation has been found to reduce duration of ventilation, hospital length of stay, need for tracheostomy, and mortality in patients with flail chest[2,3]. Significant benefits have also been found in patients with severely displaced rib fractures without flail chest, including reduced pain, improved disability-related quality of life, and reduced narcotic use[4]. As such, the Chest Wall Injury Society (CWIS) has established guidelines recommending surgical stabilization of rib fractures (SSRF) be offered to patients with chest wall...
Source: Injury - May 2, 2024 Category: Orthopaedics Authors: Stephanie Jensen, Van Christian Sanderfer, Kierstin Porter, Madeline G Rieker, Brianna R. Maniscalco, Jenna Lloyd, Robert Gallagher, Huaping Wang, Sam Ross, Cynthia Lauer, Kyle Cunningham, Bradley Thomas Source Type: research
Calf injury in a padel player
Introduction Calf injuries are common in sports that involve high speed running, increased running loads and rapid acceleration and deceleration such as in padel. Padel is a racquet sport that combines elements of tennis and squash played on an enclosed court surrounded by glass walls. In calf injuries, the medial head of the gastrocnemius is most commonly injured as the muscle extends over two joints (knee and ankle) and contains a high density of type 2 fast-twitch muscle fibres.1 History A padel player in his early 30s presented with acute pain in his right posterior calf after making an abrupt forward step to accelerat...
Source: British Journal of Sports Medicine - May 2, 2024 Category: Sports Medicine Authors: Pedret, C., Mecho, S., Balius, R., Ahmad, G. Tags: BJSM Images in sports medicine Source Type: research
Alternative models to support weight loss in chronic musculoskeletal conditions: effectiveness of a physiotherapist-delivered intensive diet programme for knee osteoarthritis, the POWER randomised controlled trial
Conclusion
A VLED delivered by physiotherapists achieved clinically relevant weight loss and was safe for people with knee OA who were overweight or obese. The results have potential implications for future service models of care for OA and obesity.
Trial registration number
NIH, US National Library of Medicine, Clinicaltrials.gov NCT04733053 (1 February 2021). (Source: British Journal of Sports Medicine)
Source: British Journal of Sports Medicine - May 2, 2024 Category: Sports Medicine Authors: Allison, K., Jones, S., Hinman, R. S., Pardo, J., Li, P., DeSilva, A., Quicke, J. G., Sumithran, P., Prendergast, J., George, E., Holden, M. A., Foster, N. E., Bennell, K. L. Tags: BJSM Original research Source Type: research
Lung cancer-specific symptoms and fear of cancer recurrence among recurrence-free non-small cell lung cancer survivors
ConclusionNSCLC survivors were experiencing lung cancer-specific symptoms even a few years after treatment, which were associated with cFCR, resulting in poor HRQoL. It is necessary to develop a lung cancer-specific symptom checklist and use it during even long-term surveillance. (Source: Supportive Care in Cancer)
Source: Supportive Care in Cancer - May 2, 2024 Category: Cancer & Oncology Source Type: research
Metastasis of small cell lung cancer to bilateral extraocular muscles: a case report
ConclusionBilateral metastasis to the extraocular muscles is a very rare manifestation of small cell lung cancer and the palliative treatment in these cases is challenging. (Source: Journal of Medical Case Reports)
Source: Journal of Medical Case Reports - May 2, 2024 Category: General Medicine Source Type: research
