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Specialty: Anesthesiology
Condition: Pain
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Total 172 results found since Jan 2013.
Chinese registry of rheumatoid arthritis (CREDIT) V: sex impacts rheumatoid arthritis in Chinese patients
CONCLUSIONS: In Chinese patients with RA, men were found to have more active disease, as well as more cases of CAD and stroke. Therefore, sex should be carefully considered during the personalization of RA treatment.PMID:36103962 | DOI:10.1097/CM9.0000000000002110
Source: Pain Physician - September 14, 2022 Category: Anesthesiology Authors: Nan Jiang Qin Li Hongbin Li Yongfei Fang Lijun Wu Xinwang Duan Jian Xu Cheng Zhao Zhenyu Jiang Yanhong Wang Qian Wang Xiaomei Leng Mengtao Li Xinping Tian Xiaofeng Zeng CREDIT Co-Authors Source Type: research
Patient characteristics and outcomes of acute myocardial infarction presenting without ischemic pain: Insights from the Atherosclerosis Risk in Communities Study
CONCLUSIONS: Future research should focus on differences in treatment delay across ischemic pain presentations rather than sex differences in acute coronary syndrome presentation.PMID:36713888 | PMC:PMC9879363 | DOI:10.1016/j.ahjo.2022.100239
Source: Pain Physician - January 30, 2023 Category: Anesthesiology Authors: Bailey M DeBarmore Jessica K Z ègre-Hemsey Anna M Kucharska-Newton Erin D Michos Wayne D Rosamond Source Type: research
Association of Preoperative Medical Consultation With Reduction in Adverse Postoperative Outcomes and Use of Processes of Care Among Residents of Ontario, Canada
CONCLUSIONS AND RELEVANCE: In this cohort study, preoperative medical consultation was not associated with a reduction but rather with an increase in adverse postoperative outcomes, suggesting a need for further refinement of target populations, processes, and interventions related to preoperative medical consultation. These findings highlight the need for further research and suggest that referral for preoperative medical consultation and subsequent testing should be carefully guided by individual-level consideration of risks and benefits.PMID:36972037 | DOI:10.1001/jamainternmed.2023.0325
Source: Pain Physician - March 27, 2023 Category: Anesthesiology Authors: Weiwei Beckerleg Daniel Kobewka Duminda N Wijeysundera Manish M Sood Daniel I McIsaac Source Type: research
Methemoglobin as a marker of acute anemic stress in cardiac surgery
iScience. 2023 Jul 20;26(8):107429. doi: 10.1016/j.isci.2023.107429. eCollection 2023 Aug 18.ABSTRACTBiological evidence supports plasma methemoglobin as a biomarker for anemia-induced tissue hypoxia. In this translational planned substudy of the multinational randomized controlled transfusion thresholds in cardiac surgery (TRICS-III) trial, which included adults undergoing cardiac surgery requiring cardiopulmonary bypass with a moderate-to-high risk of death, we investigated the relationship between perioperative hemoglobin concentration (Hb) and methemoglobin; and evaluated its association with postoperative outcomes. Th...
Source: Pain Physician - August 14, 2023 Category: Anesthesiology Authors: Nikhil Mistry Gregory M T Hare Nadine Shehata Robert S Kramer Hosam F Fawzy Robert A Baker Paula Carmona Richard Saczkowski Daniela Filipescu Christella S Alphonsus Antoine Rochon Alexander J Gregory Boris Khanykin Jonathan D Leff Eva Mateo Dimos Karangel Source Type: research
Hemiplegic shoulder pain: Evidence of a neuropathic origin
Summary: An underlying mechanism of hemiplegic shoulder pain might be neuropathic. Thus, treatment for neuropathic pain should be considered when treatment for nociceptive pain fails to provide an adequate solution.Abstract: Hemiplegic shoulder pain (HSP) is common after stroke. Whereas most studies have concentrated on the possible musculoskeletal factors underlying HSP, neuropathic aspects have hardly been studied. Our aim was to explore the possible neuropathic components in HSP, and if identified, whether they are specific to the shoulder or characteristic of the entire affected side. Participants included 30 poststrok...
Source: Pain - November 7, 2012 Category: Anesthesiology Authors: Gabi Zeilig, Michal Rivel, Harold Weingarden, Evgeni Gaidoukov, Ruth Defrin Tags: Research papers Source Type: research
No evidence of a neuropathic origin in hemiplegic shoulder pain
Hemiplegic shoulder pain (HSP) is the most common pain condition after stroke (30% to 40%), with a heavy burden and a challenging treatment . We read with great interest the recent article by Zeilig et al., who explored the pathophysiology of HSP . They compared HSP patients, poststroke patients without HSP (NHSP), and normal control subjects, and on quantitative sensory testing (QST) data, they concluded that HSP has a neuropathic component . Unfortunately, their conclusion is biased by some methodological issues and overstatement of the results.
Source: Pain - March 18, 2013 Category: Anesthesiology Authors: Francesca Magrinelli, Giampietro Zanette, Stefano Tamburin Tags: Letters to the Editor Source Type: research
Follow-up to ‘Cholecystectomy in the presence of a large patent foramen ovale: laparoscopic or open?’
We previously reported an obese patient with cholelithiasis and acute cholecystitis, who was scheduled to undergo an emergency laparoscopic cholecystectomy, but was recognized preoperatively to have a large patent foramen ovale (PFO) with a right-to-left shunt that was open at rest . She also had concomitant choledocholithiasis, and she underwent an endoscopic sphincterotomy with prompt resolution of her fever and abdominal pain. At the time, the benefits of laparoscopy were weighed against the risk of paradoxical emboli and stroke, and the choice of either a laparoscopic or open cholecystectomy was discussed carefully wit...
Source: Journal of Clinical Anesthesia - April 22, 2013 Category: Anesthesiology Authors: Pringl L. Miller, Larry Litt, Nelson Schiller, John Maa Tags: Correspondence Source Type: research
Bilateral carotid artery dissection in a severe preeclamptic setting: An unusual cause of postpartum headache.
Abstract
A 30-year-old woman with severe preeclampsia presented at 27weeks of amenorrhea with left headache, neck pain, blurred vision and numbness of left hemiface that resolved spontaneously within 2hours. A week later, hypertension remained poorly controlled despite combination of nicardipine and labetalol intravenous therapy; an urgent caesarean section was eventually performed due to onset of HELLP syndrome. At day 5 postpartum, the patient had a Horner syndrome with right ipsilateral disabling tinnitus. A CT-angiography of supra-aortic trunks was performed urgently; it showed a bilateral carotid arterial dis...
Source: Annales Francaises d'Anesthesie et de Reanimation - April 1, 2013 Category: Anesthesiology Authors: Hoffmann C, Augé M, Falzone E, Martel-Jacob S, Mercier FJ Tags: Ann Fr Anesth Reanim Source Type: research
Headache linked with incidence of metabolic syndrome: Comment on migraine, headache and development of metabolic syndrome: An 11-year follow-up in the HUNT study
A considerable body of evidence from large-population studies has linked migraine, particularly with aura, to somewhat increased risk for stroke, coronary heart disease, and subclinical infarct-like lesions as well as to adverse risk profiles for cardiovascular disease (CVD), including hyperlipidemia, obesity, hypertension, and family history of premature CVD . Although the biological mechanisms remain uncertain, this area of research has importance for public health, especially because both migraine and CVD are common in the general population. Understanding the mechanisms that link migraine with various manifestations of...
Source: Pain - May 17, 2013 Category: Anesthesiology Authors: Jameson D. Voss, Ann I. Scher Tags: Commentaries Source Type: research
Migraine, headache and development of metabolic syndrome: An 11-year follow-up in the Nord-Trøndelag Health Study (HUNT)
This study examined the incidence of metabolic syndrome and its relationship to migraine with and without aura and to nonmigraine headache. In the population-based the Nord-Trøndelag Health Study (HUNT), 19,895 individuals were followed for the development of metabolic syndrome, with a median follow-up time of 11.3years. Headache diagnoses were based on a validated headache questionnaire, and metabolic syndrome was based on a modified version of the National Cholesterol Education Program’s Adult Treatment Panel (ATP) III criteria, using objective anthropometric measurements and blood biochemistry. Using the Poisson regr...
Source: Pain - April 10, 2013 Category: Anesthesiology Authors: Bendik Slagsvold Winsvold, Irene Sandven, Knut Hagen, Mattias Linde, Kristian Midthjell, John-Anker Zwart Tags: Research papers Source Type: research
Minimally invasive cardiac surgery and transesophageal echocardiography.
Abstract
Improved cosmetic appearance, reduced pain and duration of post-operative stay have intensified the popularity of minimally invasive cardiac surgery (MICS); however, the increased risk of stroke remains a concern. In conventional cardiac surgery, surgeons can visualize and feel the cardiac structures directly, which is not possible with MICS. Transesophageal echocardiography (TEE) is essential during MICS in detecting problems that require immediate correction. Comprehensive evaluation of the cardiac structures and function helps in the confirmation of not only the definitive diagnosis, but also the succe...
Source: Annals of Cardiac Anaesthesia - April 1, 2014 Category: Anesthesiology Authors: Jha AK, Malik V, Hote M Tags: Ann Card Anaesth Source Type: research
A Pilot Study for a Prospective, Randomized, Double-Blind Trial of the Influence of Anesthetic Depth on Long-Term Outcome.
CONCLUSIONS:: This pilot study demonstrated that depth of anesthesia targeting with BIS or SE was achievable in a high-risk population with adequate separation of processed electroencephalogram monitor targets. The expected incidence of postoperative complications and mortality occurred. We conclude that a large, multicenter, randomized controlled trial is feasible.
PMID: 24781568 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - May 1, 2014 Category: Anesthesiology Authors: Short TG, Leslie K, Campbell D, Chan MT, Corcoran T, O'Loughlin E, Frampton C, Myles P Tags: Anesth Analg Source Type: research
Epidural Steroid Injections are Safe and Effective: Multisociety Letter in Support of the Safety and Effectiveness of Epidural Steroid Injections
Abstract
Background: In April 2014, the Food and Drug Administration (FDA) issued a Drug Safety Communication requesting that corticosteroid labeling include warnings that injection of corticosteroids into the epidural space of the spine may result in rare but serious adverse events, including loss of vision, stroke, paralysis, and death. Results: The International Spine Intervention Society spearheaded a collaboration of more than a dozen other medical societies in submitting the letter below to the FDA on November 7, 2014. We are publishing the letter to ensure that the readership of Pain Medicine is aware of the multiso...
Source: Pain Medicine - January 13, 2015 Category: Anesthesiology Authors: , David J. Kennedy, Joshua Levin, Richard Rosenquist, Virtaj Singh, Clark Smith, Milan Stojanovic, Yakov Vorobeychik Tags: Other Source Type: research
Drugs used to treat joint and muscle disease
Publication date: Available online 19 February 2015 Source:Anaesthesia & Intensive Care Medicine Author(s): David G. Lambert Joint disease: Arthritis can be simply broken into osteoarthritis and rheumatoid arthritis (RA). Osteoarthritis is treated with symptomatic pain relief and surgery. RA is a chronic autoimmune disease that causes inflammation of joints (leading to their destruction), tissues around joints and other organ systems. Treatment (for pain) of RA in the first instance is with non-steroidal anti-inflammatory drugs, with second-line treatment using disease-modifying antirheumatic drugs (DMARDs). DMAR...
Source: Anaesthesia and intensive care medicine - February 24, 2015 Category: Anesthesiology Source Type: research
