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Pain management for liver transplant recipients
We present current evidence-based literature that reviews optimal pain management strategies for this challenging patient demographic.RECENT FINDINGS: Multiple studies have shown that thoracic epidurals provide superior pain control in open hepatic resections. Recent data suggests thoracic epidurals may be safely considered in select liver transplant recipients with normal preoperative coagulation status; however, this evidence is limited, and further studies are needed. When the risks of coagulopathy prohibit epidural placement, truncal blocks such as transversus abdominis plane blocks or quadratus lumborum blocks and abd...
Source: Current Opinion in Organ Transplantation - September 20, 2023 Category: Transplant Surgery Authors: Simrat Kaur Patrick Henthorn Adrian Hendrickse Source Type: research

The Impacts of Fecal Microbiota Transplantation from Same Sex on the Symptoms of Ulcerative Colitis Patients
Pol J Microbiol. 2023 Sep 20;72(3):247-268. doi: 10.33073/pjm-2023-025. eCollection 2023 Sep 1.ABSTRACTWe aimed to compare the clinical efficacy of fecal microbiota transplantation (FMT) from the same sex on ulcerative colitis (UC) patients. A total of 272 UC patients were selected in the prospective clinical study, which incorporated four distinct groups, each comprising male and female patients, who were either receiving FMT or placebo, respectively. FMT was performed by sending the gut microbiota of healthy female or male adolescents to the same gender patients via gastroscope three times (one time/three weeks), and a p...
Source: Polish Journal of Microbiology - September 19, 2023 Category: Microbiology Authors: Shu Shang Jian Zhu Xi Liu Wei Wang Tingting Dai Li Wang Baojun Li Source Type: research

Rare mimicker of sacroiliitis
A 62-year-old woman was referred for suspected sacroiliitis discovered incidentally on a CT scan performed for pre-transplant assessment, in a context of chronic renal failure due to nephroangiosclerosis with haemodialysis for 18 months. Her renal disease was complicated by anaemia and secondary hyperparathyroidism. She was completely asymptomatic, including no lumbar or buttock pain. The CT scan (figure 1) showed bilateral and symmetrical subchondral bone resorption of blurred appearance responsible for a pseudo-widening which mainly concerned the iliac side, accompanied by an external border of reactive bone condensation...
Source: Annals of the Rheumatic Diseases - September 19, 2023 Category: Rheumatology Authors: Fakih, O., Balblanc, J.-C., Lohse, A. Tags: ARD, Images in rheumatology Source Type: research

Plateau pika fecal microbiota transplantation ameliorates inflammatory bowel disease manifestations in a mouse model of colitis
In conclusion, Plateau pika feces was found to protect mice against colitis induced by dextran sodium sulfate by reducing inflammation and regulating microbial dysbiosis. These findings suggest the potential of Plateau pika feces as an alternative therapy for IBD.
Source: Frontiers in Microbiology - September 19, 2023 Category: Microbiology Source Type: research

Current and Emerging Applications of Fecal Microbiota Transplantation
Am J Nurs. 2023 Sep 7;Published Ahead of Print. doi: 10.1097/01.NAJ.0000978920.88346.77. Online ahead of print.ABSTRACTFecal microbiota transplantation (FMT) is a life-changing treatment for people with recurrent Clostridioides difficile infection (rCDI). Frequently acquired in the hospital, CDI can cause serious gastrointestinal symptoms, including persistent watery diarrhea, abdominal pain, and severe dehydration. Antibiotics, the primary treatment, can unfortunately disrupt the gut microbiome and lead to antimicrobial resistance. FMT involves introducing stool from a healthy donor into the affected recipient to strength...
Source: The American Journal of Nursing - September 7, 2023 Category: Nursing Authors: Kathy A Baker Carsyn Poole Source Type: research

Living liver donor pain management
Curr Opin Organ Transplant. 2023 Sep 8. doi: 10.1097/MOT.0000000000001099. Online ahead of print.ABSTRACTPURPOSE OF REVIEW: Optimal pain control in living liver donors undergoing hepatectomy is strongly recommended considering their unique status as healthy individuals willingly undergoing surgery for the benefit of the recipient. This review aims to examine and evaluate different strategies aimed at ensuring effective postoperative pain management in living liver donors.RECENT FINDINGS: Enhanced recovery after surgery (ERAS) protocols have proven effective in optimizing patient outcomes, including in living liver donor he...
Source: Current Opinion in Organ Transplantation - September 7, 2023 Category: Transplant Surgery Authors: Ryung A Kang Justin Sangwook Ko Source Type: research

Current and Emerging Applications of Fecal Microbiota Transplantation
Am J Nurs. 2023 Sep 7;Published Ahead of Print. doi: 10.1097/01.NAJ.0000978920.88346.77. Online ahead of print.ABSTRACTFecal microbiota transplantation (FMT) is a life-changing treatment for people with recurrent Clostridioides difficile infection (rCDI). Frequently acquired in the hospital, CDI can cause serious gastrointestinal symptoms, including persistent watery diarrhea, abdominal pain, and severe dehydration. Antibiotics, the primary treatment, can unfortunately disrupt the gut microbiome and lead to antimicrobial resistance. FMT involves introducing stool from a healthy donor into the affected recipient to strength...
Source: The American Journal of Nursing - September 7, 2023 Category: Nursing Authors: Kathy A Baker Carsyn Poole Source Type: research

Living liver donor pain management
Curr Opin Organ Transplant. 2023 Sep 8. doi: 10.1097/MOT.0000000000001099. Online ahead of print.ABSTRACTPURPOSE OF REVIEW: Optimal pain control in living liver donors undergoing hepatectomy is strongly recommended considering their unique status as healthy individuals willingly undergoing surgery for the benefit of the recipient. This review aims to examine and evaluate different strategies aimed at ensuring effective postoperative pain management in living liver donors.RECENT FINDINGS: Enhanced recovery after surgery (ERAS) protocols have proven effective in optimizing patient outcomes, including in living liver donor he...
Source: Current Opinion in Organ Transplantation - September 7, 2023 Category: Transplant Surgery Authors: Ryung A Kang Justin Sangwook Ko Source Type: research

Current and Emerging Applications of Fecal Microbiota Transplantation
Am J Nurs. 2023 Sep 7;Published Ahead of Print. doi: 10.1097/01.NAJ.0000978920.88346.77. Online ahead of print.ABSTRACTFecal microbiota transplantation (FMT) is a life-changing treatment for people with recurrent Clostridioides difficile infection (rCDI). Frequently acquired in the hospital, CDI can cause serious gastrointestinal symptoms, including persistent watery diarrhea, abdominal pain, and severe dehydration. Antibiotics, the primary treatment, can unfortunately disrupt the gut microbiome and lead to antimicrobial resistance. FMT involves introducing stool from a healthy donor into the affected recipient to strength...
Source: The American Journal of Nursing - September 7, 2023 Category: Nursing Authors: Kathy A Baker Carsyn Poole Source Type: research

Living liver donor pain management
Curr Opin Organ Transplant. 2023 Sep 8. doi: 10.1097/MOT.0000000000001099. Online ahead of print.ABSTRACTPURPOSE OF REVIEW: Optimal pain control in living liver donors undergoing hepatectomy is strongly recommended considering their unique status as healthy individuals willingly undergoing surgery for the benefit of the recipient. This review aims to examine and evaluate different strategies aimed at ensuring effective postoperative pain management in living liver donors.RECENT FINDINGS: Enhanced recovery after surgery (ERAS) protocols have proven effective in optimizing patient outcomes, including in living liver donor he...
Source: Current Opinion in Organ Transplantation - September 7, 2023 Category: Transplant Surgery Authors: Ryung A Kang Justin Sangwook Ko Source Type: research

Current and Emerging Applications of Fecal Microbiota Transplantation
Am J Nurs. 2023 Sep 7;Published Ahead of Print. doi: 10.1097/01.NAJ.0000978920.88346.77. Online ahead of print.ABSTRACTFecal microbiota transplantation (FMT) is a life-changing treatment for people with recurrent Clostridioides difficile infection (rCDI). Frequently acquired in the hospital, CDI can cause serious gastrointestinal symptoms, including persistent watery diarrhea, abdominal pain, and severe dehydration. Antibiotics, the primary treatment, can unfortunately disrupt the gut microbiome and lead to antimicrobial resistance. FMT involves introducing stool from a healthy donor into the affected recipient to strength...
Source: The American Journal of Nursing - September 7, 2023 Category: Nursing Authors: Kathy A Baker Carsyn Poole Source Type: research