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Specialty: Anesthesiology
Condition: Pain
Therapy: Pain Management

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Total 45 results found since Jan 2013.

Anesthetic management for robotic hysterectomy in obese women
Purpose of review Obesity is a major health epidemic, with the prevalence reaching ∼40% in the United States in recent years. It is associated with increased risk of hypertension, diabetes, heart disease, stroke, obstructive sleep apnea (OSA), and gynecologic conditions requiring surgery. Those comorbidities, in addition to the physiologic changes associated with obesity, lead to increased risk of perioperative complications. The purpose of this review is to highlight the anesthetic considerations for robotic assisted hysterectomy in obese patients. Recent findings In the general gynecologic population, minima...
Source: Current Opinion in Anaesthesiology - May 12, 2021 Category: Anesthesiology Tags: OBSTETRIC AND GYNECOLOGICAL ANESTHESIA: Edited by Jill Mhyre Source Type: research

Sickle Cell Disease and Pain: Is it all Vaso-occlusive Crises?
Discussion: CP and NP should be assessed during routine care of sickle cell pain so that targeted therapies can be applied.
Source: The Clinical Journal of Pain - July 15, 2021 Category: Anesthesiology Tags: Original Articles Source Type: research

Pulmonary Embolism and Cardiac Tamponade in Critical Care Patients with COVID-19; Telemedicine's Role in Developing Countries: Case Reports and Literature Review
CONCLUSIONS: During admission, both patients had sudden deterioration characterized by oxygen desaturation and hypotension necessitating inotropic support. As a result, for both patients, bedside echocardiography was performed by the attending intensivist. Echocardiographic findings showed cardiac tamponade and acute pulmonary embolism, respectively, which were confirmed by a cardiologist through telemedicine technology. Proper emergency management was initiated, and both patients recovered well. Limited bedside transthoracic echocardiography had a front-line impact on the treatment and outcome of the two patients with COV...
Source: Pain Physician - August 2, 2021 Category: Anesthesiology Authors: Islam Mohammed Sheata Scott Richard Smith Heba Kamel Giustino Varrassi Farnad Imani Abdolreza Dayani Dariusz Myrcik Ivan Urits Omar Viswanath Sameh Salem Taha Source Type: research

Effect of Electroacupuncture on Shoulder Subluxation in Poststroke Patients with Hemiplegic Shoulder Pain: A Sham-Controlled Study Using Multidimensional Musculoskeletal Ultrasound Assessment
CONCLUSIONS: Using VAS for measuring pain intensity and multidimensional musculoskeletal ultrasound imaging technique for measuring shoulder subluxation, this study finds that the hemiplegic shoulder pain can be improved significantly by the EA while the shoulder subluxation cannot be. Our findings further reveal the analgesic mechanism of EA on hemiplegic shoulder pain following stroke.PMID:34840636 | PMC:PMC8626186 | DOI:10.1155/2021/5329881
Source: Pain Research and Management - November 29, 2021 Category: Anesthesiology Authors: Minghong Sui Naifu Jiang Luhui Yan Jiaqing Liu Bin Luo Chenxi Zhang Tiebin Yan Yun Xiang Guanglin Li Source Type: research

Surgical treatment of symptomatic pineal cysts without hydrocephalus-meta-analysis of the published literature
CONCLUSIONS: Although the results support the role of surgery in the management of nhSPCs, they have to be interpreted with a great deal of caution as the current evidence is limited, consisting only of case reports and retrospective surgical series. Inherent to such studies are inhomogeneity and incompleteness of data, selection bias and bias related to assessment of outcome carried out by the treating surgeon in the majority of cases. Prospective studies with patient-reported and objective outcome assessment are needed to provide higher level of evidence.PMID:34854993 | DOI:10.1007/s00701-021-05054-0
Source: Pain Physician - December 2, 2021 Category: Anesthesiology Authors: Riccardo Masina Ali Ansaripour Vladim ír Beneš Moncef Berhouma Joham Choque-Velasquez Per Kristian Eide Stepan Fedorko Steffen Fleck Juha Hernesniemi Andrzej Koziarski Martin M ájovský Andrzej Podgorski Henry Schroeder Charles Teo Andreas W Unterberg Source Type: research

Effect of Electroacupuncture on Shoulder Subluxation in Poststroke Patients with Hemiplegic Shoulder Pain: A Sham-Controlled Study Using Multidimensional Musculoskeletal Ultrasound Assessment
CONCLUSIONS: Using VAS for measuring pain intensity and multidimensional musculoskeletal ultrasound imaging technique for measuring shoulder subluxation, this study finds that the hemiplegic shoulder pain can be improved significantly by the EA while the shoulder subluxation cannot be. Our findings further reveal the analgesic mechanism of EA on hemiplegic shoulder pain following stroke.PMID:34840636 | PMC:PMC8626186 | DOI:10.1155/2021/5329881
Source: Pain Research and Management - November 29, 2021 Category: Anesthesiology Authors: Minghong Sui Naifu Jiang Luhui Yan Jiaqing Liu Bin Luo Chenxi Zhang Tiebin Yan Yun Xiang Guanglin Li Source Type: research

Male Sexual Dysfunction
Health Psychol Res. 2022 Aug 20;10(3):37533. doi: 10.52965/001c.37533. eCollection 2022.ABSTRACTMale sexual dysfunction is a series of conditions, most notably including erectile dysfunction (ED), Peyronie's disease (PD), and premature ejaculation (PE), defined by impaired sexual functioning. The prevalence of male sexual dysfunction increases with age and is relatively high with greater than 50% of men aged 40 to 70 describing some degree of erectile dysfunction. Risk factors for male sexual dysfunction include age, diabetes mellitus (DM), cancer, stroke, hypertension, penile trauma, depression, anxiety, and disturbance i...
Source: Pain Physician - August 24, 2022 Category: Anesthesiology Authors: Danyon Anderson John Laforge Maggie M Ross Robert Vanlangendonck Jamal Hasoon Omar Viswanath Alan D Kaye Ivan Urits Source Type: research

Opioid Free Cardiac Surgery: A Multimodal Pain Management Strategy with a Focus on Bilateral Erector Spinae Plane Block Catheters
Cardiac surgery requiring sternotomy presents unique challenges for perioperative and postoperative analgesia. Intraoperatively, the sympathetic response to surgical stimulation must be carefully modulated to prevent excessive bleeding, maintain the integrity of surgical repairs, and decrease the risk of stroke or iatrogenic aortic injury without compromising myocardial and systemic perfusion. This must be achieved in patients whose underlying abnormal physiology coupled with the effects of the surgical procedure often result in tenuous hemodynamics.
Source: Journal of Cardiothoracic and Vascular Anesthesia - September 7, 2022 Category: Anesthesiology Authors: Nabil K. Thalji, Saumil Jayant Patel, John G. Augoustides, Robin J Schiller, Adam A Dalia, Yinghui Low, Rawad I. Hamzi, Rohesh J. Fernando Tags: Case Conference Source Type: research

Opioid-Free Cardiac Surgery: A Multimodal Pain Management Strategy With a Focus on Bilateral Erector Spinae Plane Block Catheters
CARDIAC SURGERY REQUIRING STERNOTOMY presents unique challenges for perioperative and postoperative analgesia. Intraoperatively, the sympathetic response to surgical stimulation must be modulated carefully to prevent excessive bleeding, maintain the integrity of surgical repairs, and decrease the risk of stroke or iatrogenic aortic injury without compromising myocardial and systemic perfusion. This must be achieved in patients whose underlying abnormal physiology, coupled with the effects of the surgical procedure, often result in tenuous hemodynamics.
Source: Journal of Cardiothoracic and Vascular Anesthesia - September 7, 2022 Category: Anesthesiology Authors: Nabil K. Thalji, Saumil Jayant Patel, John G. Augoustides, Robin J Schiller, Adam A. Dalia, Yinghui Low, Rawad I. Hamzi, Rohesh J. Fernando Tags: Case Conference Source Type: research

Top 20 Research Studies of 2022 for Primary Care Physicians
This article summarizes the top 20 research studies of 2022 identified as POEMs (patient-oriented evidence that matters), excluding COVID-19. Statins for primary prevention of cardiovascular disease produce only a small absolute reduction in a person's likelihood of dying (0.6%), having a myocardial infarction (0.7%), or having a stroke (0.3%) over three to six years. Supplemental vitamin D does not reduce the risk of a fragility fracture, even in people with low baseline vitamin D levels or a previous fracture. Selective serotonin reuptake inhibitors are preferred medical therapy for panic disorder, and patients who disco...
Source: Pain Physician - April 13, 2023 Category: Anesthesiology Authors: Roland Grad Mark H Ebell Source Type: research

HIT-Heparin Induced Thrombocytopenia Simulation Case
Discussion: The simulation improved awareness of the symptoms of HIT and contraindications of immediate platelet and/or heparin initiation upon vessel occlusion and thrombocytopenia discovery.Topics: Heparin-induced thrombocytopenia, pain control, resuscitation efforts, coagulation disorders, history taking, undifferentiated patient, arterial occlusion, hematology, emergency medicine simulation.PMID:37465544 | PMC:PMC10332759 | DOI:10.21980/J89Q0M
Source: Pain Physician - July 19, 2023 Category: Anesthesiology Authors: Shaza Aouthmany Alyssa Siano De Ante' Russ Mark Bustillo Source Type: research

Diabetes mellitus and functional limitations among older adults: Evidence from a large, representative Ghanaian aging study
CONCLUSIONS: In this representative study, older adults with DM showed higher odds for FL, and this association was partially explained by physical activity and health variables. Investing in a holistic management approach might be helpful for public health planning efforts to address DM-induced FL in old age.PMID:37677886 | DOI:10.1016/j.jpsychores.2023.111481
Source: Pain Physician - September 7, 2023 Category: Anesthesiology Authors: Razak M Gyasi Julius Odei Mohammed Gazali Hambali Nelson Gyasi-Boadu Bernard Obeng Moses Asori Andr é Hajek Louis Jacob Yvonne Ami Dodzi Adjakloe Jones Opoku-Ware Lee Smith Ai Koyanagi Source Type: research