Analgesia in Major Abdominal Surgery

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Publisher : Springer
ISBN 13 : 3319944827
Total Pages : 279 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis Analgesia in Major Abdominal Surgery by : Anton Krige

Download or read book Analgesia in Major Abdominal Surgery written by Anton Krige and published by Springer. This book was released on 2018-10-02 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents current evidence in an Enhanced Recovery Programme context, and provides a common sense approach to using the array of available analgesia techniques appropriately in major abdominal surgery. Current pain relief options are discussed, many of which have been described only in the last ten years. Topics covered range from the now widespread use of portable ultrasound machines to an appreciation of the value of some older drugs in a new context. Analgesia for Major Abdominal Surgery is aimed at anesthetists, acute pain teams, and acute pain nurses, as well as colorectal, hepatobiliary, urological and gynecological surgeons.

Essential Clinical Anesthesia

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Publisher : Cambridge University Press
ISBN 13 : 1139498401
Total Pages : 1191 pages
Book Rating : 4.1/5 (394 download)

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Book Synopsis Essential Clinical Anesthesia by : Charles Vacanti

Download or read book Essential Clinical Anesthesia written by Charles Vacanti and published by Cambridge University Press. This book was released on 2011-07-11 with total page 1191 pages. Available in PDF, EPUB and Kindle. Book excerpt: The clinical practice of anesthesia has undergone many advances in the past few years, making this the perfect time for a new state-of-the-art anesthesia textbook for practitioners and trainees. The goal of this book is to provide a modern, clinically focused textbook giving rapid access to comprehensive, succinct knowledge from experts in the field. All clinical topics of relevance to anesthesiology are organized into 29 sections consisting of more than 180 chapters. The print version contains 166 chapters that cover all of the essential clinical topics, while an additional 17 chapters on subjects of interest to the more advanced practitioner can be freely accessed at www.cambridge.org/vacanti. Newer techniques such as ultrasound nerve blocks, robotic surgery and transesophageal echocardiography are included, and numerous illustrations and tables assist the reader in rapidly assimilating key information. This authoritative text is edited by distinguished Harvard Medical School faculty, with contributors from many of the leading academic anesthesiology departments in the United States and an introduction from Dr S. R. Mallampati. This book is your essential companion when preparing for board review and recertification exams and in your daily clinical practice.

THE ROLE OF BILATERAL CONTINUOUS TRANSVERSUS ABDOMINIS PLANE BLOCK FOR POSTOPERATIVE ANALGESIA IN MAJOR ABDOMINAL SURGERY: A CASE SERIES

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Book Synopsis THE ROLE OF BILATERAL CONTINUOUS TRANSVERSUS ABDOMINIS PLANE BLOCK FOR POSTOPERATIVE ANALGESIA IN MAJOR ABDOMINAL SURGERY: A CASE SERIES by : Danilo Canzio

Download or read book THE ROLE OF BILATERAL CONTINUOUS TRANSVERSUS ABDOMINIS PLANE BLOCK FOR POSTOPERATIVE ANALGESIA IN MAJOR ABDOMINAL SURGERY: A CASE SERIES written by Danilo Canzio and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: BACKGROUND The use of loco-regional anesthesia aims at providing an adequate intra- and/or post-operative pain management for a broad spectrum of surgical interventions which historically have relayed on the use of opiod drugs. On this fashion, the aim of our study is to prove that the use of bilateral continuous subcostal TAP block, in a multimodal opiod-sparing analgesic approach, provides a successful post-operative pain management for major abdominal surgical interventions. We adopted the NRS score as a reference and u2264 6 as an acceptable response. METHODS We enrolled (16) patients undergoing major abdominal surgery. A primer infusion of 1gr paracetamol + 30 mg ketoralac was administered 30 minutes prior to the end of the intervention. Moreover, in the immediate post-operative period, via US guidance, a 20 ml bolus of 0.5% levobupivacaine was administered bilaterally. Then, a permanent catheter was placed on both sides with a 2ml/h infusion of 0.5% levobupivacaine (20 ml in 28 ml of 0.9% NaCl). RESULTS In the 30-minutes post-operative period, the NRS score was u2264 4 for all of our patients. Then u2264 3 in the 6, 12 and 24-hour post-operative period. None of our patients requested any supplementary analgesics. CONCLUSIONS The major drawback of this study is the small size of our sample. Further studies might encourage the spread of this procedure as a new gold-standard for laparoscopic interventions (e.g. right hemicolectomy and laparocele) and its non-inferiority to epidural analgesia, the current gold-standard for laparotomic surgeries (especially left hemicolectomy).

Anaesthesia for the Elderly Patient

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Publisher : Oxford University Press
ISBN 13 : 019873557X
Total Pages : 181 pages
Book Rating : 4.1/5 (987 download)

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Book Synopsis Anaesthesia for the Elderly Patient by : Chris Dodds

Download or read book Anaesthesia for the Elderly Patient written by Chris Dodds and published by Oxford University Press. This book was released on 2017-01-21 with total page 181 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of Anaesthesia for the Elderly Patient offers a fully up-to-date, comprehensive introduction to the major clinical issues facing anaesthetists working with elderly patients.

Chronic Postsurgical Pain

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Publisher : Springer Science & Business Media
ISBN 13 : 3319043226
Total Pages : 175 pages
Book Rating : 4.3/5 (19 download)

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Book Synopsis Chronic Postsurgical Pain by : Gérard Mick

Download or read book Chronic Postsurgical Pain written by Gérard Mick and published by Springer Science & Business Media. This book was released on 2014-02-20 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: Primum non nocere... The fact that a surgical procedure can leave any kind of pain casts a shadow over this tenet, which is seen as the basis of medical practice and anchor of its principle ethic... It is all the more surprising in that medicine has only paid attention to this paradoxical chronic pain situation for the past few years. Clarifying the knowledge acquired in this field has become all the more urgent for any care-giver today confronted by a legitimate request from patients: Why and how can a surgical procedure, which is supposed to bring relief, leave behind an unacceptable sequela? This is the approach which the contributors to this new subject of major clinical interest invite you to follow as you work your way through this book.

The Impact of Epidural Analgesia on Postoperative Outcome After Major Abdominal Surgery

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (115 download)

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Book Synopsis The Impact of Epidural Analgesia on Postoperative Outcome After Major Abdominal Surgery by : Iulia Cindea

Download or read book The Impact of Epidural Analgesia on Postoperative Outcome After Major Abdominal Surgery written by Iulia Cindea and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The Impact of Epidural Analgesia on Postoperative Outcome After Major Abdominal Surgery.

Prospective Observational Study of Postoperative Epidural Analgesia for Major Abdominal Surgery

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Publisher :
ISBN 13 :
Total Pages : 318 pages
Book Rating : 4.:/5 (12 download)

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Book Synopsis Prospective Observational Study of Postoperative Epidural Analgesia for Major Abdominal Surgery by : Fiona Duncan

Download or read book Prospective Observational Study of Postoperative Epidural Analgesia for Major Abdominal Surgery written by Fiona Duncan and published by . This book was released on 2009 with total page 318 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Perioperative Pain Management

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Publisher : Oxford University Press
ISBN 13 : 0199937214
Total Pages : 141 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Perioperative Pain Management by : Richard D. Urman

Download or read book Perioperative Pain Management written by Richard D. Urman and published by Oxford University Press. This book was released on 2013-05-23 with total page 141 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perioperative Pain Management is an up-to-date, evidence-based guide for clinicians who diagnose and treat post-surgical patients.

Postoperative Pain Management

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Publisher :
ISBN 13 :
Total Pages : 720 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Postoperative Pain Management by : F. Michael Ferrante

Download or read book Postoperative Pain Management written by F. Michael Ferrante and published by . This book was released on 1993 with total page 720 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Acute Pain Management

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Publisher : CRC Press
ISBN 13 : 100037971X
Total Pages : 262 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Acute Pain Management by : Pamela E. Macintyre

Download or read book Acute Pain Management written by Pamela E. Macintyre and published by CRC Press. This book was released on 2021-06-20 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: With a focus on practical acute pain management in adults in the hospital setting, this book provides health professionals with simple and practical information to help them manage patients with acute pain safely and effectively. • Combines evidence-based information with practical guidelines and protocols • Covers the pharmacology of opioids, local anesthetics, and nonopioid and adjuvant analgesic agents • Discusses management of acute pain in both surgical and nonsurgical acute pain settings including in patients with spinal cord or burns injuries and selected medical illnesses • Includes evidence-based information about management of acute pain in some specific patient groups , including the older patient, opioid-tolerant patients, and those with addiction disorders, pregnant or lactating patients and patients with obstructive sleep apnea or who have renal or hepatic impairment • Considers the role of acute pain management in the context of the current opioid epidemic and identifies possible strategies to minimise the risks. This resource will be helpful to a variety of professionals in assessing and managing acute pain.

Acute Pain Management

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Publisher : Cambridge University Press
ISBN 13 : 0521874912
Total Pages : 729 pages
Book Rating : 4.5/5 (218 download)

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Book Synopsis Acute Pain Management by : Raymond S. Sinatra

Download or read book Acute Pain Management written by Raymond S. Sinatra and published by Cambridge University Press. This book was released on 2009-04-27 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.

Pain and Treatment

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Publisher : BoD – Books on Demand
ISBN 13 : 9535116290
Total Pages : 346 pages
Book Rating : 4.5/5 (351 download)

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Book Synopsis Pain and Treatment by : Gabor Racz

Download or read book Pain and Treatment written by Gabor Racz and published by BoD – Books on Demand. This book was released on 2014-07-10 with total page 346 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition reflects the evolution of the field including new topics for historical relevance regarding the changing attitudes towards opioid prescription and use. The book points out that the realization of liberalizing use is almost uncontrollably linked to unnecessary patient death. Similarly, the evidence is increasingly confirming that interventional pain procedures work. New evidence presents, for example, that Percutaneous Lysis of Adhesions is an effective therapeutic modality that has advantages over other options due to its cost effective nature and long term outcomes reducing the need for additional procedures including surgeries and more and more expensive medications. Awareness about the consequences of bad outcomes leads to medicolegal complications. The inevitable trigger is bad outcome which is often related to knowledge, training, experience, as well as equipment design. Some of the examples and lessons learned from the medicolegal arena may soon prevent such occurrences.

Efficacy of Multimodal Analgesia with Intrathecal Morphine in Major Abdominal Surgery

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (116 download)

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Book Synopsis Efficacy of Multimodal Analgesia with Intrathecal Morphine in Major Abdominal Surgery by : NIkolaos Pentilas

Download or read book Efficacy of Multimodal Analgesia with Intrathecal Morphine in Major Abdominal Surgery written by NIkolaos Pentilas and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: EFFICACY OF MULTIMODAL ANALGESIA WITH INTRATHECAL MORPHINE IN MAJOR ABDOMINAL SURGERY Background and Goal of Study:Patients undergoing major abdominal surgery present a challenging postoperative pain management problem. Adequate pain management influence recovery and outcome after major abdominal surgery. Epidural delivered analgesia remains the mainstay for pain management. However there is growing evidence in literature for alternative techniques in pain management, particular in the setting of ERAS protocols. The goal of this study is to evaluate retrospectively the efficacy of a multimodal approach in pain management in major abdominal surgery based on intrathecal injection of morphine Materials and Methods:Patients (n=117) undergoing major abdominal surgery were enrolled in this study. Types of surgery were, 60 colectomies , 20 pancreatectomies, 12 total gastrectomies , 5 radical nefrectomies , 15 hepatectomies and 5 cases of abdominal masses . All patients had multimodal analgesia consists of 1)an intrathecal injection of 0.5mg of morphine with 35-50u03bcg clonidine and 5 ml of water saline 2) wound infiltration with high volume bupivacaine 0.5%+0,5mg Adrenaline+8mg Dexamethazone 3) continuous intravenous infusion with morphine 0.5-0.9 mg/h . All patients had general balanced anesthesia consists of propofol/remifentanyl and desflurane . For all patients, VAS at rest and at coughing, time for first analgesic request, incidence of nausea, vomiting, pruritus, sedation and respiratory depression were assessed. Results and Discussion: All patients were extubated in theatre and were discharged from the intermediate care unit within 12-24 hours. VAS score at rest was 0-2 for all patients during the first 24 hours, up to 3 for the next 24 hours and up to 5 for the third day. For the VAS score on coughing results were 2-3, 4-5, 5-6 respectively. Time to first analgesic request (VASu22654) was 36-48 hours (tramadol 50-100mg IV). Incidence of nausea, vomiting and pruritus were 10%, 4%, 0% respectively. No patient sedation or respiratory depression occurred. Current literature supports that alternative anaesthetic techniques may be beneficial as part of multimodal analgesia. In this study intrathecal injection of morphine provide adequate postoperative analgesia as part of a complete multimodal pain management protocol.Conclusion(s):Intrathecal morphine as part of a complete multimodal pain management protocol can be an effective alternative for pain management in major abdominal surgery allowing individualized tailoring of analgesia to the patients thus facilitating recovery. References:M. Hu00fcbner at al , Intrathecal analgesia and restrictive perioperative fluid management within enhanced recovery pathway : hemodynamic implications. Journal of the American College of Surgeons Vol 216 (6):1124-1134 (2013).

Topics in Postoperative Pain

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Publisher : BoD – Books on Demand
ISBN 13 : 1837686017
Total Pages : 218 pages
Book Rating : 4.8/5 (376 download)

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Book Synopsis Topics in Postoperative Pain by : Víctor M. Whizar-Lugo

Download or read book Topics in Postoperative Pain written by Víctor M. Whizar-Lugo and published by BoD – Books on Demand. This book was released on 2023-11-08 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: Currently, two-thirds of patients undergoing surgery experience acute postoperative pain (POP), which increases the possibility of immediate postoperative complications and facilitates the development of chronic POP. Post-surgical pain does not have a useful biological function, so it must be prevented, avoided, and/or eliminated. The objective of the rational management of acute pain after surgery is to facilitate the rapid recovery of patients with a prompt integration into their usual preoperative activities. The global crisis of opioid abuse has forced us to use other analgesic drugs as well as regional analgesia techniques that are part of effective multimodal analgesia. The non-pharmacological approach has also gained importance in the comprehensive management of acute POP. This book reviews advances in the understanding, management, and complications of POP.

Patient-Controlled Analgesia After Major Abdominal Surgery in the Elderly Patient

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (115 download)

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Book Synopsis Patient-Controlled Analgesia After Major Abdominal Surgery in the Elderly Patient by : Viorel Gherghina

Download or read book Patient-Controlled Analgesia After Major Abdominal Surgery in the Elderly Patient written by Viorel Gherghina and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Patient-Controlled Analgesia After Major Abdominal Surgery in the Elderly Patient.

Essential Clinical Anesthesia Review

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Publisher : Cambridge University Press
ISBN 13 : 1316062287
Total Pages : 577 pages
Book Rating : 4.3/5 (16 download)

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Book Synopsis Essential Clinical Anesthesia Review by : Linda S. Aglio

Download or read book Essential Clinical Anesthesia Review written by Linda S. Aglio and published by Cambridge University Press. This book was released on 2015-01-08 with total page 577 pages. Available in PDF, EPUB and Kindle. Book excerpt: This concise, evidence-based board review book, organized according to the ABA keyword list, covers all the fundamental concepts needed to pass written and re-certification board examinations. Each chapter begins with a case scenario or clinical problem from everyday practice, followed by concise discussion and clinical review questions and answers. Discussion progresses logically from preoperative assessment and intraoperative management to postoperative pain management, enhancing the reader's knowledge and honing diagnostic and clinical management skills. New guidelines and recently developed standards of care are also covered. Serving as a companion to the popular textbook Essential Clinical Anesthesia, this resourceful work reflects the clinical experiences of anesthesia experts at Harvard Medical School as well as individually known national experts in the field of anesthesiology. This practical review is an invaluable resource for anesthesiologists in training and practice, whether studying for board exams or as part of continuing education and ABA recertification.

Acute Pain Management

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Publisher :
ISBN 13 : 9780977517442
Total Pages : 491 pages
Book Rating : 4.5/5 (174 download)

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Book Synopsis Acute Pain Management by : Pamela E. Macintyre

Download or read book Acute Pain Management written by Pamela E. Macintyre and published by . This book was released on 2010-01-01 with total page 491 pages. Available in PDF, EPUB and Kindle. Book excerpt: