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Peripheral Nerve Blocks Provide Better Post Operative Pain Relief Without Affecting Mobilisation Than Local Infiltration Analgesia In Enhanced Recovery Knee Arthroplasty
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Book Synopsis Peripheral Nerve Blocks Provide Better Post Operative Pain Relief Without Affecting Mobilisation Than Local Infiltration Analgesia In Enhanced Recovery Knee Arthroplasty by : M. Kashif
Download or read book Peripheral Nerve Blocks Provide Better Post Operative Pain Relief Without Affecting Mobilisation Than Local Infiltration Analgesia In Enhanced Recovery Knee Arthroplasty written by M. Kashif and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Aims: Total knee arthroplasty (TKA) results in moderate to severe post-operativepain. Peripheral nerve blocks (PNB), though ver effective have potentialdisadvantage of lower limb weakness which affects post op mobilisation afterTKA. The present study was carried out to evaluate the analgesic effect of PNB ascompared to local infiltration analgesia (LIA) and its impact on post-operativemobilisation after TKA.Methods: In this non-randomised comparative study, 25 patients undergoingERAS knee arthroplasty received PNB as part of multimodal analgesia for post opanalgesia. The results were compared to previously conducted study in which LIAinstead of PNB was used as post op analgesia. Rest of the care pathway wassimilar in both groups. After spinal anaesthesia, patients received ultrasoundguided femoral nerve (FNB), adductor canal (ACB) and IPACK nerve blocks using20 mls Levobupivacaine 0125% for FNB & ACB and 20 mls of Levobupivacainefor IPACK block. Post-operative pain score (0-3), 24 hours opiate consumptionand time to mobilisation was recorded and compared with the patients whoreceived LIA only.Results: Average pain score in PNB group was 1 as compared to 2 in LIA group. 3out of 25 patients (12%) required opioids in first 24 hours after surgery in PNB and40% in LIA group. There was no difference in post-operative mobilisation in bothgroups.Conclusions: PNB results in superior post op analgesia than LIA after TKA.Appropriate selection of nerve blocks and local anaesthesia concentration does notdelay post-operative mobilisation in patients undergoing total knee arthroplasty.
Book Synopsis Local Infiltration Analgesia by : Dennis R. Kerr
Download or read book Local Infiltration Analgesia written by Dennis R. Kerr and published by CRC Press. This book was released on 2016-04-19 with total page 130 pages. Available in PDF, EPUB and Kindle. Book excerpt: The concept of integrating pain management into the surgical process as a single entity is new and exciting. The use of local anaesthetic to block post-operative pain at the site of its generation is here refined into a management program allowing early mobilisation and dramatic pain control in the early post-operative period. This multimodal techn
Book Synopsis PERIPHERAL NERVE BLOCKADE (PNB) RESULTS IN SAFE AND EFFECTIVE ANALGESIA IN DAY CASE UNICOMPARMENTAL KNEE ARTHROPLASTY(UKA) by : M. Kashif
Download or read book PERIPHERAL NERVE BLOCKADE (PNB) RESULTS IN SAFE AND EFFECTIVE ANALGESIA IN DAY CASE UNICOMPARMENTAL KNEE ARTHROPLASTY(UKA) written by M. Kashif and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background and Aims: Enhanced recovery After surgery (ERAS) in orthopaedicsis a well-established technique. Day case arthroplasty is relatively new concept.Best post-operative analgesia technique in these patients is not well established.We evaluated the effectiveness, safety and patient satisfaction of PNB in unicompartmentalknee arthroplasty.Methods: In this non-randomised, observational study 12 connective adult patientundergoing UKA surgery received PNB (7 patients) and local infiltration analgesiaLIA (5 patients) patient for post- operative pain relief. LIA was given by surgeonintra-operatively using 0.125% Levobupivacaine. PNB group received ultrasoundguided adductor canal block and IPACK block using 0.25% Levobupivacaine 20mls each. All patients received spinal anaesthesia for surgery using 3-4 mls of0.25% Levobupivacaine. Quality of post-operative analgesia in PACU and abilityto discharge home on the same day were recorded. All patients were given aquestionnaire to take home to record quality of analgesia, side effects and theirsatisfaction in first 72 hours after surgery. Re-admission rate was also recordedResults: All patients in PNB group had effective analgesia and were dischargedhome the same day. 2 out of 5 patients in LIA group were admitted overnight dueto inadequate pain relief and inability to mobilise. Quality of analgesia and patientsatisfaction were better in PNB (7/10) group as compared to LIA group (5/10).There was no re-admission to hospital after discharge in both groups.Conclusion: PNBs provides superior analgesia and results in improved patientsatisfaction as compared to LIA in patients undergoing day case uni-compartmentalknee replacement.
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.
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:
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.
Book Synopsis White Paper on Joint Replacement by : Hans-Holger Bleß
Download or read book White Paper on Joint Replacement written by Hans-Holger Bleß and published by Springer. This book was released on 2017-11-03 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is published open access under a CC BY 4.0 license. White Paper on Joint Replacement This White Paper details the status of hip and knee arthroplasty care in Germany. Hip and knee replacements are amongst the most frequently performed procedures and usually become necessarily due to age-related wear of the joint, osteoarthritis and fractures of the femoral neck. In light of demographic change, demands with regard to standards of care and the procedures are likely to rise. Contents • This White Paper contains information on indications, procedures, health economic aspects and the healthcare system stakeholders involved. • It portrays current developments with regard to the prevalence of hip and knee arthroplasty, the healthcare situation and quality of care within the chain of medical care. • This book is complemented by a chapter assessing the current situation from an expert perspective with contributions from renowned experts in the fields of science, medical technology and medical practice. This book addresses people involved in shaping and representing the healthcare system from a variety of fields including medical professions, health insurances and health sciences as well as journalists and patient representatives.
Book Synopsis Peripheral Nerve Blocks and Peri-Operative Pain Relief E-Book by : Dominic Harmon
Download or read book Peripheral Nerve Blocks and Peri-Operative Pain Relief E-Book written by Dominic Harmon and published by Elsevier Health Sciences. This book was released on 2010-10-13 with total page 269 pages. Available in PDF, EPUB and Kindle. Book excerpt: The new edition of this practical multimedia resource shows you exactly how to perform successfully a full range of peripheral nerve block techniques. Over four hundred illustrations, the majority of which are in colour, plus online video clips, portray the relevant surface anatomy, the internal anatomy, the ultrasonographic anatomy to vividly depict correct needle placement in real patients. Peripheral Nerve Blocks and Peri-Operative Pain Relief has been extensively revised to reflect changes in contemporary practice. Provides a detailed foundation upon which trainees and practitioners can develop their skills in peripheral nerve block. Explains fundamental principles such as the mechanism of action of local anesthetic drugs, needle types, as well as toxicity and safety. Uses a consistent, user-friendly format to present each nerve block’s indications, contraindications, relevant anatomy, technique, adverse effects, and complications. Provides a complete, all-in-one resource in which each block is described in terms of its relevant anatomy, its ultrasonographic anatomy, and its clinical performance. Shows you how to proceed using high quality clinical photographs, radiographic images and specially commissioned line drawings. Offers "Clinical Pearls" in every chapter to help you obtain optimal results. Each chapter in this new edition is supplemented with practical advice and examples of how to use ultrasound-guided peripheral nerve blocks to its greatest effect. Includes a brand new chapter on Transversus abdominis plane block. Features more than two hours of narrated video clips via the Expert Consult online platform to demonstrate a full range of nerve block procedures and enables the user to access full text and images from any computer. Includes the latest ultrasound guided applications for regional anesthesia and pain relief procedures.Ultrasound guided blocks are increasingly being used in the administration of nerve blocks. Reflects the rapid development and acceptance of ultrasound guided techniques. The “hot area in regional anesthesia. Includes new techniques and neural blocks such as Transversus abdominis plane block. Keeps the user up-to-date with the most effective delivery of anesthesia and analgesia. Additional commonly used procedures for pain relief. Provides comprehensive coverage of the full range of regional anesthetic techniques. Each chapter in this new edition is supplemented with practical advice and examples of how to use ultrasound-guided peripheral nerve blocks to its greatest effect. Additional photographs and line drawings in the text accompanied with further online video procedures.The reader is provided with a unique visual guide to not only the approach to and anatomy of specific nerves, but also to the surrounding anatomy, its ultrasonographic anatomy and its clinical performance.. Illustrations and video loops can be used in lectures, presentations and easily downloaded into presentation software.
Book Synopsis The Essence of Analgesia and Analgesics by : Raymond S. Sinatra
Download or read book The Essence of Analgesia and Analgesics written by Raymond S. Sinatra and published by Cambridge University Press. This book was released on 2010-10-14 with total page 551 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Essence of Analgesia and Analgesics is an invaluable practical resource for clinicians giving pain relief in any clinical setting, describing the pharmacologic principles and clinical use of all available pain medications. As well as detailed overviews of pain processing and analgesic theory, sections are dedicated to oral and panteral opioid analgesics, neuraxial opioids, NSAIDs, local anesthetics, anticonvulsant type analgesics, NMDA antagonists, alpha adrenergic analgesics, antidepressant analgesics, muscle relaxants, adjuvant medications, and new and emerging analgesics. The concise format of the chapters allows for quick and easy reading and assimilation of information. Enhanced by summary tables and figures, each chapter provides an overview of a particular drug, covering chemical structure, mode of activity, indications, contraindications, common doses and uses, advantages and disadvantages, and drug related adverse events. Key references are also provided. Edited by leading experts in pain management, this is essential reading for any clinician involved in pain management.
Book Synopsis World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses by : World Health Organization
Download or read book World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses written by World Health Organization and published by . This book was released on 2012 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines have been developed to support countries to relieve pain in their paediatric populations. These guidelines address persisting pain in children caused by conditions such as cancer, HIV/AIDS, sickle-cell disease, burns, trauma, and phantom limb pain. Recommendations -- developed following a careful and transparent appraisal of available evidence -- are presented for the pharmacological treatment of mild, moderate and severe pain. The guidelines include chapters on the various systems used to classify pain and on the evaluation of pain, which reviews the available tools for routine pain measurement in children. Provision of sustainable pain relief within health care systems is covered in a separate chapter. Since morphine and other opioid analgesics -- required for the relief of moderate-to-severe pain in children -- are listed under the 1961 UN Single Convention on Narcotic Drugs, the new guidelines include an annex explaining the Convention's requirements for the handling and procurement of opioid analgesics for the relief of pain.
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:
Book Synopsis Clinical Ambulatory Anesthesia by : Johan Raeder
Download or read book Clinical Ambulatory Anesthesia written by Johan Raeder and published by Cambridge University Press. This book was released on 2010-06-10 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Ambulatory care can be a challenging setting in which to provide anesthesia – not all patients are suitable for rapid discharge post-operatively and opinions differ as to which types of surgery should be performed as day cases. This comprehensive guide delivers up-to-date, evidence-based advice on how to provide optimal anesthesia care for ambulatory surgery. Written by a leading clinical anesthesiologist, it provides clear guidance about how to handle particular patients in particular situations. The evidence and scientific knowledge for each issue are presented with reference to major studies and review papers, followed by practical advice based on the author's continuous clinical and scientific experience over 30 years. Topics include planning, equipping and staffing ambulatory units, pharmacology, basic concepts of ambulatory care, pre- and post-operative issues and current controversies. Clinical Ambulatory Anesthesia is essential reading for the clinical, postgraduate anesthesiologist as well as nurse anesthetists involved with ambulatory care.
Book Synopsis Joint Arthroplasty by : Shinichi Imura
Download or read book Joint Arthroplasty written by Shinichi Imura and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 428 pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of total joint arthroplasty throughout the world has contributed manifold benefits to patients who suffer from joint diseases. Concurrently, however, there has been an increase in revision surgery. Many orthopedic surgeons agree that durability of prostheses is an eternal problem. In particular, periprosthetic osteolysis recently has been identified as one of the serious problems affecting prosthetic dura bility. To improve durability, osteolysis and many other problems must be investi gated and solved both experimentally and clinically with respect to such aspects as prosthetic material, design, and biological and biomechanical behavior. This book comprises 37 papers that were presented by orthopedic surgeons and biomedical engineers at the 28th Annual Meeting of the Japanese Society for Replace ment Arthroplasty, held in March 1998 in Kanazawa, Japan. The volume is thus a compilation of the latest knowledge about the pathogenesis and reduction of osteolysis and wear, newly developed total hip prostheses, and other current topics of total knee arthroplasty. We earnestly hope that this book will be of benefit to clinicians and researchers, and that it will contribute to the creation of more durable total joint prostheses in the future. SHINICHI IMURA v Contents Preface .................... '" .. .. .. ... . .. .. .. . ... .. . . .. . ... . . .. . V List of Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . XI . . . . . . . . . . . . Part 1 Wear and Pathogenesis of Osteolysis Friction and Wear of Artificial Joints: A Historical Review N. AKAMATSU ................................................ , 3 Matrix Degradation in Osteoclastic Bone Resorption Under Pathological Conditions .
Book Synopsis Perioperative Care of the Orthopedic Patient by : C. Ronald MacKenzie
Download or read book Perioperative Care of the Orthopedic Patient written by C. Ronald MacKenzie and published by Springer. This book was released on 2014-08-01 with total page 403 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by experts at the top-ranked Hospital for Special Surgery in New York, Perioperative Care of the Orthopedic Patient is a comprehensive, multidisciplinary manual providing preoperative considerations, postoperative complications, and guidelines for the anesthetic and medical management of patients undergoing orthopedic surgery. Beginning with chapters covering preoperative evaluations and general principles and practices of perioperative medicine, the book then considers anesthesiologic management in orthopedic surgery and the role of postoperative pain management. This is followed by a section on medical management in specific clinical settings, discussing patients with connective tissue disease, cardiac disease, chronic pulmonary and renal diseases, diabetes and psychiatric and neurological diseases. A fourth section covers specific perioperative problems in orthopedic surgery, such as care of the elderly patient, venous thromboembolism, infection, nutrition, compartment syndrome, and bone health. Finally, the role of allied services, quality improvement and ethics are highlighted, and selected case studies are included to illustrate real-world perioperative issues and management strategies in orthopedic surgery. A comprehensive yet concise reference, Perioperative Care of the Orthopedic Patient will be an invaluable resource for orthopedic surgeons, sports medicine specialists and any professional involved in orthopedic surgery.
Author :Ronnie Ann Rosenthal Publisher :Springer Science & Business Media ISBN 13 :1441969993 Total Pages :1364 pages Book Rating :4.4/5 (419 download)
Book Synopsis Principles and Practice of Geriatric Surgery by : Ronnie Ann Rosenthal
Download or read book Principles and Practice of Geriatric Surgery written by Ronnie Ann Rosenthal and published by Springer Science & Business Media. This book was released on 2011-07-12 with total page 1364 pages. Available in PDF, EPUB and Kindle. Book excerpt: "In the preface to this impressive and well-produced book, the editors state that their aim is not to describe a new surgical specialty, since most surgeons will soon need to be "geriatric surgeons," but to assemble a comprehensive account that will allow "all providers of healthcare to the elderly to understand the issues involved in choosing surgery as a treatment option for their patients." This is a useful book that deserves to do well. I hope that the editors and their publisher will have the stamina to make this the first of several editions, as it is clear that updated information about surgery in the elderly will be required to keep pace with this important field." NEJM Book Review
Book Synopsis Case Studies in Pain Management by : Alan David Kaye
Download or read book Case Studies in Pain Management written by Alan David Kaye and published by Cambridge University Press. This book was released on 2014-10-16 with total page 547 pages. Available in PDF, EPUB and Kindle. Book excerpt: Edited by internationally recognized pain experts, this book offers 73 clinically relevant cases, accompanied by discussion in a question-and-answer format.
Book Synopsis Primary Total Knee Arthroplasty by : Alessandro Rozim Zorzi
Download or read book Primary Total Knee Arthroplasty written by Alessandro Rozim Zorzi and published by BoD – Books on Demand. This book was released on 2018-05-23 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents a compilation of topics related to primary total knee arthroplasty. The chapters cover, in a clear and didactic way, the current themes, written by experts from the area, from different parts of the world. Topics related to the three surgical phases (before surgery, during surgery, and after surgery) are discussed here. This is very important because the surgeon is not a "factory worker." First of all, it is a medicine doctor who has to feel and understand the particularities of each patient. Demographic studies show an aging population. Osteoarthritis and inflammatory diseases are becoming much more prevalent. In addition, a worldwide epidemic of trauma has led to the need for arthroplasties much more frequently. Therefore, total knee arthroplasty will be an increasingly important subject.
