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Surgery - Pain Management News & Articles

MDLinx Surgery is your ultimate resource for the latest General Surgery and subspecialty surgery news articles published in over 2,000 peer-reviewed medical journals and popular press. Our diligent team of medical editor’s rank sort and summarize Surgery news articles with topics ranging from: Cardiac Surgery, Critical Care, Vascular, Thoracic, Peds Surgery, Neurosurgery and much more. On this page you may also find bonus content that includes articles highlighted by our physician editor, D. Scott Cunningham, MD, PhD, that are “must-read “ as well as clinical pearls taken from our Smartest Doc quiz competition.

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Articles

Latest Full Text Articles (32)
Ranked, sorted, and summarized by MDLinx editors from the latest literature
Topics:

581 Prediction of Postoperative Pain: A Systematic Review of Predictive Experimental Pain Studies Full Text Anesthesiology, May 28, 2010    Evidence Based Medicine    Review Article

582 The Efficacy of Music Therapy Protocols for Decreasing Pain, Anxiety, and Muscle Tension Levels During Burn Dressing Changes: A Prospective Randomized Crossover Trial Journal of Burn Care & Research, May 28, 2010

583 Fatal nefopam overdose Full Text Emergency Medicine Journal, May 26, 2010

584 Neck Disability Index, short form-36 physical component summary, and pain scales for neck and arm pain: the minimum clinically important difference and substantial clinical benefit after cervical spine fusion The Spine Journal, May 26, 2010

585 Systemic postoperative pain management following minimally invasive pectus excavatum repair in children and adolescents: a retrospective comparison of intravenous patient-controlled analgesia and continuous infusion with morphine Pediatric Surgery International, May 26, 2010
Exclusive Author Commentary

586 Evaluation of local anesthesia and pain control in dermatological surgery: a prospective study of 120 patients European Journal of Dermatology, May 26, 2010

587 The Management of Acute Postoperative Pain Full Text U.S. Pharmacist, May 25, 2010

588 The Role of Parenteral NSAIDs in Postoperative Pain Control Full Text U.S. Pharmacist, May 25, 2010

589 Postoperative Pain Management After Ambulatory Surgery: Role of Multimodal Analgesia Anesthesiology Clinics, May 25, 2010

590 Pain After Heart Transplantation: Prevalence and Implications for Quality of Life Psychosomatics, May 25, 2010

591 Better late than never? Impact of local analgesia timing on postoperative pain in laparoscopic surgery: a systematic review and metaanalysis Surgical Endoscopy, May 24, 2010

592 Antagonistic Effects of Ondansetron and Tramadol? A Randomized Placebo and Active Drug Controlled Study The Journal of Pain, May 21, 2010

593 Does Midazolam Improve Caudal Ropivacaine Analgesia in Adults? Full Text The Internet Journal of Anesthesiology, May 19, 2010

594 Efficacy of epidural dexamethasone versus fentanyl on postoperative analgesia Journal of Anesthesia, May 18, 2010

595 Evaluation of Efficacy of the Perioperative Administration of Venlafaxine or Gabapentin on Acute and Chronic Postmastectomy Pain The Clinical Journal of Pain, May 17, 2010

596 Transcutaneous electrical nerve stimulation (TENS) for phantom pain and stump pain following amputation in adults Cochrane Reviews, May 13, 2010    Evidence Based Medicine    Review Article

597 Single dose oral gabapentin for established acute postoperative pain in adults Cochrane Reviews, May 13, 2010    Evidence Based Medicine    Review Article

598 Evaluation of the Addition of Bupivacaine to Intrathecal Morphine and Fentanyl for Postoperative Pain Management in Laparascopic Liver Resection Regional Anesthesia and Pain Medicine, May 12, 2010

599 Teaching clinical opioid pharmacology with the Human Patient Simulator Journal of Opioid Management, May 12, 2010

600 The Analgesic Efficacy of Local Anesthetics for the Incisional Administration following Port Access Heart Surgery: Bupivacaine versus Ropivacaine Heart Surgery Forum, May 10, 2010

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Clinical Pearls in Surgery

Highlights in Surgery

Epidural anesthesia reduces post-CABG pain

As published in the Journal of Cardiac Surgery, thoracic epidural anesthesia (TEA) plus general anesthesia (GA) is superior to GA alone in managing post-operative CABG pain. Forty patients undergoing elective CABG were randomized to receive TEA (0.25% bipivacaine [10-20 mg/h]) intra-operatively and for 24 h post-operatively plus GA or GA alone. Post-operative pain at rest and with coughing was significantly less for up to 1 month post-operatively in the TEA + GA group compared to the GA alone group. Furthermore, analgesic use, mechanical ventilation time, ICU stay time, and hospital stay time were reduced in the TEA + GA group compared to the GA alone group.

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NT-proBNP predicts outcome following emergent surgery

As published in the British Journal of Anaesthesia, measurement of N-terminal pro B-type natruiretic peptide (NT-proBNP) pre- and post-operatively predicts outcome in patients > 50 years of age (n=297) undergoing emergent non-cardiac surgery. A pre-operative NT-proBNP > 725 pg/ml was associated with a 4.8-fold RR of non-fatal MI, acute heart failure, or death between surgery and the 3-year post-operative follow up. Similarly, a post-operative NT-proBNP > 1600 pg/ml was associated with a 4.0-fold RR of non-fatal MI, acute heart failure, or death between surgery and the 3-year post-operative follow up. A pre-operative NT-proBNP > 1740 pg/ml was associated with a 6.9 RR for major adverse cardiac events during the post-operative hospital stay.

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Increased risk of skin cancer in RCC treated with multikinase inhibitors

As published in Dermatologic Surgery, RCC patients (n=69) treated with multikinase inhibitors are at increased risk for squamous cell carcinomas and basal cell carcinomas. After a median treatment of 13.5 months, 13.5% and 6.3% of patients treated with sorafenib and sunitinib developed skin cancer, respectively.

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