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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:

641 Does Symptom Duration Correlate Negatively With Outcome After Posterior Lumbar Interbody Fusion for Chronic Low Back Pain? Spine, March 17, 2010

642 Sensory disturbances and neuropathic pain after inguinal hernia surgery Scandinavian Journal of Pain, March 15, 2010

643 Efficacy of triamcinolone acetonide and bupivacaine for pain after lumbar discectomy Full Text European Spine Journal, March 15, 2010

644 Effects of perioperative S (+) ketamine infusion added to multimodal analgesia in patients undergoing ambulatory haemorrhoidectomy Scandinavian Journal of Pain, March 15, 2010

645 Hyperesthesia one year after breast augmentation surgery increases the odds for persisting pain at four years: A prospective four-year follow-up study Scandinavian Journal of Pain, March 15, 2010

646 The effect of a single dose of bupivacaine on donor site pain after anterior iliac crest bone harvesting International Journal of Oral and Maxillofacial Surgery, March 12, 2010

647 Warm or refrigerated local anaesthetic for open carpal tunnel release: a single blind randomized controlled study Journal of Hand Surgery (European Volume), March 12, 2010

648 Effect of preoperative gabapentin on postoperative pain and tramadol consumption after minilap open cholecystectomy: a randomized double-blind, placebo-controlled trial European Journal of Anaesthesiology, March 11, 2010

649 Phantom limb pain in cancer-related pediatric amputees: recent experience at St. Jude Children's Research Hospital Paediatric Anaesthesia, March 11, 2010

650 Genetic Influences on Pain Perception and Treatment Practical Pain Management, March 11, 2010

651 Regional anaesthesia and pain management Anaesthesia, March 10, 2010    Review Article

652 A new approach for peri-operative analgesia of cleft palate repair in infants: the bilateral suprazygomatic maxillary nerve block Paediatric Anaesthesia, March 9, 2010

653 Clinical course of pain in a patient with neuropathic pain induced by ligation of an intercostal nerve Journal of Clinical Anesthesia, March 9, 2010

654 Merkel cell carcinoma: Our experience with seven patients in Korea and a literature review Journal of Plastic, Reconstructive & Aesthetic Surgery, March 9, 2010

655 The effects of caudal or intravenous clonidine on postoperative analgesia produced by caudal levobupivacaine in children Paediatric Anaesthesia, March 9, 2010

656 Intrathecal Sufentanil for Intraoperative and Postesophagectomy Pain Relief Southern Medical Journal, March 8, 2010

657 Adding ketamine to morphine for intravenous patient-controlled analgesia for acute postoperative pain: a qualitative review of randomized trials Full Text British Journal of Anesthesia, March 8, 2010    Evidence Based Medicine    Review Article

658 Efficacy and Tolerability of Admixing 0.3% Lidocaine with Dermicol-P35 27G for the Treatment of Nasolabial Folds Dermatologic Surgery, March 5, 2010

659 Five-day pain management regimen using patient-controlled analgesia facilitates early ambulation after cardiac surgery Journal of Anesthesia, March 5, 2010

660 Controlled, Randomized Study of Pain Levels in Subjects Treated with Calcium Hydroxylapatite Premixed with Lidocaine for Correction of Nasolabial Folds Dermatologic Surgery, March 5, 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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