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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:

1 Randomised trial comparing Lichtenstein vs Trabucco vs Valenti techniques in inguinal hernia repair Hernia, May 23, 2013    Clinical Article

2 Increased Risk for Complications After Colorectal Surgery With Selective Cyclo-oxygenase 2 Inhibitor Etoricoxib Diseases of the Colon and Rectum, May 21, 2013    Clinical Article

3 Impact of Skin Grafting of Venous Leg Ulcers on Functional Status and Pain World Journal of Surgery, May 21, 2013    Clinical Article

4 Topical Glyceryl Trinitrate Ointment for Pain Related to Anal Hypertonia After Stapled Hemorrhoidopexy: A Randomized Controlled Trial Diseases of the Colon and Rectum, May 20, 2013    Clinical Article

5 A PCA based pain control strategy for minimally invasive pectus excavatum repair. Surgical Practice, May 16, 2013    Review Article

6 A Cross-sectional, Comparative Study of Pain and Activity in Persons With and Without Injection-Related Venous Ulcers Full Text Ostomy Wound Management, May 16, 2013    Clinical Article

7 The use of targeted microcurrent therapy in postoperative pain management Plastic Surgical Nursing, May 14, 2013    Clinical Article

8 Childrens and parents perceptions of postoperative pain Children's and parents' perceptions of postoperative pain management: a mixed methods study Journal of Clinical Nursing, May 13, 2013

9 Patient Outcomes, Satisfaction, and Improvement in Headaches After Endoscopic Brow-lift JAMA Facial Plastic Surgery, May 10, 2013    Clinical Article

10 Effects of gabapentin on pain and opioid consumption after abdominal hysterectomy Pain Research and Management, May 10, 2013    Clinical Article

11 Effect of extraperitoneal bupivacaine analgesia in laparoscopic inguinal hernia repair: a meta-analysis of randomized controlled trials Hernia, May 8, 2013    Evidence Based Medicine    Review Article

12 Antidepressant Therapy in Patients Undergoing Coronary Artery Bypass Grafting: The MOTIV-CABG Trial Annals of Thoracic Surgery, May 7, 2013    Clinical Article

13 Surgical and Endoscopic Treatment of Pain in Chronic Pancreatitis: A Multidisciplinary Update Digestive Surgery, May 6, 2013    Review Article

14 The comparison of two analgesic regimes after ambulatory surgery: an observational study Pain Practice, May 2, 2013    Clinical Article

15 Addition of Ketamine to Propofol-Alfentanil Anesthesia May Reduce Postoperative Pain in Laparoscopic Cholecystectomy Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, May 2, 2013    Clinical Article

16 Lower Extremity Nerve Decompression in Burn Patients Annals of Plastic Surgery, May 1, 2013    Review Article

17 SOULAGE-TAVIE: Development and Validation of a Virtual Nursing Intervention to Promote Self-management of Postoperative Pain After Cardiac Surgery Computers Informatics Nursing, April 30, 2013    Clinical Article

18 Influence of patient-controlled epidural analgesia versus patient-controlled intravenous analgesia on postoperative pain control and recovery after gastrectomy for gastric cancer: a prospective randomized trial Gastric Cancer, April 29, 2013    Clinical Article

19 Incidence and Management of Adverse Events After the Use of Laser Therapies for the Treatment of Hypertrophic Burn Scars Annals of Plastic Surgery, April 25, 2013    Clinical Article

20 Role of dexmedetomidine in adults in the intensive care unit: An update American Journal of Health-System Pharmacy, April 24, 2013    Clinical Article

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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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