Anxiety during the preoperative period is the most common problem with many postoperative complications such as an increase in postoperative pain, delay of healing and prolong the hospital stay.
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A new study published in the journal Arthritis and Rheumatology found that minority of patients with new-onset inflammatory back pain progress to spondyloarthritis, while many resolves. Patients with new-onset inflammatory back pain have just a 30% chance of developing spondyloarthritis during the next 10 years, and a 43% probability of back pain resolution.
It is unclear if anaesthesia maintenance with propofol is advantageous or beneficial over inhalational agents. This study is intended to compare the effects of propofol vs. inhalational agents in maintaining general anaesthesia on patient-relevant outcomes and patient satisfaction.
Sevoflurane preconditioning induces brain ischemic tolerance , but the mechanism remains poorly elucidated. A nitration is an important form of post-translational modification in pathological signaling. This study was to investigate the role of thioredoxin-1 (Trx-1) nitration in neuroprotection effect induced by sevoflurane preconditioning in a transient stroke model in rats.
Regional anesthesia could affect the homeostatic system functions frequently resulting in perioperative hypothermia and consequently shivering. The objective of this trial is to reduce the incidence and severity of shivering after intrathecal blocks .
Continuous epidural infusion (CEI) is the standard application setting for epidural infusion. A new mode, the programmed intermittent epidural bolus (PIEB) technique, showed reduced local anesthetic (LA) consumption and improved analgesia in obstetric analgesia. Goal of this trial was to evaluate the effects of PIEB versus CEI [combined with patient-controlled bolus (PCEA)] on LA consumption and pain scorings in major abdominal cancer surgery.
Melbourne scientists will spearhead a global study to see whether the use of gas anaesthetics on cancer patients who undergo surgery could contribute to a higher risk of the cancer recurring.
Pain is an extremely common condition and increasing in prevalence in New Zealand, University of Otago researchers say. In the latest issue of the New Zealand Medical Journal out, a team of researchers from the University have written an editorial about pain. Dr. Nicola Swain, Associate Professor in the Department of Psychological Medicine, says pain is the number one reason why people visit their GP.
Beta (β) blockers reduce the risk of postoperative atrial fibrillation and should be restarted after surgery, but it remains unclear when best to resume β blockers postoperatively. The authors thus evaluated the relationship between timing of resumption of β blockers and atrial fibrillation in patients recovering from noncardiothoracic and nonvascular surgery.
Surgery for aortic coarctation requires special care during anesthesia due to severe pain during the lateral thoracotomy incision, intraoperative hemodynamic instability and the need for large doses of intra- and postoperative analgesics and vasodilators. Additionally, the postoperative care of patients is very important.
Surgery-induced neuroinflammation plays an important role in postoperative cognitive dysfunction (POCD). Gut microbiota is a key regulator of neurological inflammation. Nurturing with prebiotics is an effective microbiota manipulation that can regulate host immunity and cognition.
The aim of the present study was to test whether administration of the prebiotic Bimuno® (galactooligosaccharide (B-GOS) mixture) could ameliorate POCD and attenuate surgery-induced neuroinflammation through the microbiota-brain-axis.
Epidural catheter re-siting in parturients receiving labor epidural analgesia is distressing to the parturient and places them at the breast complications from a repeat procedure. The aim of this study was to develop and validate a clinical risk factor model to predict the incidence of epidural catheter re-siting in labor analgesia.