The Mount Sinai journal of medicine, New York
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The predictable relationship between surgical injury responses and the ensuring postoperative pain has led to the development of the concept of preemptive analgesia, with its potential to improve the quality of the postoperative period. ⋯ Techniques directed toward reducing and/or eliminating postoperative pain are still being developed, and their clinical utility is yet to be fully evaluated.
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Case Reports
Severe hyponatremia, neuroleptic malignant syndrome, rhabdomyolysis and acute renal failure: a case report.
Acute renal failure secondary to myoglobinuria is a rare yet possible complication of malignant neuroleptic syndrome associated with the use of dopamine antagonists. We describe the case of a 42-year-old schizophrenic man who presented with severe hyponatremia, and proceeded to acute malignant neuroleptic syndrome, rhabdomyolysis, and acute renal failure. We contend that the acute hyponatremia may have served as a precipitating factor.
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Approximately 50,000 pregnant women undergo nonobstetric surgery each year in the United States. Administering anesthesia during such surgery is one of the only situations in which anesthesia impacts on more than one individual (mother and fetus) at the same time. Providing a safe anesthetic to the pregnant woman requires an understanding of the physiologic changes of pregnancy and the impact of anesthesia and surgery on the developing fetus. The following review will consider the risks of the mother and to the fetus during nonobstetric surgery.
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The new reproductive technologies have dramatic social implications, undermining previous biological assumptions about the relationships between mothers and fathers and children within families. Insofar as we may now distinguish between genetic motherhood, gestational motherhood, and social motherhood, three different women may participate in the decision to produce a child. Who is its "real" mother? Given the complicated interpenetration of nature and technology within reproductive situations today, we need to develop new social accounts of what it means to create a family. We require new narratives that highlight the wondrous kinship possibilities afforded by the new reproductive technologies while at the same time articulating the responsibilities of parenthood within new familial groupings.