Current opinion in anaesthesiology
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Curr Opin Anaesthesiol · Oct 2007
ReviewIntensive care management of patients with subarachnoid haemorrhage.
The aim of this article is to summarize recent concepts regarding the intensive care management of patients with subarachnoid haemorrhage, emphasizing the detection and treatment of cerebral vasospasm and the management of systemic complications. ⋯ The complex treatment strategies applied after subarachnoid haemorrhage call for interdisciplinary collaboration between neurosurgeons, neuroradiologists, neurointensivists and specialist nurses. Specialized neuromonitoring and neuroimaging techniques must also be available. The neurointensive care unit serves as the focal point for these combined efforts.
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Curr Opin Anaesthesiol · Oct 2007
ReviewCurrent psychological approaches to the management of chronic pain.
To provide a review of the rationale and evidence supporting three frequently used psychosocial interventions for chronic pain: cognitive-behavioral therapy, operant behavioral therapy and self-hypnosis training. We also review recent work in these areas, with an emphasis on the 2006 publishing year. ⋯ Cognitive-behavioral therapy and operant behavioral therapy treatments focus on factors that exacerbate or maintain suffering in chronic pain, and should be considered as part of a multidisciplinary treatment paradigm. Self-hypnosis training may also be of benefit, although it appears to be no more (or less) effective than other relaxation strategies that include hypnotic elements.
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Curr Opin Anaesthesiol · Oct 2007
ReviewReassessment of the role of cannabinoids in the management of pain.
The aim of this article is to assess the role of cannabinoids in the treatment of acute and chronic pain in humans. ⋯ The precise role of cannabinoids in pain treatment still needs further evaluation. Cannabinoid compounds may be more effective in the context of chronic neuropathic pain than for the management of acute pain.