Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Mar 2005
The early recovery of cognitive function after total-hip replacement under hypotensive epidural anesthesia.
Recovery of cognitive function immediately after major surgery has not been previously reported, partly because of residual drug effects and pain. ⋯ The Stroop Color and Word Test can be used to assess change in cognitive function immediately after surgery. Total-hip replacement performed under regional anesthesia with propofol sedation enables recovery of cognitive function (as assessed by SCWT) 2 hours after surgery.
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Reg Anesth Pain Med · Mar 2005
Review Case ReportsDealing with difficult patients in your pain practice.
Pain patients can be difficult. They can provoke negative feelings of frustration and anger among clinicians and damage the doctor-patient relationship. ⋯ Issues of comorbid psychopathology, hostility, suicidality, aberrant drug behavior, and chronic noncompliance are discussed. Specific recommendations are also given of the best ways to manage patients with difficult behavior.
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Reg Anesth Pain Med · Mar 2005
Case ReportsContinuous peripheral nerve block for battlefield anesthesia and evacuation.
Peripheral nerve and continuous peripheral nerve block (CPNB) have the potential to be valuable techniques in combat anesthesia. We describe the first successful application of CPNB in the pain management and surgical management of a combat casualty as he was evacuated from the Iraqi battlefield to the United States.
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Reg Anesth Pain Med · Mar 2005
Letter Case ReportsBacterial meningitis ten days after spinal anesthesia.