Regional anesthesia and pain medicine
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Reg Anesth Pain Med · Jan 2015
Observational StudyFibromyalgia Is Associated With Coronary Heart Disease: A Population-Based Cohort Study.
We examined whether patients with a diagnosis of fibromyalgia have an increased risk of coronary heart disease (CHD), compared with age- and sex-matched control patients. We hypothesized that patients diagnosed with fibromyalgia are at increased risk of adverse coronary events. ⋯ An association between fibromyalgia and CHD appears to exist.
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Reg Anesth Pain Med · Jan 2015
Randomized Controlled Trial Multicenter StudySufentanil Sublingual Tablet System for the Management of Postoperative Pain Following Open Abdominal Surgery: A Randomized, Placebo-Controlled Study.
This study evaluates the efficacy and safety of a sufentanil sublingual tablet system (SSTS) for the management of postoperative pain following open abdominal surgery. ⋯ These results suggest that SSTS is effective and safe for the management of postoperative pain in patients following open abdominal surgery.
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Reg Anesth Pain Med · Jan 2015
Multicenter StudyDiabetes: A Risk Factor for Catheter-Associated Infections.
The incidence of infectious complications associated with continuous regional anesthesia techniques is a matter of concern. Our objective was to determine whether patients suffering from diabetes are at an increased risk of catheter-related infectious complications. ⋯ The presence of diabetes is associated with an increased risk for catheter-related infections in lower limb and lumbar epidural. Specific care should be taken to avoid and detect infections in this population.
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Reg Anesth Pain Med · Jan 2015
Ultrasound-Guided Lumbar Plexus Block Using a Transverse Scan Through the Lumbar Intertransverse Space: A Prospective Case Series.
A paramedian transverse scan (PMTS) can be used to delineate the anatomy relevant for ultrasound-guided lumbar plexus block (LPB) through the lumbar intertransverse space. This case series evaluated the feasibility of using the PMTS to guide LPBs for anesthesia. ⋯ Ultrasound-guided LPBs can be reliably accomplished using the PMTS.
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Reg Anesth Pain Med · Jan 2015
A Wearable Epidural Catheter Infusion System for Patients With Intractable Spontaneous Intracranial Hypotension.
Spontaneous intracranial hypotension is an important cause of secondary headaches, and most patients respond well to epidural blood patching or direct repair of the underlying spinal cerebrospinal fluid leak. However, options are limited for those patients who have exhausted these traditional treatments, especially when spinal imaging is normal. We describe a wearable epidural catheter infusion system for patients with intractable spontaneous intracranial hypotension. ⋯ This wearable epidural catheter infusion system showed promising efficacy results but the high rate of complications limits its use to a very select group of patients.