Pain physician
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A method for assessing dynamic muscle hyperalgesia (dynamic pressure algometry) has been developed and applied in tension-type and migraine headaches. ⋯ Cluster headache, dynamic pressure pain, pressure pain threshold.
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COVID-19 has affected the United States leading to a national emergency with health care and economic impact, propelling the country into a recession with disrupted lifestyles not seen in recent history. COVID-19 is a serious illness leading to multiple deaths in various countries including the United States. Several million Americans satisfy the Center for Disease Control and Prevention (CDC) criteria for being high risk. ⋯ Institute appropriate safeguards to avoid negative consequences from unscrupulous actors.3. With proper informed consent from patients or proxy when necessary, and subject to accumulation of data in that cohort, allow the procedure to be initiated in critically ill patients who are not responding to conventional therapies. KEY WORDS: Coronavirus, COVID-19, cytokine storm, multiorgan failure, expanded umbilical cord mesenchymal stem cells.
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Meta Analysis
Impact of Ketamine on Pain Management in Cesarean Section: A Systematic Review and Meta-Analysis.
The pain control effect of ketamine versus control in women during cesarean operation is not well determined. ⋯ Ketamine, cesarean section, randomized controlled trials, meta-analysis.
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Randomized Controlled Trial Comparative Study
Comparison of Epidural Pressure Decrease Pattern According to Different Lumbar Epidural Approaches.
During lumbar epidural injection (LEI) using a midline approach, we might encounter failure of identifying the epidural space owing to an equivocal or absent loss of resistance (LOR) sensation. The reason for such absence of LOR sensation has been suggested as paucity of midline ligamentum flavum, paravertebral muscle, and cyst in the interspinous ligament of the lumbar spine. Despite its low specificity, LOR is the most commonly used method to identify the epidural space. ⋯ Epidural, paramedian, midline, pressure decrease.