Articles: patients.
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Eur J Gastroenterol Hepatol · Dec 2015
Ethnicity influences pain after ultrasound-guided percutaneous liver biopsy.
The influence of ethnicity on pain complicating ultrasound-guided percutaneous liver biopsy (US-guided PLB) and its clinical impact has not been reported to date. ⋯ Ethnicity has an important role in the development of pain after US-guided PLB. This has a significant impact on willingness to repeat the procedure.
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Prompt and effective analgesia is a mainstay of emergency department (ED) medicine; however, it is often delayed in times of overcrowding and by the need to establish intravenous (IV) access. Thus, noninvasive analgesic administration by means of the intranasal route could potentially reduce time to analgesic administration by eliminating IV line insertion. ⋯ This study provides evidence that administration of fentanyl via the intranasal route in the ED decreases time to administration of opioids in pediatric patients.
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Innamorati and colleagues (Innamorati et al., J Headache Pain 16:2, 2015) validated the "stagnation scale" and proposed to use it to screen for psychopathology. I have some critical comments to consider about the theoretical and clinical value of the instrument. ⋯ The scale can thus not identify patients who repress emotions. Third, the routine use of this instrument will detract clinicians from what really is at stake in patients and what may help them.
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Congenital radioulnar synostosis (CRUS) refers to an abnormal connection between the radius and ulna due to embryological failure of separation. Derotational osteotomy has been advocated for children with functional limitations, although historically this procedure has been associated with a 36% complication rate including compartment syndrome and loss of correction. ⋯ Derotational osteotomy can be safely and effectively performed in children with CRUS. Meticulous surgical technique, including control of the osteotomy, judicious pin fixation, and prophylactic fasiotomies, may diminish the risk of neurovascular compromise and loss of correction. Transient anterior interosseous nerve palsies occurred, and may be related to large rotational corrections.