Search results for "Analgesia"
showing 10 items of 78 documents
Cinética de dolor postoperatorio, consumo de analgésicos y recuperación de las actividades de la vida diaria en pacientes sometidos a fundoplicatura …
2017
Introducción: El tratamiento de elección para la enfermedad por reflujo gastroesofágico es la fundoplicatura Nissen laparoscópica (FNL), pero su manejo ambulatorio no ha sido hasta el momento ampliamente aceptado por la comunidad quirúrgica. Uno de los elementos principales en el éxito ambulatorio de esta patología, es el adecuado control del dolor postoperatorio, teniendo gran relevancia clínica la cinética de recuperación de las actividades de la vida diaria. Objetivos: Nuestra hipótesis de trabajo se basa en que la FNL es un procedimiento susceptible de realizarse en programas de Cirugía Mayor Ambulatoria (CMA) al ser equiparable en términos de dolor percibido, consumo de analgésicos y r…
Influencia de la analgesia epidural en los resultados obstétricos y neonatales
2021
El dolor en el parto es, probablemente, el dolor más severo que va a experimentar una mujer a lo largo de su vida, por ello, no es extraño que las mujeres se pregunten sobre los métodos de alivio del mismo. Su interés por ellos no se basa solo en cómo afectará a la progresión y a la finalización del parto, sino en cómo puede afectar al bebé. Sin embargo, no existe una respuesta unánime en la literatura científica. Además, la mayoría de estudios han sido realizados en mujeres primíparas, o sin diferenciar paridad, a pesar de que se trata de una variable que influye en la progresión del parto. Objetivos El objetivo general del estudio fue conocer la influencia de la analgesia epidural en los …
Anestetici del passato: "spongia soporifera"
2010
Analgesic of the past: spongia soporifera – In order to improve the knowledge of plants used in the past as analgesic and anaesthetic, the authors refer in the current contribute to results coming from a bibliographical research carried out on plants which constituted the ingredients of “spongia soporifera”, a preparation made of a see sponge together with concentrated decoctions of medical plants. The authors analyse the species used for the preparation of “spongia soporifera”, investigating them in historical, botanic, chemical, pharmacological and toxicological aspects.
Intrapartum analgesia as condition of human satisfaction at hospital
2013
The study investigates parturients’ satisfaction with intrapartum analgesia. It aims to assess their opinions about hospital and health staff involved in delivery, besides investigating emotional control, locus control and bond between mothers and their newborn infants. A multidimensional approach has been used to investigate the variable of woman as a person, the variable of context and the variable of bond with the newborn infant. The study was conducted according to a quasi-experimental design, with a control group. The study was performed within the Analgesia and Intensive Care Operational Unit of the Maternal-Infant Department of the P. Giaccone University General Hospital of Palermo. …
Data from: NMDA receptor antagonists and pain relief: a meta-analysis of experimental trials
2019
OBJECTIVES: We conducted a meta-analysis of controlled trials that used experimental models of acute pain and hyperalgesia to examine the analgesic effects of N-methyl-D-aspartate receptor (NMDAR) antagonists. METHODS: Six major databases were systematically searched (to 03/2018) for studies using human evoked pain models to compare NMDAR antagonists with no-intervention controls. Pain outcome data were analyzed with random-effects meta-analysis. RESULTS: Searches identified 70 eligible trials (N=1069). Meta-analysis found that low-dose ketamine (<1 mg/kg) produced a decrease in the size of hyperalgesic area (Standardized Mean Difference=0.54, CI95[0.34, 0.74], p<.001), and a 1.2-poin…
Sublingual gland neoplasms: clinicopathological study of 8 cases
2021
Background Sublingual gland neoplasms are very rare and the majority of them are malignant. The aim of this study was to evaluate the clinical course, treatment, and outcomes of these uncommon neoplasms based on the authors’ experience and the recent literature. Material and Methods The medical charts of 8 patients with primary epithelial sublingual gland tumors treated between 1994 and 2020 were reviewed. Results Malignant tumors comprised 75% (6/8) of cases. Adenoid cystic carcinoma was the most common (50%, 3/6) and characterized by high risk of local recurrence and lung metastasis. Pleomorphic adenoma was the only representative of benign tumors with no evidence of local recurrence in f…
Immersive Virtual Reality as an Adjunctive Non-opioid Analgesic for Pre-dominantly Latin American Children With Large Severe Burn Wounds During Burn …
2019
Background/Aim: Using a within-subjects, within-wound care design, this pilot study tested for the first time, whether immersive virtual reality (VR) can serve as an adjunctive non-opioid analgesic for children with large severe burn wounds during burn wound cleaning in the ICU, in a regional burn center in the United States, between 2014–2016.Methods: Participants included 48 children from 6 years old to 17 years of age with >10% TBSA burn injuries reporting moderate or higher worst pain during no VR on Day 1. Forty-four of the 48 children were from developing Latin American countries. Patients played adjunctive SnowWorld, an interactive 3D snowy canyon in virtual reality during some po…
Feasibility and Acceptability of Office-Based Polypectomy With a 16F Mini-Resectoscope: A Multicenter Clinical Study
2016
Abstract Study Objective To investigate the feasibility and acceptability of office hysteroscopic polypectomy using a novel continuous-flow operative 16F mini-resectoscope. Design Multicenter prospective case series (Canadian Task Force classification III). Setting “SS Antonio e Biagio” Hospital, Alessandria, and University “Federico II” of Naples. Patients One hundred eighty-two patients with endometrial polyps. Interventions Hysteroscopic polypectomy performed with 16F mini-resectoscope in an office setting, without analgesia and/or anesthesia. Measurements and Main Results Polypectomy was successfully performed in 175 patients in a single surgical step (96.15%), with only 1 patient (.54%…
US Food and Drug Administration's Risk Evaluation and Mitigation Strategy for Extended-Release and Long-Acting Opioids Pros and Cons, and a European …
2012
Prescriptions for opioid analgesics to manage moderate-to-severe chronic non-cancer pain have increased markedly over the last decade. An unintentional consequence of greater prescription opioid utilization has been the parallel increase in misuse, abuse and overdose, which are serious risks associated with all opioid analgesics. In response to disturbing rises in prescription opioid abuse, the US Food and Drug Administration (FDA) has proposed the implementation of aggressive Risk Evaluation and Mitigation Strategies (REMS). While REMS could dramatically change the development, release, marketing and prescription of extended-release opioids, questions remain on how these programmes may inf…
Preventive Analgesia with Pregabalin in Neuropathic Pain from “Failed Back Surgery Syndrome”: Assessment of Sleep Quality and Disability
2015
Objective. Pregabalin group (PGB) is an antiepileptic used to treat neuropathic pain. We evaluated analgesic efficacy and safety for postoperative/chronic pain, disability, and sleep quality in patients who underwent spine surgery administered with PGB, or not, during the presurgical and postsurgical periods. Design. Retrospective cohort study of 60 patients (two groups with 30 patients) with full information on 50 (29 with PGB and 21 without PGB). Ten patients were dismissed as information was lacking. The PGB group (P) (29 patients) received 75 mg/12 hours before surgery, 150 mg 10 hours after surgery, and 150 mg/12 hours 3 days after surgery. The control group (C; 21 patients) took no PG…