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Liposomal-encased bupivacaine (LEB) is a good, cost-effective medical choice for pain control after breast surgery. Valerie Lemaine, MD, MPH, an assistant professor of plastic surgery and the vice chair for research at Mayo Clinic College of Medicine, Rochester, Minn., reviewed her experience at the 32nd Annual Miami Breast Cancer Conference. She noted that the drug […]
Read MoreDespite obvious challenges in identifying appropriate candidates, mechanically ventilated patients can safely self-administer sedative medications using widely available infusion pumps, a research team has concluded. Although the researchers’ primary focus was not the efficacy of the patient-controlled sedation (PCS) system, they hope to delve deeper into outcomes in future studies. “For many years, the paradigm […]
Read MoreM-Irfan Suleman, MD All research for this report was undertaken while the author was: Assistant Professor of Anesthesiology Director of Pediatric Regional Anesthesia Department of Anesthesiology Arkansas Children’s Hospital and University of Arkansas for Medical Sciences Little Rock, Arkansas I describe here a new, modified, ultrasound-guided penile block for male pediatric patients undergoing circumcision. The […]
Read MoreIt appears that patients with tension-type headache (TTH) have relatively weak neck extension muscles, a new study shows. Researchers found that these patients are 26% weaker than controls with respect to neck extension muscles, that they have a 12% smaller extension/flexion ratio, and that they have a borderline significant difference in the ability to generate […]
Read MorePublished in J Neurosurg. 2015 Apr 24:1-15. Authors: Hervey-Jumper SL et al OBJECT Awake craniotomy is currently a useful surgical approach to help identify and preserve functional areas during cortical and subcortical tumor resections. Methodologies have evolved over time to maximize patient safety and minimize morbidity using this technique. The goal of this study is to […]
Read MorePublished in World Neurosurgery April 2015 Authors: Chivukula S et al BACKGROUND The role for nucleus caudalis (NC) and spinal dorsal root entry zone (DREZ) lesioning in the management of chronic pain emanating from increased electrical activity in the dorsal horn of the spinal cord and brainstem remains largely uncharted. METHODS All patients that underwent […]
Read MorePublished in Spine Mar 2015 Authors: Darlow B. et al STUDY DESIGN Qualitative interview study Objective. Explore attitudes, beliefs, and perceptions related to low back pain (LBP), and analyze how these might influence the perceived threat associated with back pain. SUMMARY OF BACKGROUND DATA Psychological factors which contribute to the perceived threat associated with LBP […]
Read MorePeople with insomnia and other sleep problems have increased sensitivity to pain, according to a study published in the journal Pain. The effect on pain tolerance appears strongest in people who suffer from both insomnia and chronic pain, who may benefit from treatments targeting both conditions. The study included more than 10,400 adults from a […]
Read MoreJ Pain 2015 Jul;16(7):666-75. Authors: Bruehl S et al Abstract The Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) predicts increased risk of opioid misuse in chronic pain patients. We evaluated whether higher SOAPP-R scores are associated with greater opioid reinforcing properties, potentially contributing to their predictive utility. Across 2 counterbalanced laboratory sessions, 55 chronic low […]
Read MoreBMJ. April 2015; 350: h1640. Authors: Kerstin Luedtke postdoctoral researcher, et al Objective To evaluate the effectiveness of transcranial direct current stimulation alone and in combination with cognitive behavioural management in patients with non-specific chronic low back pain. Design Double blind parallel group randomised controlled trial with six months’ follow-up conducted May 2011-March 2013. Participants, physiotherapists, assessors, and […]
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