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Tramadol and vocal cord closure.
Fodale V, Mondello B, Mirenda F, Spinelli F, Santamaria LB.
Department of Neuroscience, Psychiatric and Anesthesiological Sciences, University of Messina, School of Medicine, Policlinico Universitario G. Martino, Italy. vfodale@unime.it
Publication Types:
PMID: 15618808 [PubMed - indexed for MEDLINE]
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Successful use of spinal cord stimulation in the treatment of severe Raynaud's disease of the hands.
Sibell DM, Colantonio AJ, Stacey BR.
Oregon Health & Science University, Department of Anesthesiology and Perioperative Medicine, Portland, Oregon 97201, USA. sibelld@ohsu.edu
Publication Types:
PMID: 15618807 [PubMed - indexed for MEDLINE]
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Efficacy and safety of epidural opioids for postoperative analgesia.
Chestnut DH.
Department of Anesthesiology, University of Alabama at Birmingham, 35249-6810, USA. dchestnut@uab.edu
Publication Types:
PMID: 15618806 [PubMed - indexed for MEDLINE]
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Double epidural catheter with ropivacaine versus intravenous morphine: a comparison for postoperative analgesia after scoliosis correction surgery.
Blumenthal S, Min K, Nadig M, Borgeat A.
Department of Anesthesiology, Orthopedic University Hospital Balgrist, Zurich, Switzerland.
BACKGROUND: Major spine surgery with a dorsal or ventrodorsal approach causes severe postoperative pain. The use of continuous epidural analgesia through one or two epidural catheters placed intraoperatively by the surgeon has been shown to provide efficient postoperative pain control. In this prospective unblinded study, the authors compared the efficacy of continuous intravenous morphine with a continuous double epidural catheter technique with ropivacaine after scoliosis correction. METHODS: Thirty patients with American Society of Anesthesiology physical status I-III were prospectively randomized to either the morphine group or the epidural group. At the end of surgery, patients in the epidural group received two epidural catheters placed by the surgeon, one directed cephalad and one caudally. Correct placement was checked radiographically. Postoperative analgesia until the first postoperative morning was performed with remifentanil target-control infusion for all patients. From that time remifentanil was stopped and continuous intravenous analgesia with morphine or double epidural analgesia with ropivacaine 0.3% was initiated (T0 = beginning of study). Pain at rest and pain in motion (using a visual analog scale from 0-100), the amount of rescue analgesics, sensory level, motor blockade, postoperative nausea and vomiting, and pruritus were assessed every 6 h and bowel function was assessed every 12 h until T72 (end of study). Two days later, patient satisfaction was assessed. RESULTS: Pain scores at rest were significantly decreased in the epidural group at all time points except at T12, T60, and T72. Pain scores in motion were significantly decreased in the epidural group at T24, T48, and T72. Bowel activity was significantly better in the epidural group at T24, T36, T48, and T60. Postoperative nausea and vomiting and pruritus occurred significantly less frequently in the epidural group. No complications related to the epidural catheter occurred. CONCLUSIONS: Both methods provide efficient postoperative analgesia. However, double epidural catheter technique provides better postoperative analgesia, earlier recovery of bowel function, fewer side effects, and a higher patient satisfaction.
Publication Types:
- Clinical Trial
- Randomized Controlled Trial
PMID: 15618801 [PubMed - indexed for MEDLINE]
Comment on:
Immediate early genes after pulsed radiofrequency treatment: neurobiology in need of clinical trials.
Richebe P, Rathmell JP, Brennan TJ.
Publication Types:
PMID: 15618777 [PubMed - indexed for MEDLINE]
Improvement of dialysis headache after treatment with ACE-inhibitors but not angiotensin II receptor blocker: a case report with pathophysiological considerations.
Leinisch-Dahlke E, Schmidt-Wilcke T, Kramer BK, May A.
Department of Neurology, Nephrology, University of Regensburg, Regensburg, Germany.
Publication Types:
PMID: 15606574 [PubMed - indexed for MEDLINE]
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Role of the needling per se in acupuncture as prophylaxis for menstrually related migraine: a randomized placebo-controlled study.
Linde M, Fjell A, Carlsson J, Dahlof C.
Gothenburg Migraine Clinic, Sahlgren Academy, Goteborg University, Gothenburg, Sweden. mattias.linde@neuro.gu.se
The objectives were to introduce a new method for controlled trials of acupuncture in the field of headache research and to examine the role of needling per se. Women with menstrually related migraine were randomized to three months of treatment with verum or placebo needles. Three standard size casts were moulded to secure the placebo needles in the head. No significant differences were found between the verum group (n=15) and the placebo group (n=13) during treatment or follow up three and six months later, either in the attack frequency or in the number of days per month with migraine, headache intensity or drug-use. The casts held the needles exactly in place despite movements of the head, and are validated as practical, hygienic and extremely durable. This method is satisfactory for controlled studies of acupuncture in headache. It is possible that the positive results in earlier clinical trials on acupuncture in migraine are attributable to other mechanisms than needling of subcutaneous tissue.
Publication Types:
- Clinical Trial
- Randomized Controlled Trial
PMID: 15606569 [PubMed - indexed for MEDLINE]
Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 4-2005. A 35-year-old man with nasal congestion, swelling, and pain.
Weller PF, Durand ML, Pilch BZ.
Division of Infectious Diseases, Beth Israel Deaconess Medical Center, Boston, USA.
Publication Types:
- Case Reports
- Clinical Conference
PMID: 15703426 [PubMed - indexed for MEDLINE]
Corrected and republished from:
Comment on:
Can pain be more or less neuropathic?
Attal N.
Publication Types:
- Comment
- Corrected and Republished Article
- Editorial
PMID: 15702512 [PubMed - indexed for MEDLINE]
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