• A new option for reducing postoperative pain is "preemptive analgesia", the pre-, intra- or post-operative administration of analgesic agents. (ac.ir)
  • Wu et al (2016, systematic review of 13 studies) found that the evidence supported acupuncture use as an adjuvant therapy post surgery on the first day, significantly reducing postoperative pain and the use of opioids. (shaftesburyclinic.com)
  • Common and minor complications include: Mild hypotension Bradycardia Nausea and vomiting Transient neurological symptoms (lower back pain with pain in the legs) Post-dural-puncture headache or post-spinal headache - Associated with the size and type of spinal needle used. (wikipedia.org)
  • Proper patient selection, mastery of pertinent anatomy, attention to meticulous surgical technique, and conscientious postoperative care are all important factors in preventing facelift surgery complications. (medscape.com)
  • The incidence of postoperative complications was recorded. (hindawi.com)
  • Postoperative complications in the two groups were mainly grade I and II. (hindawi.com)
  • The former can reduce the incidence of postoperative complications, but the operation time and postoperative hospital stay are longer. (hindawi.com)
  • In both studies, there was a significant reduction in the length of hospital stay in the ERAS group with no increase in postoperative complications. (medscape.com)
  • Clinical outcomes, including duration of flatus and defecation, white blood cell count, postoperative pain, duration of postoperative stay, cost of hospitalization and complications were recorded and evaluated. (wjgnet.com)
  • It has a minimally invasive approach, leading to less postoperative complications and pain,[6,7] as well as less interference with pulmonary function, thus facilitating recovery. (bariatrictimes.com)
  • and the possibility of postoperative observation and follow up are key elements to avoid complications and keep hospital readmission rates low for both LAGB[9-13] and RYBG. (bariatrictimes.com)
  • Secondary outcomes include pain severity during the in-patient stay, post-operative nausea and vomiting, satisfaction with pain relief, length of hospital stay, joint pain and disability, pain sensitivity, complications and cost-effectiveness. (biomedcentral.com)
  • In patients undergoing moderate surgical procedures, generous administration of fluids is associated with fewer minor complications, such as nausea, vomiting, and drowsiness. (aneskey.com)
  • The aim of this study was to investigate whether the application of OFA by using esketamine in intraoperative analgesia could minimize the side effects of postoperative nausea and vomiting (PONV), as well as other short-term side effects related to anaesthesia. (biomedcentral.com)
  • Locoregional analgesia, due to mainly the absence of motor and sympathetic block may be preferred over locoregional anaesthesia in some postoperative care settings. (wikipedia.org)
  • It is most commonly used for surgeries below the umbilicus, however recently its uses have extended to some surgeries above the umbilicus as well as for postoperative analgesia. (wikipedia.org)
  • Various regional analgesia techniques exist that can be used to promote postoperative pain relief. (medscape.com)
  • Intrathecal (IT) narcotics can offer effective postoperative analgesia. (medscape.com)
  • Craniotomy is a relatively common surgical procedure with a high incidence of postoperative pain. (surgicalneurologyint.com)
  • ESPB used in lumbar spinal surgery was effective in relieving postoperative pain, decreasing the perioperative consumption of opioids, as well as decreasing the incidence of postoperative opioid-related adverse reactions. (clinicalpainadvisor.com)
  • A number of subspecialties have started implementing ERAS in their patients and have shown improved postoperative outcomes. (medscape.com)
  • Spinal anesthesia may be favored when the surgical site is amenable to spinal blockade for patients with severe respiratory disease such as COPD as it avoids the potential respiratory consequences of intubation and ventilation. (wikipedia.org)
  • On the other hand, some disadvantages of general anesthesia are that it may cause side effects, such as nausea, vomiting, headache and a delay in the return of normal memory functioning. (news-medical.net)
  • 2 Early investigations into its intravenous use began in the 1950s with case reports suggesting an impressive effect on improving postoperative pain 3 and the depth of anesthesia. (asra.com)
  • Reduces blood loss: In total hip arthroplasty (THA), studies have demonstrated that both spinal and epidural anesthesia tend to have approximately a 30% reduction in intraoperative blood loss compared with general anesthesia , owing to lower arterial and venous pressures. (medscape.com)
  • Avoids common adverse effects of general anesthesia: Such adverse effects include nausea, sore throat, alteration of mental status, and cognitive dysfunction. (medscape.com)
  • One common side effect of opioids is postoperative nausea and vomiting (PONV), which contributes to a delay in oral intake and mobilization with a prolonged hospital length of stay or unexpected hospital readmissions [ 3 ]. (biomedcentral.com)
  • Postoperative nausea and vomiting (PONV) is a common issue, affecting up to 40% of patients despite prophylactic measures based on risk factors and guidelines. (apsf.org)
  • Secondary outcomes included nausea/vomiting incidence at various time points and severe PONV according to the Clinically Important PONV Intensity Scale. (apsf.org)
  • This study suggests that adding atypical antipsychotic medication like olanzapine, which targets multiple PONV receptors, to commonly used intraoperative antiemetic regimens can substantially reduce PONV and alleviate the associated challenges for both patients and healthcare systems. (apsf.org)
  • The condition of acute abdomen describes many complex symptoms, usually dominated by severe pain and elevated tension (defense) of the abdominal wall. (frontiersin.org)
  • This article aims to briefly discuss the existing literature evaluating the benefits of IV lidocaine on acute postoperative pain and as a preventative agent for chronic post-surgical pain (CPSP) and consider the terrain of shifting evidence and propose strategies that could improve safer use and adoption. (asra.com)
  • Sun et al's (2008) systematic review of 15 RCT's (n=1166) in the British Journal of Anaesthesia drew the conclusion that acupuncture around the time of surgery "may be a useful adjunct for acute postoperative pain management. (shaftesburyclinic.com)
  • Many patients experience acute severe pain lasting at least 3 days post lumbar spinal surgery that can be detrimental to postoperative rehabilitation if left unmanaged. (clinicalpainadvisor.com)
  • Patients with cancer, a history of chemotherapy-induced nausea and vomiting, and undergoing medium or major surgery were included. (apsf.org)
  • These tumors are rarely suspected before surgery, the final diagnosis being intraoperative and established by histopathological examination. (rojes.org)
  • Preoperative, intraoperative, and postoperative components of Enhanced Recovery After Surgery (ERAS). (medscape.com)
  • Age, sex and weight of patients, duration of surgery, systolic and diastolic blood pressure (before and after surgery), volume of blood loss, reoccurrence of bleeding, time to initiation of oral intake, nausea, vomiting, pain score and dysphasia were recorded in information sheet. (ac.ir)
  • There is no significant difference between the three groups with regard to age, sex, weight, duration of surgery, blood pressure (before surgery), volume of blood loss, nausea and vomiting. (ac.ir)
  • However, patients with severe debility may undergo surgery sooner. (medscape.com)
  • A fast-track pathway indicates a multidisciplinary strategy to enhance postoperative recovery and decrease morbidity by reducing surgical stress and its consequences (stress-free surgery). (bariatrictimes.com)
  • SGLT2-I medication should be withheld for at least 24-48 h prior to surgery according to this review of literature and restarted only in stable clinical conditions to avoid the severe complication of EDKA. (frontiersin.org)
  • Adequate management of post-operative pain still poses a significant challenge to healthcare, as demonstrated by a review of the literature which concluded that 30% of patients experience moderate or severe pain after surgery [ 11 ]. (biomedcentral.com)
  • ESPB was associated with decreased use of intraoperative sufentanil and remifentanil and decreased opioid consumption within 24 to 48 hours after surgery. (clinicalpainadvisor.com)
  • The erector spinae plane block (ESPB) effectively relieves postoperative pain and decreases opioid consumption following lumbar spinal surgery, according to systematic review and meta-analysis findings published in Journal of Pain Research . (clinicalpainadvisor.com)
  • Additionally, postoperative pain scores were reported to be significantly lower by ESPB recipients vs control group members at rest between 0 and 8 hours after surgery (MD range, -2.84 to -1.14) and during movement between 8 and 12 hours after surgery (MD range, -1.71 to -1.07). (clinicalpainadvisor.com)
  • Despite all these severe adverse events, the intraoperative use of opioids remains a central part of anaesthesia practice. (biomedcentral.com)
  • A retrospective analysis of severe intraoperative respiratory compliance changes during ophthalmic arterial chemosurgery for retinoblastoma. (cornell.edu)
  • The addition of iatrogenic respiratory alkalosis to metabolic alkalosis can produce severe alkalemia. (aneskey.com)
  • Zhao ZW and Wu GS were mainly in charge of evaluating postoperative outcomes, discharge, follow-up and data analysis. (wjgnet.com)
  • Two specially trained doctors who were blinded to the treatment were in charge of evaluating postoperative outcomes, discharge and follow-up. (wjgnet.com)
  • 6,7 Further, many of their secondary and objective outcomes were improved by IV lidocaine infusion, including reduced risk of ileus, time to first defecation/bowel movement, and postoperative nausea. (asra.com)
  • Severe infections (requiring intravenous antibiotics) are rare, affecting less than 0.2% of rhytidectomy patients. (medscape.com)
  • Chemotherapy through peripheral intravenous cannula causes severe thrombophlebitis. (jicajournal.in)
  • The components of ERAS may be broadly divided into preadmission, preoperative, intraoperative, and postoperative phases, each of which includes various distinct components (see the image below). (medscape.com)
  • In contrast to other studies that used limited intra- and postoperative care elements, the authors maximized the use of ERAS care elements in the study population, including the preoperative components whenever feasible and most of the intraoperative and postoperative components. (medscape.com)
  • Strategies to ameliorate craniotomy pain demand interventions during all phases of patient care: preoperative, intraoperative, and postoperative interventions. (surgicalneurologyint.com)
  • ERAS protocols divide the key components of perioperative care according to phase of care: preoperative, intraoperative, and postoperative interventions. (surgicalneurologyint.com)
  • A 29-year-old primipara woman in the 36th week of pregnancy was admitted to our Emergency Clinic with a complaint of severe headache for 3 months and nausea / vomiting since since last week. (ispub.com)
  • A 29-yr-old primipara woman (162 cm, 78 kg) at 36 weeks gestation was admitted to our Emergency Clinic with complaints of severe headache localized to the left frontal area of the head for 3 months and nausea / vomiting since last week. (ispub.com)
  • They mainly present with signs and symptoms related to hydrocephalus such as headache and nausea, which are too unspecific to pinpoint an exact etiology. (surgicalneurologyint.com)
  • Just over a month later, after four months of symptoms, the patient re-presented to Emergency Department with very severe abdominal pain associated with frequent bloody and bowel motions with mucus 10-15 times per day, nausea, vomiting, anorexia, and weight loss. (ijcasereportsandimages.com)
  • Gastroparesis is a chronic digestive disorder defined by the symptoms of nausea, vomiting, bloating, and abdominal pain in the setting of objectively delayed gastric emptying without mechanical gastric outlet obstruction. (bcm.edu)
  • Sodium bicarbonate, never proved to alter outcome in patients with lactic acidosis, should be reserved for those patients with severe acidemia. (aneskey.com)
  • The postoperative evolution was favorable and the patient was discharged on the 7th postoperative day. (rojes.org)
  • Gastroscopy is one of the most important tools for diagnosing upper gastrointestinal diseases, but nausea, vomiting, and other adverse reactions during the examination make it difficult for many patients to cooperate effectively, especially for the elderly who are more prone to dangerous events. (dovepress.com)
  • We present the case of a 44-year-old patient who presented to the Emergency Unit of "Saint John" Clinical Emergency Hospital Bucharest with an altered general condition, severe pain in the right iliac fossa associated with episodes of nausea, vomiting and fever. (rojes.org)
  • Decorative henna skin painting can provoke severe reactions in the skin. (who.int)
  • Intraoperative Management: What are the options for anesthetic management and how to determine the best technique? (renalandurologynews.com)
  • Olanzapine, primarily an antipsychotic drug, has been used for nausea/vomiting in palliative care and chemotherapy settings. (apsf.org)
  • As a result, affected patients might be admitted to surgical departments where they undergo operations without any intraoperative correlate ( 4 , 5 ). (frontiersin.org)
  • 8] Laparoscopic adjustable gastric banding (LAGB) and laparoscopic Roux-en-Y gastric bypass (RYGB) are the surgeries most frequently associated with ultra fast-track pathways. (bariatrictimes.com)
  • In a recent study at the Avon Orthopaedic Centre, 58% of TKR patients and 47% of THR patients reported moderate or severe pain on the first post-operative day[ 12 ]. (biomedcentral.com)
  • Background Dexmedetomidine has analgesic properties, but the intraoperative analgesic effect of dexmedetomidine is often masked by the effects of other general anaesthetics. (researchgate.net)
  • Objective: This study aimed to determine the effect of oral midazolam inpreventing postoperative EA in children. (bvsalud.org)
  • This is a pragmatic, open-label, multicenter randomized control trial (RCT) conducted in asymptomatic patients with IBD who have persistent moderate to severe endoscopic inflammation despite optimization of index TIM. (bcm.edu)
  • Taking N-acetyl cysteine by mouth for at least 6 months seems to decrease flare-ups by about 40% in people with moderate to severe COPD. (medlineplus.gov)
  • Computed tomography abdomen demonstrated colitis from the splenic flexure to the rectum ( Figure 2 ) and a repeat flexible sigmoidoscopy confirmed severe inflammation with spontaneous bleeding, mucosal erythema, and loss of vascular pattern ( Figure 1B ). (ijcasereportsandimages.com)
  • Isolated nausea and vomiting in the first 24 hours were also significantly lower in the olanzapine group (10% vs. 53.7%, p=0.002). (apsf.org)
  • Patients in the olanzapine group had lower nausea and vomiting incidence between 0-6 hours and 0-24 hours postoperatively. (apsf.org)
  • Several institutions to our knowledge within the U.S. and Canada currently utilize postoperative IV lidocaine infusions on hospital wards, and while formal clinical trials are needed, data from these centers aid in developing our understanding of this intervention. (asra.com)
  • When substituting mechanical ventilation for spontaneous ventilation in a patient with severe metabolic acidosis, it is important to maintain an appropriate level of ventilatory compensation, pending effective treatment of the primary cause for the metabolic acidosis. (aneskey.com)
  • Ultra fast-track pathways can be a real opportunity to enhance postoperative recovery of bariatric patients, decrease morbidity and mortality, and further decrease health costs. (bariatrictimes.com)
  • IV lidocaine can significantly reduce the amount of propofol, the incidence of hypoxia and postoperative pain during gastroscopy in elderly patients, with a higher patient and gastroscopist satisfaction. (dovepress.com)
  • This study demonstrated that a submucosal injection of ketamine into the tonsillar bed preoperatively is a safe option for reducing post-tonsillectomy pain, dysphasia, need for opioid and time to initiation of oral intake, without increasing the risk of excessive bleeding, reoccurrence of bleeding, nausea and vomiting. (ac.ir)
  • Therefore, the degree to which it reduces intraoperative pain intensity remains unclear. (researchgate.net)