Journal of Anesthesia and Perioperative Medicine最新文献

{"title":"Clinical Implementation of A Multimodal Analgesia Regimen for Cardiac Surgical Patients","authors":"R. Saffary, Cody Parsons, Einar Ottesta, H. Pulley, Corinne Pogemiller, J. Boyd, A. Cheung","doi":"10.24015/JAPM.2018.0070","DOIUrl":"https://doi.org/10.24015/JAPM.2018.0070","url":null,"abstract":"Aim of review: Enhanced recovery after surgery (ERAS) protocols that utilize a multimodal, narcotic-sparing approach to pain management have proven to be effective for colorectal and other surgical subspecialties. However, perioperative pain management for cardiac surgical patients remain suboptimal and based primarily on the use of narcotic analgesics that expose patients to potential short- and long-term complications of opioid therapy. The objective of this investigation was to review the existing clinical evidence on the safety and efficacy of non-narcotic analgesics for the treatment of postoperative pain to create and implement a perioperative multimodal analgesic regimen that can be integrated into the current pain management practices for patients undergoing cardiothoracic operations. Methods: A multidisciplinary task force consisting of anesthesiologists, surgeons, nurses, physician assistants, and pharmacists from the cardiovascular health service line was ap-pointed to develop a standard order set in the electronic health record for the treatment of postoperative pain in patients undergoing cardiac operations. The PubMed and Cochrane databases were searched for studies on perioperative pain management after cardiac surgery. The available data were reviewed for quality and relevance to the management of cardiac surgical patients. Once consensus was achieved, an order set was created and univer-sally applied for all cardiac surgical patients admitted to the surgical cardiovascular intensive care unit after the operation. Recent findings: Evidence exists to support the safety and efficacy of a multimodal pain management protocol for cardiac surgical patients in an effort to improve patient satisfaction and comfort while limiting the adverse effects of opioid analgesics. Summary: A multidisciplinary task force achieved consensus in creating an evidence-based, opioid-sparing, multi-modal medication order set for the management of postoperative pain in cardiac surgical patients. The standardized analgesic regimen was compliant with guidelines of The Joint Commission, widely accepted and quickly adopted in clinical use. Continuing investigations will be directed at quantifying whether the multimodal analgesic regimen will improve patient satisfaction, decrease postoperative pain scores, and reduce the incidence of opioid-related adverse events. ABSTRACT","PeriodicalId":15018,"journal":{"name":"Journal of Anesthesia and Perioperative Medicine","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88611757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chronic Sciatica Induced by Endometriosis","authors":"Sisi Chen","doi":"10.24015/JAPM.2018.0113","DOIUrl":"https://doi.org/10.24015/JAPM.2018.0113","url":null,"abstract":"examinations. The findings that endometrial-like tissue can develop at the sciatic nerve, offer new insights for better understanding and treating sciatic endometriosis. Many studies have reported that the symptoms could be alle-viated by surgically removing the endometriotic lesions. New evidence showed that in a rat model, sciatic endometriosis could cause neuropathic pain and local inflammation. Summary: This article is aimed to review reports about chronic sciatica induced by endometriosis, explore the possible mechanisms and come up with effective treatments.(Funded by the National Institutes of Health.) ABSTRACT","PeriodicalId":15018,"journal":{"name":"Journal of Anesthesia and Perioperative Medicine","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83938128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preclinical Studies of Pediatric Pain: Functional Modulation of Spinal Pain Circuitry by Early Life Tissue Injury","authors":"Jie Li, M. Baccei","doi":"10.24015/JAPM.2018.0111","DOIUrl":"https://doi.org/10.24015/JAPM.2018.0111","url":null,"abstract":"","PeriodicalId":15018,"journal":{"name":"Journal of Anesthesia and Perioperative Medicine","volume":"55 8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80700176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Do Satellite Glial Cells Control Chronic Pain?","authors":"Xiaojuan Liu, Travis Goettemoeller, T. Berta","doi":"10.24015/JAPM.2018.0114","DOIUrl":"https://doi.org/10.24015/JAPM.2018.0114","url":null,"abstract":"This is an open-access article, published by Evidence Based Communications (EBC). This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium or format for any lawful purpose.To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. From the Pain Research Center, Department of Anesthesiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA; Department of Pathogen Biology, Medical College, Nantong University, Nantong, China.","PeriodicalId":15018,"journal":{"name":"Journal of Anesthesia and Perioperative Medicine","volume":"219 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89374451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SCN8A (NaV1.6): Gate to Chronic Pain","authors":"W. Xie, J. Strong, Jun-Ming Zhang","doi":"10.24015/JAPM.2018.0100","DOIUrl":"https://doi.org/10.24015/JAPM.2018.0100","url":null,"abstract":"and NaV1.9 are involved in different aspects of physiological or pathological pain. Although NaV1.6 in conjunction with the modulatory NaVβ4 subunit has the ability to trigger and maintain high-frequency repetitive firing via mediating persistent and resurgent currents, only very recently has its role in pain disorders been recognized. Summary: The persistent and resurgent currents in sensory neurons are generated predominantly by NaV1.6 in association with NaVβ4. Since spontaneous activity, especially high-fre-quency repetitive and burst firing in damaged peripheral sensory nerve or neurons, is crucial for the development of neuropathic pain, NaV1.6 and/or NaVβ4 may be new therapeutic targets for managing pathological pain conditions. (Funded by the National Institutes of Health.) ABSTRACT","PeriodicalId":15018,"journal":{"name":"Journal of Anesthesia and Perioperative Medicine","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90726061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain Management in Cardiac Surgery","authors":"Zhuan Zhang, Wenxi Tang, C. Shi, Jiapeng Huang","doi":"10.24015/JAPM.2018.0112","DOIUrl":"https://doi.org/10.24015/JAPM.2018.0112","url":null,"abstract":"administration. Summary: Acute pain after cardiac surgeries is common and could lead to chronic pain syn-dromes. Analgesics need to be administrated regularly for pain control after cardiac procedures. Regional anesthesia could be a valuable adjunct for effective pain control after cardiac surgery. (Funded by the Yangzhou Natural Science Foundation, and The Affiliated Hospital ofYangzhou University, both in China.) ABSTRACT","PeriodicalId":15018,"journal":{"name":"Journal of Anesthesia and Perioperative Medicine","volume":"203 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73760383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative High-Sensitivity Troponin Monitoring Following Noncardiac Surgery: Evaluating the Effect on Mortality of Associated Perioperative Clinical Events","authors":"M. Jackson, Mark Hammonds, N. Cunningham, D. Austin, N. Swanson, M. Belder, M. Stewart","doi":"10.24015/japm.2018.0116","DOIUrl":"https://doi.org/10.24015/japm.2018.0116","url":null,"abstract":"This is an open-access article, published by Evidence Based Communications (EBC). This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium or format for any lawful purpose.To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. From the Cardiology Department, The James Cook University Hospital, Middlesbrough, UK. .","PeriodicalId":15018,"journal":{"name":"Journal of Anesthesia and Perioperative Medicine","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75625535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lidocaine Infusion Treatment for Trigeminal Neuralgia Due to Vertebrobasilar Dolichoectasia in a Patient after Right Thyroidectomy","authors":"Tuan Tran, Daryl I Smith, N. Tran","doi":"10.24015/japm.2018.0053","DOIUrl":"https://doi.org/10.24015/japm.2018.0053","url":null,"abstract":"lidocaine and one of its less well known neuropharmacological mechanisms of action is examined as one explanation of its effectiveness in this setting.","PeriodicalId":15018,"journal":{"name":"Journal of Anesthesia and Perioperative Medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88458268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Importance of Preoperative Evaluation in the Diagnosis of Ventriculoperitoneal Shunt Malfunction in an Infant with Hydrocephalus","authors":"P. Nowak, Irim Salik, J. Cooper, M. Jacoby, S. Barst","doi":"10.24015/japm.2018.0092","DOIUrl":"https://doi.org/10.24015/japm.2018.0092","url":null,"abstract":"This is an open-access article, published by Evidence Based Communications (EBC). This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium or format for any lawful purpose.To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/. From the Department of Anesthesiology, Department of Pediatric Anesthesiology, Department of Neurosurgery, Westchester Medical Center, Pleasantville, NY, USA.","PeriodicalId":15018,"journal":{"name":"Journal of Anesthesia and Perioperative Medicine","volume":"155 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76100451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative Anaphylaxis and Chronic Inflammatory Diseases: The Role of Mast Cells","authors":"Qin Zhou, Yi-wei Wang, Qing-qing Qian, Hong-quan Dong, B. Gui, Y. Qian","doi":"10.24015/japm.2018.0090","DOIUrl":"https://doi.org/10.24015/japm.2018.0090","url":null,"abstract":"of mast cells could induce the anaphylaxis and inflammation. However, mast cells degranulation is unpredictable, so that the main concern is the avoidance of release of histamine and other MC mediators and the management of risks induced by mast cells. (Funded by the National Natural Science Foundation of China, Postgraduate Research & Practice Innovation Program of Jiangsu Province, and the Priority Aca-demic Program Development of Jiangsu Higher Education Institutions.) ABSTRACT","PeriodicalId":15018,"journal":{"name":"Journal of Anesthesia and Perioperative Medicine","volume":"60 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82785963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}