Caudal Block versus Wound Infiltration for Inguinal Procedures in Young Children: A Randomized Clinical Study.

Introduction:  Inguinal procedures in children are frequent and typically performed in an outpatient setting. We aimed to analyze whether there is a difference in postoperative pain scores and setup time (start of anesthesia management to incision time) when comparing caudal block (CB) with local wound infiltration.

Materials And Methods:  We enrolled pediatric outpatients scheduled for inguinal procedures.

Mental disorders are no predictors to determine the duration of cannabis-based treatment for chronic pain.

Background: Chronic pain (CP), a complex biopsychosocial disorder with a global prevalence of up to 33%, can be treated by following multidisciplinary approaches that may include cannabis-based medicine (CBM). However, because CBM continues to be a new treatment, questions remain regarding the ideal duration for CBM and its psychosocial determinants, including mental comorbidities.

Methods: In a retrospective cross-sectional study involving 46 patients with CP (ICD-10 code F45.

[Teaching about chronic pain in psychosomatics courses - an overview of the situation in Germany and the Tübingen Model].

Unlabelled: Teaching about chronic pain in psychosomatics courses - an overview of the situation in Germany and the Tübingen Model Objectives: When dealing with chronic pain patients it is crucial to take a bio-psycho-social approach. However, it is unclear how this approach is currently being taught to medical students, and how they judge its role and importance.

Methods: We carried out a qualitative study (questionnaire) asking (1) German psychosomatic departments about pain-related teaching and (2) medical undergraduates about pain-relevant issues.

Perioperative epidural analgesia in children undergoing major abdominal tumor surgery--a single center experience.

Purpose: The purpose of this study was to assess the use of continuous epidural analgesia in pediatric patients undergoing major abdominal tumor surgery.

Methods: Children undergoing major abdominal tumor surgery at our institution between 2008 and 2012 (n=40) received continuous epidural analgesia via an epidural catheter. Surgical trauma scores, pain scores, and clinical data of the children were compared to a pair-matched historical control group operated on between 2002 and 2007 without epidural analgesia.

[Case report: obstacles in pain therapy--is pain relief always achievable?].

No patient needs to have pain? Providing the best possible pain relief is as challenging for the anaesthesiologist as it is necessary for the patient's quality of life. The WHO algorithm allows sufficient and satisfactory treatment of 90 % of all cancer patients. This case report describes alternatives to the WHO algorithm for the remaining 10 % of cases.