The rate dependent bundle branch block -- transition from left bundle branch block to intraoperative normal sinus rhythm.

A chronic hypertensive patient with electrocardiogram (ECG) showing left bundle branch block (LBBB) was given general anesthesia for right modified radical mastectomy. Her ECG reverted to normal sinus rhythm intermittently during peri-operative period. This intermittent rate-dependent LBBB is a rare entity.

Pediatric cancer pain management at a regional cancer center: implementation of WHO Analgesic Ladder.

Purpose: To collect data on the prevalence of various types of cancer pain in a sample of children with cancer, and to implement the WHO Analgesic Ladder in the management of pain in pediatric cancer.

Methods: Eighty four pediatric patients suffering of cancer pain were studied during the period 2001-2006. Patients were requested to rate their global intensity of pain on 0-100 mm visual analogue scale (VAS 0 = no pain, 100 = maximum pain).

Management of neuropathic cancer pain following WHO analgesic ladder: a prospective study.

Cancer pain treatment according to the guidelines of World Health Organization (WHO) is effective and safe in majority of patients. 818 neuropathic cancer pain patients were enrolled in the study and pain was managed according to WHO analgesic ladder and followed up to six months. Main adjuvant drugs used were amitryptaline (29.