Epidural Hematoma Following Cessation of a Direct Oral Anticoagulant: A Case Report.

Objective: In this case report, we describe a case of epidural hematoma following epidural analgesia in a patient with recent cessation of a direct oral anticoagulant (DOAC).

Case Report: An 89-year-old woman requiring upper abdominal surgery presented with multiple comorbidities, including a prior cerebrovascular accident resulting in a left-sided hemiparesis and atrial fibrillation requiring anticoagulation with rivaroxaban. In accordance with our departmental guidelines at the time of procedure, rivaroxaban was discontinued 4 days preoperatively.

The effect of triple vs. double nonopioid therapy on postoperative pain and functional outcome after abdominal hysterectomy: a randomised double-blind control trial.

Background: Movement-evoked pain is more severe than pain at rest and is likely to interfere more with functional recovery after surgery.

Objective: To compare triple vs. double nonopioid perioperative analgesic regimens in women undergoing abdominal hysterectomy.

Modified electroconvulsive therapy in a patient with gastric adenocarcinoma and metastases to bone and liver.

Background. In addition to general anesthesia, muscle relaxants are given prior to electroconvulsive therapy (ECT) in order to prevent musculoskeletal injury. Higher doses of muscle relaxants have been suggested for patients at high risk for bone fractures; however, there are adverse side effects associated with these higher doses.