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The effect of intravenous vitamin C administration on postoperative pain and intraoperative blood loss in older patients after intramedullary nailing of trochanteric fractures.
Eur Geriatr Med
December 2024
Clinic of Orthopaedics and Traumatology, Clinical Center of Sarajevo University, Sarajevo, Bosnia and Herzegovina.
Purpose: The purpose of this study was to determine the effects of peri and postoperative intravenous vitamin C administration on severity of postoperative pain and intraoperative blood loss in patients with trochanteric fracture treated with intramedullary nailing.
Methods: A prospective, single-blinded, controlled, randomised clinical study was conducted. It included 60 patients who were randomly divided into the Vitamin C and Control groups.
The Adequacy of Anesthesia Guidance for Vitreoretinal Surgeries with Preemptive Paracetamol/Metamizole.
Pharmaceuticals (Basel)
January 2024
Collegium Medicum, WSB University, 41-300 Dabrowa Gornicza, Poland.
Despite the possibility of postoperative pain occurrence, in some patients, vitreoretinal surgeries (VRSs) require performance of general anesthesia (GA). The administration of intraoperative intravenous rescue opioid analgesics (IROA) during GA constitutes a risk of perioperative adverse events. The Adequacy of Anesthesia (AoA) concept consists of an entropy electroencephalogram to guide the depth of GA and surgical pleth index (SPI) to optimize the titration of IROA.
View Article and Find Full Text PDFPain management after elective craniotomy: A systematic review with procedure-specific postoperative pain management (PROSPECT) recommendations.
Eur J Anaesthesiol
October 2023
From the Department of Anaesthesiology, Cliniques Universitaires St Luc, University Catholic of Louvain, Brussels, Belgium (FPM, PML, GP), Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, Texas, USA (GPJ), Department of Anaesthesia and Intensive Care Medicine, Oslo University Hospital, Norway (ARS), Department of Anaesthesiology and Pain Therapy, Bern University Hospital - Inselspital, Bern, Switzerland (ARS), and Department of Cardiovascular Sciences, Section Anaesthesiology, KULeuven and UZLeuven, Leuven, Belgium (VdV).
Background: Pain after craniotomy can be intense and its management is often suboptimal.
Objectives: We aimed to evaluate the available literature and develop recommendations for optimal pain management after craniotomy.
Design: A systematic review using procedure-specific postoperative pain management (PROSPECT) methodology was undertaken.
Adequacy of Anaesthesia for Nociception Detection during Vitreoretinal Surgery.
Life (Basel)
February 2023
Chair and Department of Emergency Medicine, Faculty of Medical Sciences in Zabrze, Medical University of Silesia, 41-200 Sosnowiec, Poland.
Vitreoretinal surgery (VRS) is one of the most widely performed precise procedures in ophthalmic surgery; the majority of cases are carried out under regional anaesthesia (RA) only. However, in specific situations (such as when the patient fails to cooperate with the operator for various reasons), general anaesthesia (GA), alone or in combination with GA (combined general-regional anaesthesia, CGR), is the only safe way to perform VRS. While monitoring the efficacy of an intraoperative rescue opioid analgesia (IROA) during surgery (assessing the adequacy of anaesthesia (AoA)) may be challenging, the surgical pleth index (SPI) is a useful tool for detecting the reaction to noxious stimuli and allows for the rational titration of opioid analgesics (AO) during surgery.
View Article and Find Full Text PDFPostoperative Nausea and Vomiting in Opioid-Free Anesthesia Versus Opioid Based Anesthesia in Laparoscopic Cholecystectomy.
Pril (Makedon Akad Nauk Umet Odd Med Nauki)
November 2022
University Clinical Center "Mother Teresa" Skopje, University Clinic for Thoracic and Vascular Surgery, Medical Faculty -Skopje, University ″Ss. Cyril and Methodius″ Skopje, Republic of Macedonia.
: Postoperative nausea and vomiting (PONV) is a usual complication in patients undergoing laparoscopic cholecystectomy. Minimized opioid use due to surgery has been shown to have a better effect on patient recovery after surgery. In this study we evaluate the effect of opioid free anesthesia for postoperative nausea and vomiting in laparoscopic cholecystectomy.
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