Introduction: A case of complex poly-trauma requiring multi-service management of rare, diagnoses is reviewed.
Presentation Of Case: A healthy 20 year old female suffered double epidural hematoma, base of, skull fracture, traumatic cranial nerve X palsy, benign positional paroxysmal vertigo and supraorbital, neuralgia following equestrian injury.
Discussion: Epidemiology, differential diagnosis, and principles of management for each condition, are reviewed.
Conclusion: Coordinated trauma care is well suited to address the complex poly trauma following, equestrian injury.
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http://dx.doi.org/10.1016/j.ijscr.2013.10.011 | DOI Listing |
Eur J Anaesthesiol
February 2025
From the Department of Anesthesia, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China (XC, YT, QY, LS, HL, LW, CJ, XC).
Background: Rapid onset of epidural analgesia is an important concern for the parturient. Commonly, the local anaesthetic mixture is administered through the epidural catheter. Drugs administered through the epidural needle might decrease the onset time and enhance the spread of medication within the epidural space.
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December 2024
Departments of Anesthesia, Intensive Care, and Pain Management, Faculty of Human Medicine, Zagazig University Alsharkia, Egypt.
Background: Post dural puncture headache (PDPH) is a major challenging complication and may be a cause of morbidity after spinal anesthesia. Currently there is no definitive management for PDPH, so the search for effective treatment continues.
Objectives: Our aim was to investigate the analgesic effectiveness of oral prednisolone vs oral pregabalin for managing PDPH subsequent to spinal anesthesia for lower limb surgeries.
BMJ Open
December 2024
Department of Anesthesiology, West China Second University Hospital, Sichuan University, Chengdu, Sichuan, China
Introduction: The neuraxial morphine has been regarded as the gold standard for postpartum analgesia. However, the recent advancements in patient-controlled analgesia and various regional nerve blocks have led to the implementation of multimodal analgesia strategies, which aim to reduce opioid usage and associated complications while ensuring satisfactory pain relief. The objective of this research is to investigate the optimal dosage of epidural morphine for alleviating moderate and severe pain after caesarean sections in healthy parturients, as well as reducing unnecessary burden of respiratory monitoring resources.
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November 2024
Longevity-New York, New York City, New York, USA; Institute for Mobility and Longevity, Ft. Myers, FL, USA; 411th Hospital Center, Armed Forces Reserve Center, Jacksonville, FL, USA; Adam Vital Hospital, Dubai, Unted Arab Emirates; Reem Hospital, Abu Dhabi, United Arab Emirates.
Medicine (Baltimore)
November 2024
Department of Anesthesiology, Shenzhen Maternity & Child Healthcare Hospital, Shenzhen, Guangdong Province, China.
Background: Labor analgesia can be achieved by different approaches. The efficacy and safety of combined dural puncture epidural (DPE) with program intermittent epidural bolus (PIEB) are not well characterized. This study aimed to compare the efficacy and safety of DPE combined with PIEB vs epidural (EP) combined with PIEB for labor analgesia.
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