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Limb-saving emergent procedural sedation and joint reduction via telehealth.
J Telemed Telecare
January 2025
Retrieval Services Queensland, Townsville, Queensland, Australia.
In this case report, we describe the performance of procedural sedation and emergent joint reduction via remote telehealth leadership for a patient with an acutely limb-threatening injury. The patient was a 33-year-old man who presented to a small rural hospital with a fracture dislocation of his ankle complicated by severe pain refractory to opiate analgesia and neurovascular compromise, including absent peripheral pulses and sensory changes. Due to aviation and resource limitation factors, immediate retrieval was not possible.
View Article and Find Full Text PDFPeripheral Nerve Stimulation for Chronic Neuropathic Pain: A Health Technology Assessment.
Ont Health Technol Assess Ser
January 2025
Background: Chronic neuropathic pain is a major health problem that adversely affects people's physical and mental well-being, as well as their quality of life. Percutaneous peripheral nerve stimulation (PNS) may offer a minimally invasive option earlier in the treatment continuum for adults with chronic neuropathic pain that is refractory to conventional medical management. We conducted a health technology assessment of PNS for adults with chronic neuropathic pain, which included an evaluation of effectiveness, safety, cost-effectiveness, the budget impact of publicly funding PNS, and patient preferences and values.
View Article and Find Full Text PDFCan chemical-induced aseptic meningitis cause intractable headache following intrathecal pump placement?
Interv Pain Med
March 2025
Department of Anesthesiology, Massachusetts General Hospital, Boston, MA, USA.
Neuroimage Signature in Post-Stroke Pain: A Systematic Review.
Curr Pain Headache Rep
January 2025
Faculty of Health Sciences, Universidade da Beira Interior, Av. Infante D. Henrique, Covilhã, 6200-506, Portugal.
Introduction: Central Post-Stroke Pain (CPSP) is a debilitating condition with a significant prevalence in stroke survivors. Set apart by its refractory to treatment neuropathic pain, it appears to arise from lesions in the spino-thalamo-cortical pathways, particularly in the thalamus. Despite advances in neuroimaging techniques, the pathophysiology of CPSP remains poorly understood, with limited diagnostic criteria and therapeutic approaches.
View Article and Find Full Text PDFPartington-Rochelle modified procedure of pancreatotomy with short pancreaticojejunostomy for groove pancreatitis: a technical note.
Updates Surg
January 2025
Department of General Surgery, San Benedetto del Tronto Hospital, AST Ascoli Piceno, San Benedetto del Tronto, Italy.
Groove pancreatitis (GP) is a chronic segmental pancreatitis which leads to altered pancreatic secretions and pancreatitis. The exact pathogenesis of GP has not been clearly identified to date but heavy smoking and chronic alcohol consumption seem to be the main factors involved. The resulting chronic pancreatitis (CP) is a debilitating disease causing abdominal pain often refractory to medical therapy, so much that the main indication for surgical treatment is intractable abdominal pain.
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