Professor Narinder Rawal, MD, PhD, FRCA (Hon) - AKUTNE.CZ

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Ann Thorac Surg 2003;76:407-12 Elective thoracotomy, n = 280, single surgeon Preoperative EDA Pericostal sutures (stitches on top of 5 th and 7 th rib (n = 140) vs. intracostal sutures(stitches on top onf 5 th rib and through 6 th rib (n = 140) Pain scores lower in intracostal group at 2 weeks, 1 month, 2 months, 3 months
Non-opioid opioid analgesic techniques Analgesic drugsParacetamolNSAID’s (including COX-2-inhibitors)N<strong>MD</strong>A antagonists (ketamine, dextromethorphan)α 2 receptor agonists (clonidine, dexmedetomidine)others (gabapentin, corticosteroids, capsaicin, nicotine, neostigmine etc.) Regional techniques (including catheter techniques)Central blocks (EDA, spinal, CSE)Peripheral blocksIncisionalIntraarticular Non-pharmacological techniques
Page 1 and 2: Professor Narinder Rawal, MD, PhD,
Page 3 and 4: 1. Local and systemic chemicals dri
Page 5 and 6: Chronic postsurgical painGenetic pr
Page 7 and 8: It´s not only nerve damage"Damage
Page 9: Persistent postsurgical pain - role
Page 14 and 15: Anesth Analg 2006;102:248-57 19 RCT
Page 16 and 17: Regional anaesthesia* and chronic p
Page 18 and 19: Rowbotham D J Improves quality of o
Page 20 and 21: Anesth Analg 2004;99:482-9595 37 RC
Page 23: NewsweekApril 14, 2008
Page 27 and 28: About 55 000 unnecessary C. Section
Page 29 and 30: APS - Örebro modelPre-set goals•
Page 31 and 32: To summarize...
Page 34 and 35: Chronic postsurgical painGenetic pr
Page 36 and 37: Persistent postsurgical painSummary
Page 40 and 41: RCT, colon surgery, n = 85, 72 hour
Page 42: Brennan T J, Kehlet HIn summary…

Professor Narinder Rawal, MD, PhD, FRCA (Hon) - AKUTNE.CZ

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