Professor Narinder Rawal, MD, PhD, FRCA (Hon) - AKUTNE.CZ
Professor Narinder Rawal, MD, PhD, FRCA (Hon) - AKUTNE.CZ Professor Narinder Rawal, MD, PhD, FRCA (Hon) - AKUTNE.CZ
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12.07.2015
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Rowbotham D J Improves quality of opioid analgesia Reduces opioid requirements Prevents or reduces opioid tolerance Relieves anxiety
• 11 and 12 RCTs, n=521, mostly minimal invasive surgery• Pain intensity not reduced• Opioid consumption reduced by 8-13 mg, vomiting by 30%• 300mg/day or 600 mg/day have identical effects• Risks: dizziness, visual disturbances
- 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 and 10: Persistent postsurgical pain - role
- Page 11: Non-opioid opioid analgesic techniq
- Page 14 and 15: Anesth Analg 2006;102:248-57 19 RCT
- Page 16 and 17: Regional anaesthesia* and chronic p
- 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…
• 11 and 12 RCTs, n=521, mostly minimal invasive surgery• Pain intensity not reduced• Opioid consumption reduced by 8-13 mg, vomiting by 30%• 300mg/day or 600 mg/day have identical effects• Risks: dizziness, visual disturbances
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