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
Different pain syndromes after samesurgery*• Lower limb amputation- phantom pain- stump pain- back pain• Breast surgery- phantom pain- neuropathic pain (damage tointercostobrachial nerve)- scar pain* Patients may complain of a range of unpleasant symptoms after surgery such asnumbness, tingling, swelling pain
It´s not only nerve damage"Damage to nerves during surgery is obviously animportant cause of chronic pain after surgery ----- but thisis a complex issue.Merely avoiding the sectioning of major nerve trunks is notsufficient to prevent CPSP and sectioning nerves clearlydoes not always result in chronic pain.It is not possible to perform operations without injuringelements of the nervous system at some level"Macrae W ABr J Anaesth 2008;1001:77-8686
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- Page 5: Chronic postsurgical painGenetic pr
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- Page 14 and 15: Anesth Analg 2006;102:248-57 19 RCT
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- 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...
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- 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…
It´s not only nerve damage"Damage to nerves during surgery is obviously animportant cause of chronic pain after surgery ----- but thisis a complex issue.Merely avoiding the sectioning of major nerve trunks is notsufficient to prevent CPSP and sectioning nerves clearlydoes not always result in chronic pain.It is not possible to perform operations without injuringelements of the nervous system at some level"Macrae W ABr J Anaesth 2008;1001:77-8686
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