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Multimodal analgesia in neurosurgery: a narrative review
Pain following brain surgery can compromise the result of surgery. Several pharmacological interventions have been used to prevent postoperative pain in adults undergoing brain surgery. Pain following craniotomy is considered to be moderate to severe during the first two post-operative days.
Aurilio C. +6 more
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Recent Advances in Multimodal Analgesia
Anesthesiology Clinics, 2012Greater understanding of the pathophysiology and mechanism of acute pain has led to advances in pharmacologic therapy. Understanding the principles of multimodal therapy along with surgical-specific protocols leads to improved outcome in patients. However, further large-scale randomized trials need to be performed to further establish and demonstrate ...
Asokumar Buvanendran
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Updates on Multimodal Analgesia for Orthopedic Surgery
Anesthesiology Clinics, 2018Pain control after orthopedic surgery is challenging. A multimodal approach provides superior analgesia with fewer side effects compared with opioids alone. This approach is particularly useful in light of the current opioid epidemic in the United States. Several new nonopioid agents have emerged into the market in recent years.
Eugene Viscusi +2 more
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Multimodal Analgesia and Intraoperative Neuromonitoring
Journal of Neurosurgical Anesthesiology, 2023Intraoperative neuromonitoring has been a valuable tool for ensuring the functional integrity of vital neural structures by providing real-time feedback to the operative team during procedures where neurological structures are at risk. Commonly used intravenous and inhaled anesthetic drugs are known to affect waveform parameters measured with various ...
Kan Ma, John F. Bebawy, Laura B. Hemmer
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Multimodal analgesia for craniotomy
Current Opinion in Anaesthesiology, 2019To explore the data for and against the use of the various components of multimodal analgesia in cranial neurosurgery.Postcraniotomy pain is a challenging clinical problem in that analgesia must be accomplished without affecting neurologic function (i.e. 'losing the neurologic exam'). The traditional approach with low-dose opioids is often insufficient
Vin Shen, Ban +2 more
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2018
Multimodal analgesia relies on the principle of administering different types of analgesic medications, which through an additive or synergistic effect can improve post-operative pain control. A multimodal analgesic approach allows a reduction in systemic opioid requirements and their associated adverse effects, with the ultimate goal of facilitating ...
Michelagnoli, G., Baldini, G.
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Multimodal analgesia relies on the principle of administering different types of analgesic medications, which through an additive or synergistic effect can improve post-operative pain control. A multimodal analgesic approach allows a reduction in systemic opioid requirements and their associated adverse effects, with the ultimate goal of facilitating ...
Michelagnoli, G., Baldini, G.
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Phosphorus Burn Management with Multimodal Analgesia
Journal of Special Operations Medicine, 2023We report the case of a patient suffering from a chemical burn caused by white phosphorus, for whom initial management required decontamination using multimodal analgesia. This case report should be familiar to other military emergency physicians and Tactical Emergency Medical Support for two reasons: 1) A phosphorus burn occurs from a chemical agent ...
Luc, Saint-Jean +3 more
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Is multimodal analgesia as effective as postoperative patient-controlled analgesia following upper extremity surgery? [PDF]
SummaryIntroductionThe present prospective study compared the clinical outcomes between a multimodal analgesia group and a patient-controlled analgesia (PCA) group for postoperative pain control in upper extremities surgery.HypothesisMultimodal analgesia
Lee, S.K., Lee, J.W., Choy, W.S.
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Multimodal analgesia and regional anaesthesia
Revista Española de Anestesiología y Reanimación (English Edition), 2017Multimodal analgesia provides quality analgesia, with fewer side effects due to the use of combined analgesics or analgesic techniques. Regional anaesthesia plays a fundamental role in achieving this goal. The different techniques of regional anaesthesia that include both peripheral and central blocks in either a single dose or in continuous infusion ...
C, Tornero Tornero +2 more
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2023
Abstract Multimodal analgesia refers to the use of medications with different mechanisms of action to provide analgesia. The combination of medications should promote analgesia while limiting unwanted side effects. While there has been widespread adoption of multimodal analgesia, evidence of its efficacy is conflicting.
Richard Lennertz, Kristin Bevil
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Abstract Multimodal analgesia refers to the use of medications with different mechanisms of action to provide analgesia. The combination of medications should promote analgesia while limiting unwanted side effects. While there has been widespread adoption of multimodal analgesia, evidence of its efficacy is conflicting.
Richard Lennertz, Kristin Bevil
openaire +1 more source

