International Journal of Anesthesiology & Pain Medicine is an open access journal that publishes peer-reviewed scientific and clinical studies to advance the understanding and clinical application of regional techniques for surgical anesthesia and post operative analgesia. Coverage includes intraoperative regional techniques, perioperative pain, chronic pain, obstetric anesthesia, pediatric anesthesia, outcome studies, and complications. The journal has a special interest in all forms of research pertaining to ultrasound-guided regional anesthesia and to education in regional anesthesia and pain medicine.
Anesthesia enables the painless performance of procedures that would cause severe or intolerable pain to an anesthetized patient. Anesthesia is an integral and important part of any major surgical procedure. Established medical guidelines are available for local and general anesthesia. Various factors are important during application of anesthesia protocol where patient’s age, exact disease condition etc. should be considered with care.
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The branch of medicine specializing in the use of drugs or other agents that cause insensibility to pain. The medical specialty concerned with the pharmacological, physiological, and clinical basis of anesthesia, including resuscitation, intensive respiratory care, and pain management.
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Obstetric anesthesia is science and art combined, and obstetric anesthesiologists must be concerned simultaneously with the lives of (at least two) intricately interwoven patients - the mother and her baby (ies). Obstetric anesthesia, by definition, is a subspecialty of anesthesia devoted to peripartum, perioperatvie, pain and anesthetic management of women during pregnancy and the puerperium. Perhaps no other subspecialty of anesthesiology provides more personal gratification than the practice of obstetric anesthesia. An obstetric anesthesiologist has become an essential member of the peripartum care team, who closely works with the obstetrician, perinatologist, midwife, neonatologist and labor and delivery nurse to ensure the highest quality care for the pregnant woman and her baby.
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Analgesia & Resuscitation : Current Research, Obstetric Anesthesia, Obstetric Anesthesia Digest, International Journal of Obstetric Anesthesia, Journal of Obstetric Anaesthesia and Critical Care, Acta Anaesthesiologica Taiwanica, Advances In Anesthesia, Ambulatory Anesthesia Emergency Sedation and Pain Management
According to Miller, pharmacologic agents with the potential to increase intraocular pressure include succinylcholine, ketamine, and nitrous oxide. The increase after SCh peaks by 4 minutes and resolves by 6 minutes. Data regarding the attenuation of this increase following precurarization are mixed. Libonati et al. administered SCh to 73 patients with penetrating eye injuries and reported no loss of global contents. Conversely, volatile anesthetics and intravenous opioids may decrease intraocular pressure.
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Anaesthesia & Intensive Care Medicine, Anaesthesia and Analgesia, Annals of Cardiac Anesthesia, British Journal of Anesthesia, Edorium Journal of Anesthesia, Journal of Anesthesia & Critical Care: Open Access, Journal of Anesthesia and Surgery, Saudi Journal of Anesthesia, Veterinary Anaesthesia and Analgesia
Systemic absorption of LA is determined by site of injection, dosage and volume, addition of vasoconstricting additives, and pharmacologic profile of LA. Blood levels after injection of LA are highest for intercostal blocks > caudal> epidural> brachial plexus> sciatic/femoral> subcutaneous. (See table below.) The more vascular the region the higher the blood levels after injection. The addition of vasoconstrictors, like epinephrine, will lower the potential systemic toxicity of LA. Recommendations on maximal doses of LAs commonly found in pharmacology texts are not directly applicable to the practice of regional anesthesia. Any recommendation on the maximal doses can be valid only in reference to a specific nerve block procedure.
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Regional Anesthetic Anesthesia & Clinical Research, Journal of Local and Regional Anesthesia, American Society of Regional Anesthesia and Pain Medicine, Techniques in Regional Anesthesia and Pain Management, Regional Anesthesia and Pain Medicine, Indian Journal of Anesthesia, Essentials of Regional Anesthesia, Journal of Japan Society for Clinical Anesthesia, Minerva Anestesiologica, Paediatric Anesthesia
Caudal anesthesia is very safe, can be used to provide peri- and postoperative analgesia, can be sole anesthetic or can be combined with general anesthesia. Anesthesia and analgesia below the umbilicus – the very young a caudal block may be adequate to carry out urgent procedures such as reduction of incarcerated hernias -superficial operations such as skin grafting, perineal procedures, and lower limb surgery. GA may be required in addition Pain relief will extend into the post operative period. The duration of the block can been prolonged by the addition of an opiate (pethidine 0.5 mg/kg) to the local anaesthetic. b. Obstetric analgesia for the 2nd stage or instrumental deliveries.
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Ameriacan Journal of Surgery, Pediatric Anesthesia and Critical Care, Journal of Anaesthesia Practice, Journal of Cardiothoracic Anesthesia, Journal of Dental Anesthesia and Pain Medicine, Journal of the Analgesics, Regional Anesthesia and Pain Management, The Egyptian Journal of Cardiothoracic Anesthesia
Cerclage, or surgical reinforcement of the cervix, is primarily used to prevent preterm birth in patients with cervical insufficiency. Cerclage is most often performed transvaginally, either the McDonald or the more invasive Shirdokar though transabdomianl cerclage can be performed if there is insufficient cervical tissue for transvaginal cerclage or if prior transvaginal cerclage has failed. The major risk for cerclage is rupture of fetal membranes. Cerclage can be placed primarily (prophylactically) before pregnancy or before observed cervical change, secondarily (when cervical changes are noted), or emergently (often for exposed fetal membranes).
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Anesthesiologists in particular need to be aware that studies indicate that many patients with DNR orders in their charts (up to 46%) may be unaware that the order exists, even when they are competent. Documentation of discussion of DNR orders with the patient or appropriate surrogates must take place; anesthesiologists and surgeons should nevertheless approach the patient about to undergo surgery with sensitivity to the fact that they may be unaware of their DNR order. If this proves to be the case, a full discussion of the DNR order should be undertaken prior to proceeding.
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Anesthesia & Analgesia, Canadian Journal of Anesthesia, Best Practice and Research In Clinical Anaesthesiology, Continuous Sedation At The End of Life, Global Anesthesia and Perioperative Medicine, Indian Journal of Thoracic and Cardiovascular Surgery, Journal of Anesthesia, Journal of Perianesthesia Nursing, Manual of Local Anesthesia In Dentistry
Spinal anaesthesia is one of the most popular and widely used anaesthetic procedures. It is a simple, cost effective and efficient technique that provides complete sensory and motor block, as well as postoperative analgaesia with a high success rate. Several advantages of spinal anaesthesia include a decreased incidence of deep vein thrombosis, reduced intraoperative blood loss, as well as the prevention of pulmonary aspiration in case of emergency, especially in patients with potential airway problems and known respiratory diseases.
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Acta Anaesthesiologica Scandinavica, Anaesthesia and Intensive Care, Complications of Regional Anesthesia, Handbook of Nitrous Oxide and Oxygen Sedation, Oral Sedation for Dental Procedures In Children, Pediatric Anesthesia and Critical Care Journal, Pediatric Sedation Outside of The Operating Room, Tumescent Local Anesthesia, Turkish Journal of Anesthesia and Reanimation
In addition to abuse of IV agents, including propofol, [Wischmeyer et al], abuse of volatile agents has also been documents [Zacny and Galinkin]. It is estimated that the incidence of substance abuse among physicians is 2.1% annually (or 7.9% over one’s lifetime) [Hughes]. Drug abuse in anesthesiologists is estimated to be between 1 and 2% [Ward et al, Gravenstein et al, Menk et al]. That said, anesthesiologists comprise a disproportionate percentage of physicians in treatment centers, likely because they either a) are more likely to be reported b) are more likely to self-report or c) have access to more potent pharmacologic agents (in general, there is an inverse relationship between drug potency and time to discovery).
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In medicine pain relates to a sensation that hurts. If you feel pain it hurts, you feel discomfort, distress and perhaps agony, depending on the severity of it. Pain can be steady and constant, in which case it may be an ache. It might be a throbbing pain - a pulsating pain. The pain could have a pinching sensation, or a stabbing one.
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Journal of Pain & Relief, PAIN®, Journal of Sports Medicine & Doping Studies, Journal of Anesthesia & Clinical Research, General Medicine: Open Access, Journal of Intensive and Critical Care, British Journal of Pain, The Journal of Pain, Journal of Pain Research, European Journal of Pain
Pain management can be simple or complex, depending on the cause of the pain. An example of pain that is typically less complex would be nerve root irritation from a herniated disc with pain radiating down the leg. This condition can often be alleviated with an epidural steroid injection and physical therapy. Sometimes, however, the pain does not go away. This can require a wide variety of skills and techniques to treat the pain.
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Molecular pain is a relatively new and rapidly expanding research field that represents an advanced step from conventional pain research. Molecular pain research addresses physiological and pathological pain at the cellular, subcellular and molecular levels.
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Molecular Pain, Journal of Pain & Relief, Journal of Anesthesia & Clinical Research, Sedation, Seminars In Cardiothoracic and Vascular Anesthesia, Small Animal Regional Anesthesia and Analgesia, Southern African Journal of Anaesthesia and Analgesia, Illustrated Manual of Regional Anesthesia, New Aspects in Regional Anesthesia
A pediatric anesthesiologist is a fully trained anesthesiologist who has completed at least 1 year of specialized training in anesthesia care of infants and children. Most pediatric surgeons deliver care to children in the operating room along with a pediatric anesthesiologist.
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Current Pediatrics, Pediatric Anesthesia, Pediatric Anesthesia and Critical Care Journal PACCJ, Frontiers in Pediatrics, Clinical Pediatrics & Dermatology, Clinical Pediatrics: Open Access, Pediatrics & Therapeutics, Interventional Pediatrics & Research, Journal of Pediatric Care
Anesthesia is an integral and important part of any major surgical procedure. With time and gained knowledge this term has become a sub discipline of medical science. Established medical guidelines are available for local and general anesthesia. Various factors are important during application of anesthesia protocol where patient’s age, exact disease condition etc. should be considered with care.
Related Journals of Clinical Anesthesia
Journal of Anesthesia & Clinical Research, Journal of Pain & Relief, Journal of Sports Medicine & Doping Studies, General Medicine: Open Access, Journal of Intensive and Critical Care, Pediatric Anesthesia and Critical Care, Journal of Anaesthesia Practice, Journal of Cardiothoracic Anesthesia, Journal of Dental Anesthesia and Pain Medicine, Journal of the Analgesics
An analgesic or painkiller is any member of the group of drugs used to achieve analgesia, relief from pain. Analgesic drugs act in various ways on the peripheral and central nervous systems. Analgesics are a class of drugs that relieve pain without causing the loss of consciousness, as explained in the Spine-health glossary.
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Somatic Pain - a type of nociceptive pain. Pain felt on the skin, muscle, joints, bones and ligaments is called somatic pain. The term musculo-skeletal pain means somatic pain. The pain receptors are sensitive to temperature (hot/cold), vibration, and stretch (in the muscles). They are also sensitive to inflammation, as would happen if you cut yourself, sprain something that causes tissue damage.
Related Journals of Somatic Pain
Journal of Pain & Relief, Journal of Sports Medicine & Doping Studies, General Medicine: Open Access, Journal of Intensive and Critical Care, British Journal of Pain, The Journal of Pain, Journal of Pain Research, PAIN®, Journal of Anesthesia & Clinical Research
Nerve pain is also known as neuropathic pain. It is a type of non-nociceptive pain. It comes from within the nervous system itself. People often refer to it as pinched nerve, or trapped nerve. The pain can originate from the nerves between the tissues and the spinal cord (peripheral nervous system) and the nerves between the spinal cord and the brain (central nervous system, or CNS).
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Journal of Anesthesia & Clinical Research, Journal of Pain & Relief, Journal of the Peripheral Nervous System, Journal of Neurological Disorders, British Journal of Pain, Journal of Neuropathic Pain & Symptom Palliation, American Academy of Pain Medicine, The Journal of Pain, Journal of Pain Research
Author(s): Nasibova EM
Author(s): Geetha Lakshminarasimhaiah
Author(s): Nissar Shaikh, Mohamed Alkhayarin, AR Raju Vegesna and Syed Imran Ghouri
Author(s): Shahid Adalat Chaudhry, Sadia Fahim and Aurooj Fatima
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