The aim of this study was to examine and compare the efficacy and safety of combining strong opioids (transdermal fentanyl) with weak opioids (codeine or tramadol) for the management of severe cancer pain. Forty six patients (25 male / 21 female) aged 42-80 years were studied. According to an eleven-grade numeric rating scale (NRS; 0 = no pain, 10 = severe pain), they all had severe steady pain intensity greater than 5 (NRS >5) despite treatment with weak opioids and adjuvant drugs, as proposed by the 2nd step of the World Health Organization (WHO) analgesic ladder, at the maximum tolerated doses.
Continue readingThe scope of this study was to investigate if changing the direction of the Whitacre 26G needle aperture in regional anaesthesia during planned caesarean section produces a difference in the dose-response curves of the level of subdural blockade achieved by ropivacaine 0.75% and a standard dose of opioid. One hundred and twenty healthy parturients were blindly randomised in two groups, with 5 subgroups of 12 women each.
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We present two cases of pregnant women with placenta percreta invading the bladder, along with a short review of the literature. The two women sustained early and late major haemorrhagic complications requiring massive transfusion (up to 142 PRBC and 353 blood product units) and urgent reoperation. They were both treated in the ICU and discharged in good state.
Continue readingΗ διασωλήνωση της τραχείας είναι μία από τις σημαντικότερες αναισθησιολογικές πράξεις στο να εξασφαλίζει τη βατότητα και τη στεγανότητα των ανωτέρων αεροφόρων οδών. Τα λήμμα διασωλήνωση αναφέρεται στο λεξικό το Γ. Μπαμπινιώτη και χαρακτηρίζεται σαν «εισαγωγή ελαστικού σωλήνα σε όργανο ή φυσική κοιλότητα πχ η εισαγωγή ελαστικού σωλήνα στην τραχεία»[1]
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