The groin cannula: effective pain relief for fractured neck of femur.

SummaryAlthough the oral anticoagulants provide effective prophylaxis against postoperative deep vein thrombosis following fracture of neck of femur there is a need for an antithrombotic agent which needs less laboratory control and does not cause haemorrhagic complications. It has been suggested that drugs causing inhibition of platelet function may fulfil these requirements. A controlled trial was carried out in which aspirin, RA 233, or a combination of these drugs was compared with a placebo in the prevention of post-operative deep vein thrombosis. In thirty patients undergoing surgery for fractured neck of femur the incidence of post-operative calf vein thrombosis, as detected by 125I-fibrinogen scanning, was not significantly different between the untreated and treated groups.

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How I Do It: Use of Celecoxib for Effective Pain Relief After Hair Transplantation

International Society of Hair Restoration Surgery ◽

10.33589/24.6.0211 ◽

2014 ◽

Vol 24 (6) ◽

pp. 211-211 ◽

Cited By ~ 1

Author(s):

Farhad Rejali

Keyword(s):

Pain Relief ◽

It Use ◽

Hair Transplantation ◽

Effective Pain Relief

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NICE AND SIMPLE: IMPROVING THE DELIVERY OF ANALGESIA PRESCRIBING WITH SIMPLIFIED STANDARDISED CHARTS IN FRACTURED NECK OF FEMUR PATIENTS

10.26226/morressier.598b05d9d462b80290b53809 ◽

2017 ◽

Author(s):

Mohammed Qureshi

Keyword(s):

Fractured Neck Of Femur ◽

Neck Of Femur

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Applying a Sensing-Enabled System for Ensuring Safe Anterior Cingulate Deep Brain Stimulation for Pain

Brain Sciences ◽

10.3390/brainsci9070150 ◽

2019 ◽

Vol 9 (7) ◽

pp. 150 ◽

Cited By ~ 5

Author(s):

Yongzhi Huang ◽

Binith Cheeran ◽

Alexander L. Green ◽

Timothy J. Denison ◽

Tipu Z. Aziz

Keyword(s):

Deep Brain Stimulation ◽

Pain Relief ◽

Brain Stimulation ◽

Brain Activity ◽

Anterior Cingulate ◽

Chronic Therapy ◽

Provide Pain Relief ◽

Surgical Options ◽

Effective Pain Relief ◽

Deep Brain

Deep brain stimulation (DBS) of the anterior cingulate cortex (ACC) was offered to chronic pain patients who had exhausted medical and surgical options. However, several patients developed recurrent seizures. This work was conducted to assess the effect of ACC stimulation on the brain activity and to guide safe DBS programming. A sensing-enabled neurostimulator (Activa PC + S) allowing wireless recording through the stimulating electrodes was chronically implanted in three patients. Stimulation patterns with different amplitude levels and variable ramping rates were tested to investigate whether these patterns could provide pain relief without triggering after-discharges (ADs) within local field potentials (LFPs) recorded in the ACC. In the absence of ramping, AD activity was detected following stimulation at amplitude levels below those used in chronic therapy. Adjustment of stimulus cycling patterns, by slowly ramping on/off (8-s ramp duration), was able to prevent ADs at higher amplitude levels while maintaining effective pain relief. The absence of AD activity confirmed from the implant was correlated with the absence of clinical seizures. We propose that AD activity in the ACC could be a biomarker for the likelihood of seizures in these patients, and the application of sensing-enabled techniques has the potential to advance safer brain stimulation therapies, especially in novel targets.

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102 Peer Teaching in Hip Fracture: Responding to the Medical Needs of Surgical Patients and Educational Needs of Junior Doctors

British Journal of Surgery ◽

10.1093/bjs/znab134.114 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

N Jones ◽

J Francis ◽

R Parikh ◽

M Shaath

Keyword(s):

Metastatic Cancer ◽

Vascular Complications ◽

Educational Programme ◽

Junior Doctors ◽

Fractured Neck Of Femur ◽

Neck Of Femur ◽

Teaching Programme ◽

Medical Needs ◽

Strongly Agree ◽

Case Based

Abstract Introduction Fractured Neck of Femur (FNOF) patients are complex. A mortality project identified topics for a peer-led teaching programme. Method Eight bite-sized case-based sessions were devised, to provide a framework to approach the following topics: Anaemia, delirium/dementia, ECG abnormalities, metastatic cancer, osteoporosis, renal disease, respiratory disease, and vascular complications. Attendees were asked to complete pre- and post- teaching programme questionnaires using a Likert Scale to indicate agreement with statements relating to the topic areas chosen (1=strongly disagree and 5=strongly agree). Result Pre-programme questionnaire: respondents were neutral (average 3.04) when asked whether topic areas were currently “well managed”. Attendees lacked confidence, indicating preparedness as neutral (average 3.35). Trainees agreed that they would benefit from teaching (average 4.56). Post-programme questionnaire: increased confidence was reported when considering preparedness (average 4.3). Attendees felt the teaching programme was “accessible” and the “topics well-chosen”. 100% of attendees regarded the teaching as ‘excellent’ or ‘very-good’. Conclusions Matching patient needs to an educational programme is important. The “bite-sized” nature of the programme paired with case-based learning increased confidence. A peer-led teaching programme is a positive response to themes emerging from morbidity and mortality reviews.

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