scholarly journals A pilot study to evaluate the efficacy of PEC blocks in minimising chronic post-mastectomy pain

2021 ◽  
Vol 10 (2) ◽  
pp. 30
Author(s):  
Lisa Anne Sheehan ◽  
Greg Mark Britten ◽  
Sarah Elizabeth Clark

This small prospective pilot study of 17 patients evaluated the efficacy of PECS block in preventing both immediate and long term post-operative pain after mastectomy. It describes the technique for performing a PECS blockade and demonstrated very low pain scores in both the peri-operative period and at 6 months.


2020 ◽  
Author(s):  
Sergej Rot ◽  
Mamon Dweek ◽  
Pawel Gutowski ◽  
Leonie Goelz ◽  
Ullrich Meier ◽  
...  

Abstract Objectives: Measurement of intracranial pressure (ICP) plays an important role in long-term monitoring and neuro-intensive treatment of patients with a cerebral shunt. Currently, only two complete telemetric implants with different technical features are available worldwide. This prospective pilot study aims to examine patients who had both probes implanted at overlapping times for clinical reasons and represents the first in vivo comparison of both measurement methods.Materials and methods: Patients with a primary subarachnoid hemorrhage or a spontaneous intracerebral hemorrhage with ventricular hemorrhage who had received a telemetric ICP probe (Raumedic® NEUROVENT®-P-tel) were included in the study. Conventional external ventricular drainages (EVD) and ventriculoperitoneal shunts with a telemetric ICP probe (Miethke Sensor Reservoir) were implanted in patients with hydrocephalus who required CSF (cerebrospinal fluid) drainage. Absolute ICP values from all systems were obtained. Due to the overlapping implantation time, parallel ICP measurements were performed via two devices simultaneously. ICP measurements via the sensor reservoir were repeated after three and nine months. Differences between the absolute ICP values measured via the NEUROVENT®-P-tel probe, the Miethke sensor reservoir®, and the EVD were analyzed.Results: Seventeen patients were included in the present study between 2016 and 2018. 63% of all patients were male. In 11 patients the ICP measurements were followed up with both devices for 3 months. ICP measurements of the sensor reservoir showed corresponding trends in 9 cases compared to ICP measurement via the telemetry probe or EVD. Difference in absolute ICP values ranged between 14.5 mmHg and 0.0 mmHg. The average difference of the absolute ICP values in 8 cases was ≤ 3.5 mmHg.Conclusion: ICP measurements with both systems continuously showed synchronous absolute ICP values, however absolute values of ICP measurement with the different systems did not match.



2020 ◽  
Vol 17 (1) ◽  
Author(s):  
S. Rot ◽  
M. Dweek ◽  
P. Gutowski ◽  
L. Goelz ◽  
U. Meier ◽  
...  

Abstract Objectives Measurement of intracranial pressure (ICP) plays an important role in long-term monitoring and neuro-intensive treatment of patients with a cerebral shunt. Currently, only two complete telemetric implants with different technical features are available worldwide. This prospective pilot study aims to examine patients who had both probes implanted at overlapping times for clinical reasons and represents the first in vivo comparison of both measurement methods. Materials and methods Patients with a primary subarachnoid hemorrhage or a spontaneous intracerebral hemorrhage with ventricular hemorrhage who had received a telemetric ICP probe (Raumedic® NEUROVENT®-P-tel) were included in the study. Conventional external ventricular drainages (EVD) and ventriculoperitoneal shunts with a telemetric ICP probe (Miethke Sensor Reservoir) were implanted in patients with hydrocephalus who required CSF (cerebrospinal fluid) drainage. Absolute ICP values from all systems were obtained. Due to the overlapping implantation time, parallel ICP measurements were performed via two devices simultaneously. ICP measurements via the sensor reservoir were repeated after 3 and 9 months. Differences between the absolute ICP values measured via the NEUROVENT®-P-tel probe, the Miethke sensor reservoir®, and the EVD were analyzed. Results Seventeen patients were included in the present study between 2016 and 2018. 63% of all patients were male. In 11 patients the ICP measurements were followed up with both devices for 3 months. ICP measurements of the sensor reservoir showed corresponding trends in 9 cases compared to ICP measurement via the telemetry probe or EVD. Difference in absolute ICP values ranged between 14.5 mmHg and 0.0 mmHg. The average difference of the absolute ICP values in 8 cases was ≤ 3.5 mmHg. Conclusion ICP measurements with both systems continuously showed synchronous absolute ICP values, however absolute values of ICP measurement with the different systems did not match.



Gut ◽  
2007 ◽  
Vol 56 (4) ◽  
pp. 599-600 ◽  
Author(s):  
N. Oshitani ◽  
H. Yamagami ◽  
K. Watanabe ◽  
K. Higuchi ◽  
T. Arakawa




2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P82-P83
Author(s):  
Kenny Peter Pang ◽  
David J Terris

Objective To review the long-term results of the Modified Cautery Assisted Palatoplasty (ModCAP) procedure for the treatment of OSA. Methods Prospective non-randomized trial in 43 consecutive patients with OSA. All patients were >18 years old, type I Fujita, BMI <30, Friedman clinical stage II, with AHI from 1.0 to 30.0. The mean follow time was 32.4 months. The procedure involved an anterior soft palatal advancement technique with or without removal of the tonsils. The procedure was done under GA if the tonsils were removed as well, and done under LA if the tonsils were small or not present. Results There were 41 men and 2 women, the mean age was 39.2 years old (range of 21 to 49), mean BMI was 25.7 (range of 20.7 to 26.8). All patients had pre-operative PSG, only OSA patients had post-operative PSG repeated. There were 15 snorers and 28 OSA patients. The AHI improved in the patients with OSA, 25.3 ± 12.6 to 11.0 ± 9.9 (p<0.05). The overall success rate for this OSA group was 65.1% (at mean 32.4 months). The mean snore scores (VAS) improved from 8.4 to 3.5 (for all 43 patients). Post-operative pain scores were fairly low, from a range of 4.5 to 6.6 (at 5th POD). Lowest oxygen saturation also improved in all the OSA patients. Subjectively, all the patients felt less tired. Conclusions This technique has been shown to be effective in the management of patients with OSA and simple snoring.





2004 ◽  
Vol 46 (1) ◽  
pp. 108-113 ◽  
Author(s):  
Arndt van Ophoven ◽  
Gordon Rossbach ◽  
Frank Oberpenning ◽  
Lothar Hertle


1998 ◽  
Vol 73 (9) ◽  
pp. 848-854 ◽  
Author(s):  
Paul A. Friedman ◽  
Michael R.S. Hill ◽  
Stephen C. Hammill ◽  
David L. Hayes ◽  
Marshall S. Stanton


2020 ◽  
Author(s):  
Sergej Rot ◽  
Mamon Dweek ◽  
Pawel Gutowski ◽  
Leonie Goelz ◽  
Ullrich Meier ◽  
...  

Abstract Objectives: Measurement of intracranial pressure (ICP) plays an important role in long-term monitoring and neuro-intensive treatment of patients with a cerebral shunt. Currently, only two complete telemetric implants with different technical features are available worldwide. This prospective pilot study aims to examine patients who had both probes implanted at overlapping times for clinical reasons and represents the first in vivo comparison of both measurement methods. Materials and methods: Patients with a primary subarachnoid hemorrhage or a spontaneous intracerebral hemorrhage with ventricular hemorrhage who had received a telemetric ICP probe (Raumedic ® NEUROVENT ® -P-tel) were included in the study. Conventional external ventricular drainages (EVD) and ventriculoperitoneal shunts with a telemetric ICP probe (Miethke Sensor Reservoir) were implanted in patients with hydrocephalus who required CSF (cerebrospinal fluid) drainage. ICP values from all systems were obtained. Due to the overlapping implantation time, parallel ICP measurements were performed via two devices simultaneously. ICP measurements via the sensor reservoir were repeated after three, six and twelve months. Differences between the ICP values measured via the NEUROVENT ® -P-tel probe, the Miethke sensor reservoir ® , and the EVD were analyzed. Results: Sixteen patients were included in the present study between 2016 and 2018. 63% of all patients were male. In 11 patients the ICP measurements were followed up with both devices for 3 months. ICP measurements of the sensor reservoirs showed corresponding trends in 9 cases compared to ICP measurement via the telemetry probe or EVD. Difference in ICP values ranged between 14.5 mmHg and 0.0 mmHg. The average difference of the ICP values in 8 cases was ≤ 3.5 mmHg. Conclusion: ICP measurements with both systems continuously showed synchronous ICP values, however absolute values of ICP measurement with the different systems did not match.



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