Alternative Treatments for Local Anesthetic Systemic Toxicity: Therapeutic Hypothermia After Bupivacaine-Induced Cardiac Arrest

Feb 26, 2018 by in Uncategorized Comments Off on Alternative Treatments for Local Anesthetic Systemic Toxicity: Therapeutic Hypothermia After Bupivacaine-Induced Cardiac Arrest

Medical history Preoperative assessment CHF EKG—sinus rhythm with occasional premature ventricular complexes Mixed connective tissue disease Echocardiogram—severe decrease in LV function (LVEF 21%); severely dilated left ventricle, left atrium (no…

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Spinal Infarct After Lumbar Transforaminal Epidural Steroid Injection

Feb 26, 2018 by in Uncategorized Comments Off on Spinal Infarct After Lumbar Transforaminal Epidural Steroid Injection

© Springer International Publishing AG 2018Magdalena  Anitescu, Honorio T. Benzon and Mark S. Wallace (eds.)Challenging Cases and Complication Management in Pain Medicinehttps://doi.org/10.1007/978-3-319-60072-7_14 14. Spinal Infarct After Lumbar Transforaminal Epidural Steroid Injection Khalid M. Malik1   (1) Department of…

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Cardiac Dysrhythmia After Lidocaine Infusion

Feb 26, 2018 by in Uncategorized Comments Off on Cardiac Dysrhythmia After Lidocaine Infusion

Inhibitors Inducers Quinidine Phenobarbital Cimetidine St. John’s wort Ketoconazole Phenytoin Fluconazole Carbamazepine Metronidazole Rifampin Grapefruit juice Cigarette smoking Erythromycin Pioglitazone Paroxetine Oxcarbazepine Fluoxetine  Amiodarone  Simvastatin  7.2.3 Factors Increasing Lidocaine Toxicity…

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The Difficult Pain Patient

Feb 26, 2018 by in Uncategorized Comments Off on The Difficult Pain Patient

Type Identifying features Treatment strategies Dependent clinger Escalating need for reassurance and over time becomes more helpless Set limits with realistic expectations Entitled demanders Initially present as needy but soon…

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Torsades de Pointes After Methadone Treatment

Feb 26, 2018 by in Uncategorized Comments Off on Torsades de Pointes After Methadone Treatment

Inhibitors Inducers Quinidine Phenobarbital Cimetidine St. John’s wort Ketoconazole Phenytoin Fluconazole Carbamazepine Metronidazole Rifampin Grapefruit juice Cigarette smoking Erythromycin Pioglitazone Paroxetine Oxcarbazepine Fluoxetine  Amiodarone  Simvastatin  5.2.3 Safety Warnings In 2006,…

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A Case of Serotonin Syndrome in a Patient Receiving Epidural Steroid Injection for Chronic Low Back Pain

Feb 26, 2018 by in Uncategorized Comments Off on A Case of Serotonin Syndrome in a Patient Receiving Epidural Steroid Injection for Chronic Low Back Pain

Mechanism of action Drug category Drug Reuptake inhibition Antidepressant  • SSRI Fluoxetine, paroxetine, sertraline, citalopram, escitalopram • SNRI Venlafaxine, desvenlafaxine, duloxetine • DNRI Bupropion • TCA Amitriptyline, nortriptyline, clomipramine, desipramine, doxepin • Serotonin modulator Trazodone…

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