Surgical management for chronic pain
Publication date: Available online 27 June 2019Source: Surgery (Oxford)Author(s): Robert Lyons, Kiran K. KonetiAbstractChronic pain in the UK affects up to 43% of the population. The consequences include physical and psychological distress, loss of function, employment, family and social strain and increased utilisation of healthcare services. Modern pain management services operate across primary, secondary and tertiary care and incorporate general practitioners, psychologists, physiotherapists, pharmacists, specialist nurses, pain physicians and surgeons. This allows for a coordinated approach to chronic pain, engaging t...
Source: Surgery (Oxford) - June 28, 2019 Category: Surgery Source Type: research
Consent: assessing and communicating risk
Publication date: Available online 27 June 2019Source: Surgery (Oxford)Author(s): Rachel Horner, Catherine RimmerAbstractThe consent process is a cornerstone of the patient–doctor relationship. It can be a complex process presenting challenges to both doctor and patients due to the interaction of multiple different factors, including ethical and legal considerations. Ensuring the patient has informed consent requires a through understanding of the risks of an intervention for a particular patient; therefore risk assessment is of fundamental importance. Accurate risk assessment can be done through assessment of individual...
Source: Surgery (Oxford) - June 27, 2019 Category: Surgery Source Type: research
Anaemia and blood transfusion: incorporating patient blood management
Publication date: Available online 13 June 2019Source: Surgery (Oxford)Author(s): Sean R. Bennett, Mahasen Al HarbiAbstractBoth red blood cell (RBC) transfusion and anaemia or low haematocrit increase morbidity and mortality associated with surgery. Chronic anaemia in the elective patient carries a small risk in non-haemorrhagic surgery. Where bleeding is anticipated anaemia should be treated medically to avoid (RBC) transfusion which will increase the risk to the patient. Major bleeding (MB) has the biggest impact on adverse outcomes. Acute anaemia is caused by surgical bleeding and requires RBC transfusion to keep the ha...
Source: Surgery (Oxford) - June 13, 2019 Category: Surgery Source Type: research
Premedication and management of concomitant therapy
This article summarizes current recommendations with regard to premedication and concomitant medication. (Source: Surgery (Oxford))
Source: Surgery (Oxford) - June 13, 2019 Category: Surgery Source Type: research
Management of acute pain
Publication date: Available online 7 June 2019Source: Surgery (Oxford)Author(s): David Hay, Vanessa NesbittAbstractAcute pain is a common feature in the presentation of surgical and traumatic pathology and in postoperative patients. In pathological presentations acute pain may have a protective role serving as a warning sign, with muscle spasm helping to limit movement and prevent further injury. Acute postoperative pain can hinder recovery due to limited mobility and may lead to a range of complications, increasing patient morbidity and mortality. Timely and effective management of acute pain is therefore imperative. An a...
Source: Surgery (Oxford) - June 9, 2019 Category: Surgery Source Type: research
