Anaesthesia

Effective Perioperative Pain Control Reduces Hyperalgesia

Effective Perioperative Pain Control Reduces Hyperalgesia – MM1504

Pain arising from impending or actual tissue injury has an important physiological role, protecting the body from injury and promoting healing once injury has occurred. However, if pain persists in the absence of ongoing nociceptive input from the periphery, or exceeds the pain normally caused by ongoing nociceptive input, it loses its physiological function. Pain of this nature is therefore called maladaptive or dysfunctional pain. Dysfunctional pain is thought to arise from altered processing of nociceptive information in the central nervous system.

Modern Medicine – April 2015

Causes of Failed Spinal Anaesthesia

Causes of Failed Spinal Anaesthesia – MM1502

Spinal (subarachnoid or intrathecal) anaesthesia has been regarded as one of the most reliable types of block methods, although the possibility of failure is well known. Knowing that spinal anaesthesia can fail requires the technique to be performed in a way that minimises the risk. Awareness of the possible mechanisms of failure can help to avoid them. This review looks at some of the mechanisms that can lead to failure.

Modern Medicine – February 2015

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