Professor Narinder Rawal, MD, PhD, FRCA (Hon) - AKUTNE.CZ

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Regional anaesthesia* and chronic postsurgical painRA is beneficial• Hysterectomy• ThoracotomyBrandsborg 2007Richardson 1994Obata 1999Senturk 2002Tiippana 2003• C. Section Nikolajsen 2004• Iliac crest bone harvesting• Breast surgeryNo benefit of RA• Inguinal hernia• Gyn. Surgery• Hand surgery• Thoracotomy* Preemtive RA is also controversial for phantom painReuben 2001Kairaluoma 2006Kalliomäki 2008Katz 2004McCartney 2004Ochroch 2002
Analgesic methods for prevention of chronicpostsurgical pain• Gabapentin• KetamineFassoulaki 2005Fassoulaki 2007Katz 2004Wilson 2008
Page 1 and 2: Professor Narinder Rawal, MD, PhD,
Page 3 and 4: 1. Local and systemic chemicals dri
Page 5 and 6: Chronic postsurgical painGenetic pr
Page 7 and 8: It´s not only nerve damage"Damage
Page 9 and 10: Persistent postsurgical pain - role
Page 11: Non-opioid opioid analgesic techniq
Page 14 and 15: Anesth Analg 2006;102:248-57 19 RCT
Page 18 and 19: Rowbotham D J Improves quality of o
Page 20 and 21: Anesth Analg 2004;99:482-9595 37 RC
Page 23: NewsweekApril 14, 2008
Page 27 and 28: About 55 000 unnecessary C. Section
Page 29 and 30: APS - Örebro modelPre-set goals•
Page 31 and 32: To summarize...
Page 34 and 35: Chronic postsurgical painGenetic pr
Page 36 and 37: Persistent postsurgical painSummary
Page 40 and 41: RCT, colon surgery, n = 85, 72 hour
Page 42: Brennan T J, Kehlet HIn summary…

Professor Narinder Rawal, MD, PhD, FRCA (Hon) - AKUTNE.CZ

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