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Moreno Martin A.,FEA Anestesiologia y Reanimacion
Revista Internacional de Acupuntura | Year: 2012

Objective: To evaluate the effectiveness of electroacupuncture in the treatment of shoulder pain unresponsive to other treatments, both in reducing pain and in producing functional improvement. The effectiveness of this treatment in the long term, as well as adverse effects and the need for drugs, was also evaluated. Material and methods: We performed a prospective clinical trial in the Pain Unit of the Anesthesiology Service of the Hospital SAS de Jerez (Spain) during a 3-year period in patients diagnosed with shoulder pain who had failed previous treatments, including therapy with electroacupuncture on a series of local, analgesic and distal points. Pain was assessed by visual analogue scale (VAS) and UCLA scale was applied to evaluate the efficacy in terms of pain and functionality before and after treatment, at 6 months and 18 months. Results: Electroacupuncture was performed in 25 patients, 18 women (72%) and seven men (28%). The mean VAS score was 8 ± 0.8 before treatment and was 4 ± 2.1 at the end of treatment. The VAS score was 5 ± 1.9 at 6 months and 3.24 ± 2.1 at 18 months. Evaluation of functional improvement and movement through the UCLA scale showed that the patients were only able to perform light activities at the start of treatment but showed only slight restriction and were able to work above shoulder level at 6 months. Scores were similar at 18 months. Statistically significant differences between VAS, UCLA-pain and UCLA-function scores were found at the start of treatment and the remaining measurements (p <.001). Conclusions: Despite the limitations in of its design, this study shows that electroacupuncture could be an effective alternative in the treatment of shoulder pain. This modality improved pain and function and this effect was maintained throughout the 18-month study period. Additional well-designed clinical trials are required. Source


Cortinas-Saenz M.,FEA Anestesiologia y Reanimacion | Salmeron-Velez G.,FEA Cirugia Ortopedica y Traumatologia | Holgado-Macho I.A.,FEA Cirugia Ortopedica y Traumatologia
Revista Espanola de Cirugia Ortopedica y Traumatologia | Year: 2014

The sensory innervation of the hip joint is complex. The joint and sensory branch block of the obturator and femoral nerves is effective for treating the pain caused due to different hip diseases. This could be an option to be considered in certain circumstances such as, being a surgical-anaesthetic high risk, or if there is significant overweight, It could also be useful on other occasions if the traumatoligist considers that it is better to delay hip replacement for a limited period. © 2013 SECOT. Source


Cortinas M.,FEA Anestesiologia y Reanimacion | Martin T.M.,FEA Anestesiologia y Reanimacion | Vara C.,FEA Obstetricia y Ginecologia | Salmeron J.,FEA Anestesiologia y Reanimacion | Villalba F.G.,FEA Anestesiologia y Reanimacion
Clinica e Investigacion en Ginecologia y Obstetricia | Year: 2011

Visceral pain transmitted by fibers of the sympathetic nervous system in the perineal and pelvic area, whether of benign or malignant etiology, can be effectively treated with neurolysis of the ganglion of Walther, also known as the ganglion impar or sacrococcygeus ganglion. Other possible indications for this technique are shooting anal pain and enteritis. This blockade can rarely eliminate somatic pain or neuropathic features. After this technique has been performed, the required dose of opioid and non-opioid analgesic agents is usually substantially reduced, leading to relief of adverse effects and maximizing analgesic action. The performance of this percutaneous technique can be considered to be of low complexity and with minimal side effects. We describe five cases of pelvic, perineal and coccygeal pain of different etiologies and poor response to conventional drug treatment, as well as the response and clinical course of these patients after completion of ganglion impar blockade with radiofrequency, local anesthetics and phenol neurolysis. © 2010 Elsevier España, S.L. Source


Miramontes G.I.,FEA Anestesiologia y Reanimacion | Campos M.D.,FEA Anestesiologia y Reanimacion | Vazquez martinez A.,FEA Anestesiologia y Reanimacion | Garrido P.F.,FEA Anestesiologia y Reanimacion | And 2 more authors.
Archivos de Medicina | Year: 2011

Listeriosis is one of the most important diseases transmitted by food. The manifestations of the disease in humans include septicemia, meningitis and or encephalitis, usually preceded by symptoms similar to flu, including fever. In pregnant women, intrauterine or cervical infections can cause spontaneous abortions or stillbirths. Also Listeria monocytogenes has been associated with gastrointestinal manifestations with fever. Although the morbidity of listeriosis is relatively low, the mortality of systemic disease / encephalitic can be very high, with values close to 30%. We report a case of 37 weeks pregnant patient who after urgent cesarean section risk of onset of fetal welfare loss presents syndrome septic shock and adult respiratory distress secondary to listeriosis in which activated protein C was used in the postpartum period with good results. © Copyright iMedPub. Source

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