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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (4): 658-663
in English | IMEMR | ID: emr-191294

ABSTRACT

Background: Proper postoperative pain management, which can be advanced using a multimodal approach, results in pain relief with minimal side effects. Newer recovery protocols, along with minimally invasive surgeries add to the better management of post-operative complication. Many factors play a role in failure of proper postoperative pain management, which mainly include insufficient education, fear of complications associated with analgesic drugs, poor pain assessment and inadequate staffing


Methodology: we conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE from January 1987 to March 2017. The following search terms were used: post-operative pain mechanism, post-operative pain management, non-opioid pain management


Aim of the work: In this study we aimed to understand the mechanism and the management of post-operative pain, along with shining some light upon the recent advances


Conclusion: Various combinations and modalities of pain management exist, and their use depends largely on the case, the patients, and their perception of pain. Enhanced recovery protocols have significantly improved perioperative and postoperative pain management, making the decrease in opioids need a priority

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (9): 1464-1467
in English | IMEMR | ID: emr-192678

ABSTRACT

Introduction: Pelvic inflammatory diseases [PID] is caused by infections in the female reproductive tract that includes pelvic peritoneum, ovaries, fallopian tubes, and the endometrium. These infections are commonly caused by Chlamydia trachomatis, Neisseria gonorrhea, or other sexually transmitted infections. 800,000 women get a diagnosis of pelvic inflammatory disease annually in the United States. PID usually causes irreversible damage to the reproductive tract, and treatment mainly depends on preventing further scarring or complications. Immediate broad spectrum antibiotics are indicated. Treatment can include hospitalization as well as surgery


Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, from January 1985 to February 2017. The following search terms were used: pelvic inflammatory diseases, pathogens causing pelvic inflammatory diseases, causes of infertility, treatment and diagnosis of pelvic inflammatory diseases


Aim: In this review, we aim to study the pathophysiology and etiology of pelvic inflammatory diseases, as well as to study the diagnosis, treatment, and possible complications of this condition


Conclusion: It is essential to raise the awareness and knowledge of females in general regarding PID and its symptoms, as early detection will significantly decrease the likelihood of severe complications. Other than infertility, complications of pelvic inflammatory disease include chronic pain. More research is needed in this field to improve management and care of patients suffering from this condition

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