Post-Operative Pain: Mechanisms and Management

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

Diagnostic imaging for blunt abdominal trauma

Background: Blunt abdominal trauma is a common cause of morbidity and mortality among patients encountering traumatic injuries, especially motor vehicle accidents, which are the leading cause of injury worldwide. Focused abdominal sonogram for trauma, computed tomography with or without contrast, and laparotomy are the most common ways of diagnosis and treatment. With advancement of diagnostic medicine, the physicians are making use of non-operative methods to achieve quick results quicker and with fewer complications

Methodology: We conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE, January 2001, through February 2017. The following search terms were used: blunt abdominal injury, FAST scan, US in abdominal trauma, CT for abdominal trauma, trauma management

Aim: In this review, we aimed at evaluating the various methods of diagnosis using imaging for blunt abdominal trauma

Conclusion: The growing tendency of non-operative management necessitates early identification of the injury sites, which is aided by the increasing sophistication of the CT techniques. Additionally, CT also provides a very significant method for following up the patients and for detecting complications which were not diagnosed initially