In treating superior laryngeal neuralgia （SLN）, superior laryngeal nerve blocks （SLNBs） can provide immediate relief of persistent pain. Although SLNB was effective, the procedure can increase the risks due to the...In treating superior laryngeal neuralgia （SLN）, superior laryngeal nerve blocks （SLNBs） can provide immediate relief of persistent pain. Although SLNB was effective, the procedure can increase the risks due to the proximity to the carotid artery, external vein, and other vessels. To avoid complications such as advertent intravascular injection, local anesthetic toxicity from intravascular absorption, and intratracheal injection, we successfully blocked the superior laryngeal nerve under ultrasound guidance in three patients suffering from SLN. The written informed consent before treatment was obtained for each patient participating in this study.展开更多
Background： The current pain assessment methods are strongly subjective and easily affected by outside influences, and there is an urgent need to develop a reliable objective and quantitative pain-monitoring indicato...Background： The current pain assessment methods are strongly subjective and easily affected by outside influences, and there is an urgent need to develop a reliable objective and quantitative pain-monitoring indicator. The aim of this study was to evaluate the feasibility of using Pain index （Pi） to assess pain symptoms in pain patients. Methods： Subjects were enrolled from patients seeking treatment at Pain Medicine Center of China Medical University Aviation General Hospital from October 2015 to December 2016, such as postherpetic neuralgia, spinal cord injury, femoral head necrosis, lumbar disc herniation, trigeminal neuralgia, complex regional pain syndrome, pefineal pain, phantom limb pain, etc., （pain group, n = 111）, as well as healthy volunteers without subjective pain （control group, n = 100）. The subjective pain symptoms in pain patients were evaluated by Pi and visual analogue scale/numerical rating scales （VAS/NRS）, respectively, and the relationship between them was analyzed using single factor correlation analysis and multiple factor regression analysis. Results： Pi levels in the pain group were significantly higher than those of the control group （t= 6.273, P 〈 0.001 ）, the correlation analysis of Pi and VAS/NRS score in the pain group showed that the Pearson correlation coefficient was 0.797 （P 〈 0.001）; After adjusted for types of pain, pain sites, medication, gender, and age, Pi was found to be independently correlated to VAS/NRS score （P 〈 0.001）. Conclusions： Pi significantly correlates with VAS/NRS score, might be used to evaluate the subjective pain symptoms in patients and has good research and application value as an objective pain assessment tool.展开更多
INTRODUCTION The cisterna magna is a space lying between the cerebellum and medulla oblongata that is important in collecting cerebral spinal fluid （CSF） in some patients with contraindication or the impossibility o...INTRODUCTION The cisterna magna is a space lying between the cerebellum and medulla oblongata that is important in collecting cerebral spinal fluid （CSF） in some patients with contraindication or the impossibility of lumbar puncture and in intrathecal administration medication infusion.展开更多
To the Editor： A 54-year-old woman with no significant history of a headache or hypertension underwent epidural oxygen-ozone injection at a concentration of 30ug/ml （3 ml） for cervical disc herniation at cervical v...To the Editor： A 54-year-old woman with no significant history of a headache or hypertension underwent epidural oxygen-ozone injection at a concentration of 30ug/ml （3 ml） for cervical disc herniation at cervical vertebra （C6-C7） level. Throughout the procedure, the routine monitorings of blood pressure, heart rate, and blood oxygen saturation were perfomled. One minute following the end of the injection, tile patient developed a high-intensity headache mimicking symptoms of a ruptured cerebral aneurysm. The patient described the location of a headache as present in the l^ontoparietal and occipital areas accompanied by nausea and vomiting. The presumptive diagnosis of inadvertent epidural puncture was made. The patient was immediately treated oxygen therapy and bed rest. Monitoring showed vital signs of blood pressure （149/83 mmHg）, heart rate （86 beats/min）, pulse oxygen saturation （SpO2, 96%）, blood sugar （6.3 mmol/L）, and body temperature （36.6℃）. Subsequently, metoclopramide 10 mg and midazolam 1 mg were injected intravenously.展开更多
文摘In treating superior laryngeal neuralgia （SLN）, superior laryngeal nerve blocks （SLNBs） can provide immediate relief of persistent pain. Although SLNB was effective, the procedure can increase the risks due to the proximity to the carotid artery, external vein, and other vessels. To avoid complications such as advertent intravascular injection, local anesthetic toxicity from intravascular absorption, and intratracheal injection, we successfully blocked the superior laryngeal nerve under ultrasound guidance in three patients suffering from SLN. The written informed consent before treatment was obtained for each patient participating in this study.
文摘Background： The current pain assessment methods are strongly subjective and easily affected by outside influences, and there is an urgent need to develop a reliable objective and quantitative pain-monitoring indicator. The aim of this study was to evaluate the feasibility of using Pain index （Pi） to assess pain symptoms in pain patients. Methods： Subjects were enrolled from patients seeking treatment at Pain Medicine Center of China Medical University Aviation General Hospital from October 2015 to December 2016, such as postherpetic neuralgia, spinal cord injury, femoral head necrosis, lumbar disc herniation, trigeminal neuralgia, complex regional pain syndrome, pefineal pain, phantom limb pain, etc., （pain group, n = 111）, as well as healthy volunteers without subjective pain （control group, n = 100）. The subjective pain symptoms in pain patients were evaluated by Pi and visual analogue scale/numerical rating scales （VAS/NRS）, respectively, and the relationship between them was analyzed using single factor correlation analysis and multiple factor regression analysis. Results： Pi levels in the pain group were significantly higher than those of the control group （t= 6.273, P 〈 0.001 ）, the correlation analysis of Pi and VAS/NRS score in the pain group showed that the Pearson correlation coefficient was 0.797 （P 〈 0.001）; After adjusted for types of pain, pain sites, medication, gender, and age, Pi was found to be independently correlated to VAS/NRS score （P 〈 0.001）. Conclusions： Pi significantly correlates with VAS/NRS score, might be used to evaluate the subjective pain symptoms in patients and has good research and application value as an objective pain assessment tool.
文摘INTRODUCTION The cisterna magna is a space lying between the cerebellum and medulla oblongata that is important in collecting cerebral spinal fluid （CSF） in some patients with contraindication or the impossibility of lumbar puncture and in intrathecal administration medication infusion.
文摘To the Editor： A 54-year-old woman with no significant history of a headache or hypertension underwent epidural oxygen-ozone injection at a concentration of 30ug/ml （3 ml） for cervical disc herniation at cervical vertebra （C6-C7） level. Throughout the procedure, the routine monitorings of blood pressure, heart rate, and blood oxygen saturation were perfomled. One minute following the end of the injection, tile patient developed a high-intensity headache mimicking symptoms of a ruptured cerebral aneurysm. The patient described the location of a headache as present in the l^ontoparietal and occipital areas accompanied by nausea and vomiting. The presumptive diagnosis of inadvertent epidural puncture was made. The patient was immediately treated oxygen therapy and bed rest. Monitoring showed vital signs of blood pressure （149/83 mmHg）, heart rate （86 beats/min）, pulse oxygen saturation （SpO2, 96%）, blood sugar （6.3 mmol/L）, and body temperature （36.6℃）. Subsequently, metoclopramide 10 mg and midazolam 1 mg were injected intravenously.
