Global Journal of Anesthesia and Clinical Research

Ganglion Impar block through Transsacrococcygeal Approach For Management Of Chronic Perineal Pain

Review article of Global Journal of Anesthesia and Clinical Research Ganglion Impar block through Transsacrococcygeal Approach For Management Of Chronic Perineal Pain Dipika Patel, Nita Gosai Department of Anaesthesia Gujarat Cancer and Research Institute, Civil Hospital, Ahmedabad, Gujarat India The ganglion Impar is an unpaired sympathetic structure located at the level of the Sacrococcygeal joint. The modified technique replaced the previously using technique of the Impar block via the horizontal approach through the anococcygeal ligament. Modified technique of Ganglion Impar block through transsacroccygeal approach is easy to perform and give maximum pain relief with margin of safety. Aims and objectives To study, 1) Ease and complications of Impar block through trans- sacrococcygeal approach 2) The analgesic efficacy of Impar block, 3) Duration of analgesic effect of Impar block Method In this retrospective study,15 patients who had chronic perineal pain had given ganglion Impar block.., The ganglion Impar block was given through trans-sacrococcygeal approach, After written and informed consent, patient was asked to lie down on his abdomen, facing down with a pillow under the pelvis to help flatten out the lower lumber spine’s natural curvature. Skin was infiltrate with local anaesthetic, after proper aseptic precautions. The needle is advanced under fluoroscopy guidance until correct needle placement is obtained. Once position is confirmed, therapeutic block is performed with administration of 2ml of 100% absolute alcohol after confirming 50% reduction in VAS from baseline with diagnostic block (0.125% Bupivacaine 5 ml). Attempts of procedure were recorded in all patients. VAS was assessed after 12 and 24 hours. Patients were discharged after 24 hours, asked to report every week and whenever VAS is more than 4 for 3 months Result Fifteen patients with advanced cancer with perineal pain who were not responding to pharmacotherapy treatment received a neurolytic ganglion Impar block through trans-sacrococcygeal ...


Research article of Global Journal of Anesthesia and Clinical Research HEALTH OF THE WORK OF THE COMMUNITY HEALTH AND ENDEMY AGENT OF THE MESSIA ALAGOAS Ariana da Silva Santos¹*, Simone Farias dos Santos², Ana Patrícia da Silva Santos³, Katia Januário da Silva4, Ana Quitéria da Silva5, Eliane Buarque de Melo Ferreira6. 123456 Núcleo de Apoio à Saúde da Família Secretaria Municipal de Saúde de Messias Alagoas Introduction The project of valorization of the workers of the Municipal Health Secretariat of the city of Messias brings as priority the worker health of the community health agent and of endemics. The project was created according to the reports of the professional daily target audience during conversation rounds, which shared the need for a broader attention to the working and health conditions of the category. Thus, strategies were created aiming at actions involving the continuous care line, including health education, promotion and prevention. The actions are carried out with a multiprofessional Primary Care team, Family Health Support Center and specialized service actions involving integral, individual and collective care. Objectives To promote and prevent health education, seeking to improve physical, psychological and social aspects and strengthen the professional bond. Methodology The project is a descriptive study with a cross-sectional quali-quantitative approach. An individual assessment was performed based on the WHOQOL-bref questionnaire with some adaptations by the Family Health Support Center team. This questionnaire will be reapplied and analyzed every four months for reevaluation with the multiprofessional team to continue the care of each member of the group. The meetings are held monthly and according to the need of the community. Results Improve interaction, cooperation, rapprochement and flexibility in the category of Community Health and Endemic Agents and with other professionals, thus awakening to health care. Conclusion As a permanent project, continuous and having started ...

Trigemme neuralgia: literature review

Review article of Global Journal of Anesthesia and Clinical Research Trigemme neuralgia: literature review Santana, J.F¹; Santos, G.A²; França, L.C³, Ramos, L.V.S4, Lima, L.F.A5; Maia, C.S6 1,2,3,4,5Students of the Course of Dentistry - UFPE; 6Docente /Researcher of the Department of Histology and Embryology of UFPE. Introduction: Neuralgia is a pain that stretches along the path of a nerve. As regions of the head and neck are more affected places and a trigeminal neuralgia is more common among facial neuralgias. Objective: To review the literature on the concept, diagnosis and treatment of trigeminal neuralgia. Methodology: An integrated review was carried out in the MEDLINE, LILACS and SCIELO Virtual Library databases, using the following documents: Neuragia and Trigêmeio. The results of the research were published in all cases, in Portuguese, Portuguese and Portuguese. Results and Discussion: The search resulted in 6,205 articles, these, 30 were separated by amount of subject matter, however, only Nine meeting the inclusion criteria. A trigeminal neuralgia belongs to the group of chronic pain conditions and is classified as primary and secondary. It has a predominance of females, between 50 and 70 years of age and almost always is unilateral. Pain is characterized as paroxysmal, acute, superficial, triggered by the estimation of trigger zones, most of the life born and the skin of the middle region of the face. The patient may present hyposthesia or paraesthesia of a certain area and paralysis of one or more masticatory muscles. The diagnosis is clinical, as well as complementary tests in cases of neuropathic pain. The initial treatment is done by non-invasive methods, with the use of carbamazepine medicines. It can be surgically tested, which is success in 70 and 85% of cases. Conclusion: The articles presented, of facial neuralgias, one that is a bit slower and more common. It has a ...

Total pain in patients with uterine cervix cancer in palliative care

Review article of Global Journal of Anesthesia and Clinical Research Total pain in patients with uterine cervix cancer in palliative care Nascimento, B.A.B.F1; Silva, C.C2; Nascimento, G.B3; Sobral Neto, J.P4; Araújo, T.C.N.R.S5 ¹Enfermeira Residente em Cuidados Paliativos em IMIP – PE. ²,3Enfermeiras Residentes em Atenção ao Câncer e Cuidados Paliativos pela ASCES – UNITA. 4Biomédico Residente em Saúde Coletiva pela Fiocruz – PE. 5Enfermeira Gerente da Enfermaria de Cuidados Paliativos em IMIP-PE Introduction: Cervical cancer is the second most frequent neoplasm in the female population. Among its range of symptoms, pain is one of the most exceeded. Total pain is a set of physical, psychic, social, and spiritual problems that may be present at any time of illness. More precisely in cervical neoplasia in young patients, this type of pain may be present due to falling ill in the productive phase. Objective: to discuss the presence of total pain in patients with uterine cervix cancer in palliative care. Methodology: This is an integrative review of the literature. The LILACS and SciELO databases were used. The following descriptors were used: Cancer pain; Nursing care and cervical neoplasias. From this, 45 articles were found. Contextualizing the inclusion criteria, which were: available text, language in Portuguese and year of publication from 2011 to 2016, 18 articles emerged. With the reading, it was noticed that 10 of these met the objective of the research. Results and Discussion: It was verified that all articles bring the definition of pain according to the National Association for the Study of Pain, in which it is a sensitive and emotional experience, which may be associated with actual or potential tissue damage. 40% demonstrate that poor pain relief is a reality for many patients. Already 30% report that the tendency to focus only on the physical aspect of pain and ...

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Global Journal of Anesthesia and Clinical Research (ISSN:2637-6245; DOI:10.28933/GJACR) is a peer reviewed open access journal publishing research manuscripts, review articles, editorials, letters to the editor in Anesthesia and Clinical Research (Indexing information).

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