analgesia

Prolonging pain relief in surgery with dexmedetomidine and spinal anesthesia

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Heitor Medeiros, MD, and A. Sassan Sabouri, MD, of the Department of Anesthesia, Critical Care and Pain Medicine at Massachusetts General Hospital, are the lead and corresponding authors, respectively, of a paper published in the British Journal of Anaesthesia (BJA).  How would you summarize your study?  Spinal anesthesia is widely used to numb patients during … Read more

The ACNES Diagnosis That Wasn’t: It Was Herpes Zoster

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Key Takeaways Herpes zoster (HZ) can initially present with pain before the appearance of a rash, leading to diagnostic confusion. Anterior cutaneous nerve entrapment syndrome (ACNES) may be mimicked by other conditions, including HZ. Positive pinch test and Carnett’s sign may indicate abdominal wall neuralgia but do not exclude the possibility of HZ. The Patient … Read more