The Tourniquet Ischemia Test in the Diagnosis of Complex Regional Pain Syndrome
Neurology and Neurophysiology of University Freiburg (Germany) (see pages 308-316). As we all know diagnosis of CRPS is difficult and complex. These authors present the tourniquet ischemia test (IT) and show that a positive tourniquet IT has a high positive predictive value for the diagnosis of CRPS. A better diagnosis is the start of everything and thus impact is great. Further research is needed.
A Case Report on Spinal Cord Stimulation in an Atrophic Spinal Cord: What Exactly Are We Stimulating?
As SCS is very effective in this patient with reduced spinal cord mass and modified neuroanatomy the mechanism of action cannot be via the generally accepted concept of Gate Control Theory, dorsal column stimulation and suppression of wide-dynamic range neurons. This type of findings triggers us to further think about how the mechanism of action of SCS might be and thus might help to further understand this therapy. Must read of interventionalists and pain doctors.
Test‐Retest Reliability of Pain Measures in Institutionalized Older Adults: Number of Painful Body Sites, Pain Intensity, and Pain Extent
To assess the test-retest reliability of a number of painful body sites, the pain intensity, and the pain extent in institutionalized older adults is important and has significant clinical impact. It is concluded that vertical pain rating scale to assess pain intensity in old adults with low educational level and normal cognitive function to mild cognitive impairment seems reliable. High clinical impact.
Bilateral Erector Spinae Plane Block for Postoperative Analgesia in Laparoscopic Cholecystectomy: A Systematic Review and Meta‐analysis of Randomized Controlled Trials
ESP block is a relatively novel regional anesthetic technique and its application for postoperative analgesia has been increasing over the last years. This meta-analysis demonstrated that bilateral ultrasound- guided ESP block can be considered an effective and safe option to reduce opioid consumption and the time to first rescue analgesic in adults undergoing laparoscopic cholecystectomy. High clinical impact.