24 documents found, page 1 of 3
Erector spinae plane block on pain management after thoracic surgical approache...
Nascimento,Leonardo de Freitas; Machado,Felipe Chiodini; Gaibor,Adriana Madeleine Dominguez; Zuretti,Lucas Snioka; Ashmawi,Hazem AdelABSTRACT BACKGROUND AND OBJECTIVES: Erector spinae plane block is an interfascial plane block used as a tool for management of pain resulting from thoracic and abdominal surgical procedures described in the literature since 2016 and widely used in clinical practice. In the context of the pandemic caused by Sars-CoV-2, multiple pulmonary complications arising from severe viral pneumonia and respiratory failure t...
Brief multidisciplinary intervention for chronic pain management: pilot feasibi...
Ali,Yasmin Cardoso Metwaly Mohamed; Gouvêa,Áquila Lopes; Oliveira,Milena Santos de; Martini,Sara; Ashmawi,Hazem Adel; Salvetti,Marina de GóesABSTRACT BACKGROUND AND OBJECTIVES: Chronic pain has a negative impact on the quality of life of individuals and requires multidisciplinary attention. The aim of this study was to assess the feasibility of a brief multidisciplinary intervention for the management of chronic pain. METHODS: A pilot feasibility study. The participants were individuals with chronic pain. The intervention had a psychoeducational foc...
Brief interprofessional intervention for chronic pain management: a pilot study
Ali,Yasmin Cardoso Metwaly Mohamed; Gouvêa,Àquila Lopes; Oliveira,Milena Santos de; Martini,Sara; Ashmawi,Hazem Adel; Salvetti,Marina de GóesABSTRACT Objective: To test the effects of a brief interprofessional intervention for chronic pain management. Methods: Before and after pilot study. The brief interprofessional intervention had a psychoeducational focus and was based on the Self-Efficacy Theory, using Cognitive-Behavioral Therapy strategies. The intervention aimed to improve the management of chronic pain. It was conducted in group, over six w...
Lumbar erector spinae plane block for total hip arthroplasty analgesia. Case re...
Azevedo,Artur Salgado de; Fernandes,Hermann dos Santos; Cunha Júnior,Waldir; Hamaji,Adilson; Ashmawi,Hazem AdelABSTRACT BACKGROUND AND OBJECTIVES: Total hip replacement surgeries may result in intense postoperative pain. There are many analgesia techniques available in clinical practice and lumbar erector spine plane (LESP) block may be an option of an effective technique with milder adverse effects and easier execution. CASE REPORT: Female patient, 23-year-old, allergic to morphine and tramadol, underwent a total left ...
Transdermal buprenorphine for acute postoperative pain: a systematic review
Machado,Felipe Chiodini; Carone Neto,Gilson; Paiva,Luisa Oliveira de; Soares,Tamiris Cristina; Nakamura,Ricardo Kenithi; Nascimento,Leonardo de FreitasAbstract Background and objectives: Postoperative pain is still a major concern in several surgical procedures. Multimodal analgesia is best for postoperative pain management; however, opioid therapy is still the main treatment for pain after surgical procedures. Transdermal buprenorphine is a partial µ-agonist opioid widely used for chronic pain syndromes, with limited evidence for acute postoperative pain. A ...
Risk factors for post-caesarean nausea and vomiting: a prospective prognostic s...
Guimarães,Gabriel Magalhães Nunes; Silva,Helga Bezerra Gomes da; Ashmawi,Hazem AdelAbstract Background: Postoperative Nausea and Vomiting (PONV) risk factors have not been defined for obstetric patients. In this study, our objective was to identify potential risk factors for PONV after cesarean sections performed under spinal anesthesia. Methods: One cohort of patients submitted to cesarean under spinal anesthesia was used to investigate potential risk factors for PONV. The best numerical ris...
Effects of neural mobilization on individuals with chronic low back pain
Ramos,Marina; Cruz,Caio A. H.; Laurentino,Moises F.; Ashmawi,Hazem Adel; Santos,Fabio M.; Chacur,MaruciaABSTRACT BACKGROUND AND OBJECTIVES: The objective of this study was to evaluate the effect of neural mobilization technique on individuals with chronic low back pain, as well as analyze possible changes in pain, motor behavior and on cytokine quantification before and after treatment. METHODS: Sixteen individuals with mean age of 30.45±10.32 years old were evaluated. The technique consisted of a total of 10 int...
Development of a multivariable predictive model for postoperative nausea and vo...
Yamada,Léia Alessandra Pinto; Guimarães,Gabriel Magalhães Nunes; Silva,Magda Aparecida Santos; Sousa,Angela Maria; Ashmawi,Hazem AdelAbstract Background and objectives Predicting postoperative nausea and vomiting risk is the cornerstone for deciding prophylaxis. Apfel's score does not define how long a person must be abstinent from smoking to be considered a non-smoker, and the use of intraoperative spinal opioids as a risk factor for predicting postoperative nausea and vomiting is also not addressed. The aim of this study was to quantify pr...
Sphenopalatine ganglion block for post-dural puncture headache after invasive c...
Machado,Felipe Chiodini; Carone Neto,Gilson; Ashmawi,Hazem AdelABSTRACT BACKGROUND AND OBJECTIVES: Post-dural puncture headache is a common complication in neuraxial anesthesia and lumbar puncture diagnostic procedures. The pathogenesis of the headache is thought to be due to a leak of cerebrospinal fluid from the puncture site that exceeds the rate of cerebrospinal fluid production, causing a downward traction of the meninges and vasodilation of the meningeal vessels medi...
Peripheral and central sensitization
Ashmawi,Hazem Adel; Freire,George Miguel GóesABSTRACT BACKGROUND AND OBJECTIVES: Central sensitization is an important phenomenon for pain chronicity and is present in neuropathic pain. This study aimed at addressing some pathophysiological aspects of this phenomenon. CONTENTS: Some extra and intracellular aspects responsible for central sensitization genesis, especially phenotypic changes in plasticity of neurons involved in the process are described. CO...