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The idea that chronic pain is a multi-faceted problem that needs intervention from a range of specialists in different disciplines is well established. Pain management programmes (PMP) bring the skills of various disciplines together in the management of patients whose life is affected by the...
It is important to recognize that established forms of cardiovascular monitoring such as invasive pressures, thermodilution for cardiac output and cardiac ultrasound techniques suffer from measurement error, which is often unquantifiable at the bedside. These errors may be systematic (such as a...
The first recorded use of local anaesthesia for surgery was the instillation of cocaine into the conjunctival sac in 1884 by an Austrian ophthalmologist, Karl Koller (1858–1944), at the suggestion of Sigmund Freud. In the UK, during the past 10 yr, a major change in anaesthetic practice has...
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