• No systematic reviews, meta-analyses, or clinical trials that evaluated the
effectiveness of endoscopic thoracic sympathectomy for treating facial
blushing were identified. However, we have identified four case series
related to the request (Drott et al. 1998, Rex et al. 1998, Telaranta 1998,
Yilmaz et al. 1996). These studies were conducted in three countries
(Sweden, Finland and the Netherlands).
• The four case series were not critically appraised because they are prone
to bias and have significant methodological problems. These studies
represent level IV evidence according to the NHMRC criteria and one
should not draw firm conclusions from their findings.
• To date, the benefits or side effects associated with endoscopic thoracic
sympathectomy for treating facial blushing have not been properly
evaluated and reported.
Omar Ahmed PhD
Centre for Clinical Effectiveness
Monash Medical Centre
Locked Bag 29
Clayton VIC 3168
Australia
"Sympathectomy is a technique about which we have limited knowledge, applied to disorders about which we have little understanding." Associate Professor Robert Boas, Faculty of Pain Medicine of the Australasian College of Anaesthetists and the Royal College of Anaesthetists, The Journal of Pain, Vol 1, No 4 (Winter), 2000: pp 258-260
Sunday, October 12, 2008
Acupuncture after sympathectomy?
Sympathectomy abolishes trigger points activity.
Dr Simon L Strauss
http://www.pain-education.com/100125.php
Dr Simon L Strauss
http://www.pain-education.com/100125.php
Perioperative Thermoregulation
Neuraxial (spinal and epidural) anesthesia also impairs central thermoregulatory control via mechanisms that remain unclear. Regional anesthesia also causes a sympathectomy that prevents lower-body vasoconstriction and paralysis that prevents lower-body shivering. Consequently, hypothermia during neuraxial anesthesia is as common, and nearly as serious, as during general anesthesia.
Daniel I. Sesler, M.D.
Australian and New Zealand College of Anaesthetists.
http://www.anzca.edu.au/events/asm/asm2007/Sessler3.htm
Daniel I. Sesler, M.D.
Australian and New Zealand College of Anaesthetists.
http://www.anzca.edu.au/events/asm/asm2007/Sessler3.htm
Long QT treatment in AU
In patients who do not respond to medication, the insertion of a pacemaker or the automatic defibrillator, or the surgical cutting of certain nerves in the neck, called cervico-thoracic sympathectomy, can be utilised.
http://www.sads.org.au/sads_info.html
http://www.sads.org.au/sads_info.html