We herein performed a series of brain/core temperature discordance studies in setting of brain excitation and depression to assess whether noninvasive temperature measurement at highly transmissive eyelid skin overlying newly discovered brain-eyelid thermal tunnel (BTT°) is specific for brain as opposed to core temperature (Core°). BTT°-Core°was determined during hypothermic cardiopulmonary bypass (CPB), seizures induced during electroconvulsive therapy (ECT), pharmacologic depression
Proper perioperative pain control with opioid-sparing techniques that extend into post-discharge arena is desirable yet hard to accomplish in breast cancer patients. We here reported a case where we took advantage of long-acting local anesthetics in conjunction with glucocorticoids of different hydrophilic/lipophilic properties and achieved prolonged analgesia for days after single administration thoracic paravertebral blockade. Further exploration into the potential effects of long-acting glucocorticoids in breast cancer patients through peripheral nerve blockage is warranted.
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