Course info

Description:
The course will focus on advanced pre-, per- and postoperative optimization of the patient. Science based methods to improve the condition of the patient before surgery will be addressed. Especially new results regarding the interaction of pain and pain treatment on persistent post operative pain will be presented.
The course will focus on risk factors, pathophysiology , optimization, and patient reported outcome measures.

The course will include:
• preoperative conditioning based on new results in pain evaluation, physical training, coaching, social programmes, life style and pain treatment (3 lectures)
• new concepts and results of multimodal pre-medication (1 lecture)
• new technologies in minimal invasive surgery and new technologies in measurement of the surgical stress response using microdialysis and new serological parameters (2 lectures)
• new results in local infiltration, intra-articular, regional and general analgesia (2 lectures)
• rationale and science behind oxygen therapy and early intensive training (2 lectures)
• new ideas in advanced pain measurement of the early hours of the postoperative period (2 lectures)
• advanced science based postoperative pain treatment (2 lectures)
• choice of outcome measurement, clinical relevant effect of treatment, minimal relevant statistical difference and sample size in planning research within accelerated stay programmes (2 lectures)

Literature
Dahl JB, Kehlet H. Preventive analgesia. Curr Opin Anaesthesiol. 2011 Jun;24(3):331-8.
Dahl JB, Mathiesen O, Kehlet H. An expert opinion on postoperative pain management, with special reference to new developments. Expert Opin Pharmacother. 2010 Oct;11(15):2459-70.
Kehlet H. Updated pain guidelines: what is new? Anesthesiology. 2012 Dec;117(6):1397-8.
Kehlet H, Rathmell JP. Persistent postsurgical pain: the path forward through better design of clinical studies. Anesthesiology. 2010 Mar;112(3):514-5.
Kehlet H, Søballe K. Fast-track hip and knee replacement--what are the issues? Acta Orthop. 2010 Jun;81(3):271-2.
Kehlet H, Rathmell JP. Persistent postsurgical pain: the path forward through better design of clinical studies. Anesthesiology. 2010 Mar;112(3):514-5.
White PF, Kehlet H. Improving postoperative pain management: what are the unresolved issues? Anesthesiology. 2010 Jan;112(1):220-5.
Kehlet H. Multimodal approach to postoperative recovery. Curr Opin Crit Care. 2009 Aug;15(4):355-8.
Lin R, Zhang F, Xue Q, Yu B. Accuracy of Regional Cerebral Oxygen Saturation in Predicting Postoperative Cognitive Dysfunction After Total Hip Arthroplasty: Regional Cerebral Oxygen
Saturation Predicts POCD. J Arthroplasty. 2012 Nov 11. pii: S0883-5403(12)00534-7. doi:
10.1016/j.arth.2012.06.041. [Epub ahead of print]
H.J. McQuay, S. Derry, C. Eccleston, P.J. Wiffen, R. Andrew Moore. Evidence for analgesic effect in acute pain – 50 years on PAIN 153 (2012), pp. 1364–1367.
Rasmussen S, Larsen AS, Thomsen ST, Kehlet H. Intraarticular glucocorticoid, bupivacaine and morphine reduces pain, inflammatory response and convalescence after arthroscopic meniscectomy. Pain 1998; 78: 131-4.
Rasmussen S, Kramhøft MU, Sperling KP, Pedersen JH, Falck IB, Pedersen EM, Kehlet H. Accelereret forløb efter total hofte alloplastik. Ugeskr Læger 2001; 163: 6912-6.
Rasmussen S, Kristensen BB, Foldager S, Myhrmann L, Kehlet H, Hvidovre Hoftefrakturgruppe. Accelereret forløb efter hoftefraktur. Ugeskr Læger 2003; 165: 29-33.
Rasmussen S, Kramhøft MU, Sperling KP, Lehd Pedersen JH, Kehlet H. Increased flexion and reduced hospital stay with intraarticular continuous morphine and ropivacaine after primary total knee replacement: open intervention study of efficacy and safety in 154 patients. Acta Orthop Scand. 2004; 75: 606-9.
Rasmussen S, Krum-Møller DS, Lauridsen LR, Jensen SHE, Mandøe H, Gerlif C, Kehlet H. Epidural steroid following discectomy for herniated lumbar disc reduces neurological impairment and enhances recovery. A randomized study with two-year follow-up. Spine 2008; 33: 2028-33

Prerequisites
Bachelor degree in health science and technology, medicine with industrial specialization, medicine or equivalent.

Evaluation
Multiple choice questions in the first and last session

Organizer:
Associate Professor Sten Rasmussen, email: sten.rasmussen@rn.dk

Lecturers:
Associate Professor Sten Rasmussen, Aalborg University Hospital

ECTS:
1.6

Time:
November 1 and 20, 2013 (08.15-16.00)

Place:
Niels Jernes Vej 14, room 4.107
DK-9220 Aalborg East
Aalborg University

Zip code:
9220

City:
Aalborg

Number of seats:

Deadline:
October 4, 2013

Important information concerning PhD courses
We have over some time experienced problems with no-show for both project and general courses. It has now reached a point where we are forced to take action. Therefore, the Doctoral School has decided to introduce a no-show fee of DKK 5,000 for each course where the student does not show up. Cancellations are accepted no later than 2 weeks before start of the course. Registered illness is of course an acceptable reason for not showing up on those days. Furthermore, all courses open for registration approximately three months before start. This can hopefully also provide new students a chance to register for courses during the year. We look forward to your registrations.