J Postgrad Med
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Chest radiographs (CXRs) are performed routinely after permanent pacemaker implantation to identify pacemaker lead position and exclude pneumothorax. We assessed the clinical value and need for this procedure. ⋯ Routine CXR after permanent pacemaker insertion is not necessary in uncomplicated cases with adequate pacing characteristics.
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Letter Case Reports
Vascular complication following lipid free propofol injection.
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Editorial Comment
From the pen to the patient: minimising medication errors.
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Letter Case Reports
Bilateral post traumatic anterior shoulder dislocation.
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Complex regional pain syndrome (CRPS) is a challenging neuropathic pain state, quite difficult to comprehend and treat. Its pathophysiological mechanisms are unclear and its treatment is difficult. ⋯ The primary goals of managing patients with this syndrome are to: 1) perform a comprehensive diagnostic evaluation, 2) be prompt and aggressive in treatment interventions, 3) assess and reassess the patient's clinical and psychological status, 4) be consistently supportive, and 5) strive for the maximal amount of pain relief and functional improvement. This article reviews the different aspects of CRPS including definition, classification, epidemiology and natural history, clinical presentation, pathophysiology and management.