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Complex Regional Pain Syndrome Complex regional pain syndrome (CRPS) is a chronic pain condition thought to be the result of central or peripheral nervous system dysfunction that can present a diagnostic challenge as CRPS is a chronic neurological condition with an unclear etiology characterized by autonomic, motor, and sensory disturbances as well as trophic impairment. 1 , 2 Persistent pain and allodynia common to CRPS can significantly impact the patient's quality of life. For example, patients suffering from allodynia may describe the

recent studies have reported that the combined use of tramadol and an NSAID provides effects superior to each drug used separately. 10 11 The purpose of this investigation was to compare the anti-inflammatory effect of tramadol with that of ibuprofen as assessed by changes in C-reactive protein (CRP) concentrations and the efficacy of their combined use after third-molar extraction. METHODS This study was conducted on 45 American Society of Anesthesiologists Class I patients scheduled for the surgical removal of an impacted lower third

-reactive protein (CRP) level and started on IV sulbactam and ampicillin. Her symptoms began to improve, and she no longer required supplemental oxygen by POD 4 and was discharged on POD 6. Case #2 Approximately 1 year later, the patient again required dental treatment under general anesthesia. While developing the anesthetic plan, we decided to change her management due to her previously developing pneumonia postoperatively. First, we contacted the respiratory medicine specialist previously involved with treating her pneumonia regarding the

disinfected with chlorhexidine before intubation and extubation. The following antibiotics were also administered: amoxicillin 900 mg 2 hours before surgery, ampicillin 700 mg immediately before surgery, and amoxicillin 200 mg 3 times a day for 4 days following surgery. The patient's perioperative course was uneventful, and she was discharged 1 day after treatment. No signs or symptoms of infection were observed during hospitalization or throughout the 1-week postdischarge period ( Table ). Table. Perioperative WBC, CRP, and

sumatriptan and trigger point block. He subsequently complained of onset of dyspnea, and arthritis of the fingers. A chest radiograph showed patchy infiltrates in the lung. From laboratory data showed abnormally below: WBC 9610/mm 3 , ESR 98 mm/h, CRP 9.2 mg/dL. Furthermore, RA and C-ANCA became positive. WG was diagnosed at the internal medicine and started pulse treatment with prednisolone and cyclophosphamide (methyl prednisolone 1 g/d for 3 days, and prednisolone 250 mg/d; cyclophosphamide 50 mg/d for 10 days). The pulse treatment has induced complete remission