On-Q pump for pain control after orbital implant surgery.

Abstract

PURPOSE:

To introduce an elastomeric continuous infusion pump for pain control after outpatient orbital implant surgery.

METHODS:

Retrospective, noncomparative consecutive case series of all patients undergoing enucleation, evisceration, or secondary orbital implantation using the On-Q pain system between August 2004 and January 2006.

Postoperative pain score, need for narcotics, and adverse events were recorded.

The On-Q catheter is inserted intraoperatively through the lateral lower eyelid into the muscle cone under direct visualization, prior to the orbital implant placement.

The On-Q system continually infuses anesthesia (bupivacaine) to the retrobulbar site for 5 days.

RESULTS:

Among 20 patients, mean postoperative period pain score, with On-Q in place, was 1.3 (scale of 0 to 10).

Nine patients (45%) did not need any adjunctive oral narcotics.

Two patients experienced postoperative nausea.

One catheter connector leaked, thereby decreasing delivery of retrobulbar anesthetic resulting a pain level of 6, the highest level in the study.

There were no postoperative infections.

No systemic toxic effects from bupivacaine were observed clinically.

CONCLUSION:

The On-Q pain pump is widely available, low cost, and requires minimal patient manipulation for the use in orbital implant surgery.

The device was safe and appeared to minimize postoperative pain in the authors' case series.

https://www.ncbi.nlm.nih.gov/pubmed/24777268

Optics/Narrative Shift

'Shame for humanity': Turkey urges China to close Uighur camps

Turkey calls China's treatment of its Muslim ethnic Uighur minority 'a great cause of shame for humanity'.

Turkey has condemned China's treatment of its Muslim ethnic Uighur people as "a great cause of shame for humanity" and asked it to close the "concentration camps".

In a statement on Saturday, Turkish foreign ministry spokesman Hami Aksoy said that China has arbitrarily detained more than a million Uighurs.

He said the Turkic Muslim population faced pressure and "systematic assimilation" in western China.

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"It is no longer a secret that more than one million Uighur Turks, who are exposed to arbitrary arrests, are subjected to torture and political brainwashing in concentration centres and prisons," Aksoy said.

"We invite Chinese authorities to respect fundamental human rights of the Uighur Turks and shut down concentration camps," he said.

Chinese response

China's embassy in Ankara posted a lengthy response to Aksoy's statements, saying that the accusations were false and urged the government to retract them.

"Allegations that the Chinese government is attempting to 'eliminate' the ethnic, religious and cultural identity of Uighurs and other Muslims are completely groundless," it said.

Kenneth Roth, the executive director of the US-based Human Rights Watch group, praised Turkey's move on Twitter.

"This is a big deal: [Turkey is] The first Muslim-majority country to criticise China so directly for its horrendous treatment of Uighur Muslims, and one of the most powerful Muslim-majority countries at that," he tweeted on Sunday.

"Now [is the] time for other governments to join Turkey," he added.

China's crackdown on Uighur people has made headlines around the world.

In August last year, a United Nations panel of experts said it had received credible reports that over a million Uighurs and other Turkic language-speaking minorities were being held in so-called "re-education camps" where they are made to renounce Islam.

Beijing denies Uighurs are being held against their will and says these are "voluntary" vocational training facilities, designed to provide job training and to stamp out "extremist" tendencies.

China has intensified a security crackdown on Uighurs that was put in place after a bloody 2009 riot. Droves of Uighurs have fled, many travelling to Turkey.

Last month, China passed a law to "Sinicize" Islam and make it "compatible with socialism" within the next five years.

But most Muslim-majority countries have not been vocal on the issue, not criticising the government in China which is an important trading partner.

https://www.aljazeera.com/news/2019/02/humanity-turkey-urges-china-close-uighur-camps-190209202215688.html

UN: Act to End China’s Mass Detentions in Xinjiang

International Fact-Finding Mission Crucial to Address Rights Crisis

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>>5118775

Xi to Lil Erdogan "Bitch please"