MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Acute Pain' source. Sat, 30 Jan 2010 13:41:32 +0100 http://www.medworm.com/index.php?rid=3034869&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000898%2Fabstract%3Frss%3Dyes (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034869 Sat, 28 Nov 2009 13:41:51 +0100 3034869 http://www.medworm.com/index.php?rid=3034868&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000941%2Fabstract%3Frss%3Dyes (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034868 Sat, 28 Nov 2009 13:41:51 +0100 3034868 http://www.medworm.com/index.php?rid=3034867&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000746%2Fabstract%3Frss%3Dyes Objective: To compare the efficacy of nebulized fentanyl (NF) with i.v. morphine (IVM) in paediatric patients presenting to the ED with clinically suspected limb fractures. Methods: A convenience sample of patients aged 4–13 years, presenting with clinically suspected limb fractures, were randomized to receive either NF at 4μg/kg or IVM at 0.1mg/kg. Pain scores were assessed at 0, 15 and 30min using the Wong and Baker faces pain scale (0–10). Vital signs and adverse effects were also recorded. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034867 Sat, 28 Nov 2009 13:41:50 +0100 3034867 http://www.medworm.com/index.php?rid=3034866&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000734%2Fabstract%3Frss%3Dyes Evidence supports the use of superficial heating and cooling of tissues to provide pain relief in low to moderate levels of acute and chronic pain in adults, but there are no standards or guidelines in children's centres across the UK for administering these modalities in children, so a project was undertaken to develop these locally. Evidence from the literature was used to identify best practice in relation to equipment, safety and infection control. Implementation was supported by educational input and a detailed protocol for assessment and application of the devices. Three years after their introduction a review of the guidelines and an audit demonstrated that these modalities have been beneficial, providing cost-effective, holistic care for children experiencing pain in hospital. (Sou... Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034866 Sat, 28 Nov 2009 13:41:50 +0100 3034866 http://www.medworm.com/index.php?rid=3034865&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000722%2Fabstract%3Frss%3Dyes This study compared the analgesic effectiveness of acetaminophen-codeine with that of ibuprofen for children with acute traumatic extremity pain, with the hypothesis that the two medications would demonstrate equivalent reduction in pain scores in an emergency department (ED) setting. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034865 Sat, 28 Nov 2009 13:41:50 +0100 3034865 http://www.medworm.com/index.php?rid=3034864&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000710%2Fabstract%3Frss%3Dyes Background: Monitoring changes in electrical skin conductance has been described as a potentially useful tool for the detection of acute pain in adults. The aim of this study was to test the method in pediatric patients. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034864 Sat, 28 Nov 2009 13:41:50 +0100 3034864 http://www.medworm.com/index.php?rid=3034863&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000709%2Fabstract%3Frss%3Dyes Severe pain is a common presenting symptom for emergency patients. One major challenge in the management of severe pain is the objective measurement of pain. Due to the subjective nature of pain, it can be very difficult for clinicians to quantify pain intensity and measure the qualitative features of the pain experience. A number of measurement tools have been validated in the acute care setting, with some appropriate for use in the prehospital setting. This paper reviews the characteristics required of a prehospital acute pain measure and appraises the relative utility of a number of currently used pain measures. At present, the verbal numerical rating scale appears the most appropriate pain measure to administer in the prehospital setting for adult patients as it is practical and valid.... Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034863 Sat, 28 Nov 2009 13:41:50 +0100 3034863 http://www.medworm.com/index.php?rid=3034862&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000692%2Fabstract%3Frss%3Dyes We implemented a pain assessment and management (PAM) curriculum for second year medical students and evaluated long-term skills retention compared to the prior year's class which did not receive the curriculum. The curriculum included pain pathophysiology, assessment and treatment instruction plus feedback on PAM practice with standardized patients. Both cohorts underwent a required end-of-third-year clinical skills examination. Intervention and control group performance on three pain cases (acute, chronic and terminal) was compared. The PAM curriculum was implemented 1.5 years before the intervention cohort participated in the clinical skills exam. More intervention students (134/159, 84.3% response rate) obtained basic (87.2% vs. 76.0%, p=.028) and comprehensive (75.2% vs. 60.9%, p=.051... Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034862 Sat, 28 Nov 2009 13:41:50 +0100 3034862 http://www.medworm.com/index.php?rid=3034861&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000680%2Fabstract%3Frss%3Dyes Study objective: We test the null hypothesis that the “1+1” hydromorphone patient-driven protocol is clinically and statistically equivalent in safety and efficacy to that of traditional physician-driven administration of opioids for emergency department (ED) treatment of acute severe pain. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034861 Sat, 28 Nov 2009 13:41:50 +0100 3034861 http://www.medworm.com/index.php?rid=3034860&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000679%2Fabstract%3Frss%3Dyes This article examines acute pain assessment and pharmacological management in the emergency department that occurred over a period of time after the release of the new pain assessment and management compliance standards of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) for accredited health care organizations. Data were available from that collected for a large-scale study testing a Translating Research into Practice intervention to promote use of evidence-based practices for acute pain management in older adults. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034860 Sat, 28 Nov 2009 13:41:50 +0100 3034860 http://www.medworm.com/index.php?rid=3034859&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000667%2Fabstract%3Frss%3Dyes We conducted a prospective multicenter, open-label, escalating dose-range trial to compare, across patients, single intranasal doses (2, 4, 6, 8, and 10mg) of hydromorphone HCl in the treatment of acute trauma pain The main outcome measure of pain-intensity reduction was derived from serial Numerical Pain-Rating Scores and calculated as the summed pain-intensity difference over 3h (SPID 3). Nasal examinations, vital signs, and adverse events were reported as safety outcomes. The mean decrease in pain intensity from baseline to 30min was 39–44% for the 4-, 6-, 8- and 10-mg doses (n=19, 33, 28, and 19 per group) and only 24% reduction for the 2-mg dose (n=14). SPID 3 for the 2-mg dose was 40–50% below all other doses. There were no clinically meaningful changes in vital signs or nasal ex... Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034859 Sat, 28 Nov 2009 13:41:50 +0100 3034859 http://www.medworm.com/index.php?rid=3034858&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000655%2Fabstract%3Frss%3Dyes Objectives: The treatment of acute pain in the prehospital emergency setting remains a significant problem. We evaluated the incidence, site, and possible cause of acute pain in the prehospital period and also the current state of prehospital pain management by evaluating analgesic availability in emergency vehicles in Italy. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034858 Sat, 28 Nov 2009 13:41:50 +0100 3034858 http://www.medworm.com/index.php?rid=3034857&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000643%2Fabstract%3Frss%3Dyes Objective: To determine whether patterns of patient–provider communication might vary depending on psychosocial risk factors for back disability. Methods: Working adults (N=97; 64% men; median age=38 years) with work-related low back pain completed a risk factor questionnaire and then agreed to have provider visits audiotaped. Verbal exchanges were divided into utterances and coded for content, then compared among low-, medium-, and high-risk patients. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034857 Sat, 28 Nov 2009 13:41:49 +0100 3034857 http://www.medworm.com/index.php?rid=3034856&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000631%2Fabstract%3Frss%3Dyes This study assessed pharmacokinetic–pharmacodynamic relationships in patients with acute pain (water-immersed extracorporeal shock wave lithotripsy). (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034856 Sat, 28 Nov 2009 13:41:49 +0100 3034856 http://www.medworm.com/index.php?rid=3034855&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS136600710900062X%2Fabstract%3Frss%3Dyes Background: Although it is generally accepted that increased pain responsiveness and central sensitization develop after major tissue injury, this claim has not been tested using brain imaging methods in a clinical pain setting. We tested this hypothesis using a postoperative pain model, in conjunction with serial functional magnetic resonance imaging (fMRI). (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034855 Sat, 28 Nov 2009 13:41:49 +0100 3034855 http://www.medworm.com/index.php?rid=3034854&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000618%2Fabstract%3Frss%3Dyes Objective: To evaluate the safety and efficacy of a single dose of 2mg i.v. hydromorphone administered to emergency department patients in acute severe pain. Design: Prospective interventional. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034854 Sat, 28 Nov 2009 13:41:49 +0100 3034854 http://www.medworm.com/index.php?rid=3034853&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000606%2Fabstract%3Frss%3Dyes Purpose of review: Recent advances in drug delivery technology have provided new means of delivering medications with improved efficacy and safety. This review details developments in drug delivery recently made available or in development with the potential to better deliver analgesia. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034853 Sat, 28 Nov 2009 13:41:49 +0100 3034853 http://www.medworm.com/index.php?rid=3034852&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS136600710900059X%2Fabstract%3Frss%3Dyes The objective was to compare subjects’ change in perceived acute pain from an identical painful stimulus after receiving three separate, commonly used pain medications and placebo. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034852 Sat, 28 Nov 2009 13:41:49 +0100 3034852 http://www.medworm.com/index.php?rid=3034851&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000588%2Fabstract%3Frss%3Dyes Introduction: Local anaesthesia is commonly used to provide pain relief after surgery. The aim of this randomised, blinded prospective trial was to evaluate whether local subcutaneous and deep infiltration of local anaesthetic provides better post-operative pain control than subcutaneous infiltration alone. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034851 Sat, 28 Nov 2009 13:41:49 +0100 3034851 http://www.medworm.com/index.php?rid=3034850&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000576%2Fabstract%3Frss%3Dyes Background: The issue of postoperative pain after neurosurgery is controversial. It has been reported as mild to moderate and its treatment may be inadequate. Infiltration of the surgical site with local anesthetics has provided transient benefit after craniotomy, but its effect on chronic pain has not been evaluated. Accordingly, we designed the present study to test the hypothesis that ropivacaine infiltration of the scalp reduces acute and persistent postoperative pain after intracranial tumor resection. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034850 Sat, 28 Nov 2009 13:41:49 +0100 3034850 http://www.medworm.com/index.php?rid=3034849&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000564%2Fabstract%3Frss%3Dyes Objectives: Despite the growing number of ambulatory operations knowledge of predictive factors of postoperative pain after ambulatory surgery is limited. Therefore, the aim of this study was to identify predictive factors of postoperative pain after ambulatory surgery. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034849 Sat, 28 Nov 2009 13:41:47 +0100 3034849 http://www.medworm.com/index.php?rid=3034848&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000552%2Fabstract%3Frss%3Dyes Background: Moderate to severe pain after total knee arthroplasty often interferes with postoperative rehabilitation and delays discharge from hospital. The present study examined the effects of a 4-day postoperative gabapentin (GBP) regimen versus placebo on opioid consumption, pain scores and knee flexion, as well as adverse effects, after total knee arthroplasty. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034848 Sat, 28 Nov 2009 13:41:47 +0100 3034848 http://www.medworm.com/index.php?rid=3034847&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000540%2Fabstract%3Frss%3Dyes Purpose of review: Patients with fibromyalgia are at increased risk to experience increased and prolonged postoperative pain. In this review, we will provide an overview of pathophysiological characteristics of fibromyalgia relevant for enhanced pain processing after surgery. Furthermore, we will present some potential treatment options in the perioperative period based on specific symptoms of individual fibromyalgia patients to optimize their pain management after surgery. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034847 Sat, 28 Nov 2009 13:41:47 +0100 3034847 http://www.medworm.com/index.php?rid=3034846&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000539%2Fabstract%3Frss%3Dyes Purpose of review: Multimodal analgesia is needed for acute postoperative pain management due to adverse effects of opioid analgesics, which can impede recovery; a problem that is of increasing concern with the rapid increase in the number of ambulatory surgeries. Yet, the literature on multimodal analgesia often shows variable degrees of success, even with studies utilizing the same adjuvant medication. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034846 Sat, 28 Nov 2009 13:41:47 +0100 3034846 http://www.medworm.com/index.php?rid=3034845&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000527%2Fabstract%3Frss%3Dyes We prospectively audited the bacterial contamination of re-usable analgesia infusion pumps. In a 1-month period, 112 samples from the handset and keypads of our analgesia infusion pumps were cultured for bacterial contamination. Forty-five percent of handset swabs and 46% of keypad swabs grew bacteria; the commonest organism being coagulase-negative staphylococcus. An additional cleaning step using 70% isopropyl alcohol wipes was introduced and the contamination rate was re-audited in 100 samples. The contamination rate was reduced to 6% of handset swabs and 4% of keypad swabs. A high initial rate of bacterial contamination of re-usable analgesia infusion pumps was significantly reduced by the implementation of a simple, additional cleaning procedure. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034845 Sat, 28 Nov 2009 13:41:47 +0100 3034845 http://www.medworm.com/index.php?rid=3034844&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000461%2Fabstract%3Frss%3Dyes Intravenous patient-controlled analgesia (PCA) with morphine is commonly used after major surgery. Nausea and vomiting are frequent adverse effects, but the incidence can be reduced by using prophylactic antiemetics. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034844 Sat, 28 Nov 2009 13:41:46 +0100 3034844 http://www.medworm.com/index.php?rid=3034843&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000412%2Fabstract%3Frss%3Dyes Summary: Phantom limb pain is defined as pain localised in a body part that is no longer there (Mishra et al. ; Flor et al. ; Mayo Clinic Staff ). It is believed that amputation of an extremity is required for phantom pain and sensations to occur (Nikolajsen and Jensen ). However, we report a case in which a severed nerve to an “intact extremity” resulted in phantom limb-like pains and sensations which responded to a treatment regimen identical to that for phantom limb pain. It is important for clinicians to entertain the idea of phantom limb-like pain in cases when a nerve is severed to any extremity and as such, provide pain relief to this subgroup of patients. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034843 Sat, 28 Nov 2009 13:41:46 +0100 3034843 http://www.medworm.com/index.php?rid=3034842&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000473%2Fabstract%3Frss%3Dyes Summary: The choice of an oral analgesic is an important determinant in achieving effective pain relief. Properties of an ‘ideal analgesic’ required for the management of acute pain are discussed and current evidence for the suitability of available analgesics – acetaminophen, non-steroidal anti-inflammatory drugs (NSAIDs) (such as ibuprofen), opioids and combination therapy – is reviewed. The hypothesis that an ‘ideal analgesic’ for acute pain should have a rapid onset of action, act over an extended period of time, reduce awareness of pain quickly and minimise interruption by pain, be well tolerated and produce analgesia over a wide range of pain types in different patient populations, is proposed herein. Currently available analgesics may fulfil only some of these characteri... Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034842 Sat, 28 Nov 2009 13:41:46 +0100 3034842 http://www.medworm.com/index.php?rid=3034841&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000436%2Fabstract%3Frss%3Dyes Conclusion: These results confirm that movement of the limb contralateral to a noxiously stimulated limb attenuates experimental pain. Further research is required to ascertain whether movement alone attenuates non-experimental pain. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034841 Sat, 28 Nov 2009 13:41:46 +0100 3034841 http://www.medworm.com/index.php?rid=3034840&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000503%2Fabstract%3Frss%3Dyes Conclusion: Cognitive pain coping strategies increase the duration of pain tolerance irrespective of the individual's locus of control, but have no effect on pain intensity rating. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034840 Sat, 28 Nov 2009 13:41:46 +0100 3034840 http://www.medworm.com/index.php?rid=3034839&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000497%2Fabstract%3Frss%3Dyes Conclusion: This study found no difference in opioid consumption between children who received remifentanil versus sufentanil infusions. Findings suggest that these short-acting potent opioids similarly affect morphine requirements following spine fusion. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034839 Sat, 28 Nov 2009 13:41:46 +0100 3034839 http://www.medworm.com/index.php?rid=3034838&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000485%2Fabstract%3Frss%3Dyes Conclusions: We were able to demonstrate in our study, that P-STIM applied pre- and postoperatively following tonsillectomies, is a simple method that seems to be effective and has few side-effects. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034838 Sat, 28 Nov 2009 13:41:46 +0100 3034838 http://www.medworm.com/index.php?rid=3034837&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS136600710900045X%2Fabstract%3Frss%3Dyes Conclusion: Both the drugs are equally effective and safe as postoperative analgesics with i.v. PCA. The dose of 4μg/kg/h of butorphanol appeared effective but the dosage of fentanyl used, 0.4μg/kg/h, was not as effective as evidenced by the increased number of boluses taken by patients and needs to be increased. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034837 Sat, 28 Nov 2009 13:41:45 +0100 3034837 http://www.medworm.com/index.php?rid=3034836&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000448%2Fabstract%3Frss%3Dyes Summary: Background: Issues associated with the analgesic failure are major contributors to diminished postoperative health quality. The aim of this survey was to investigate the risk factors associated with anaesthesiologists for inadequate postoperative pain management, i.e. ≥3cm in a 10cm gauge of Visual Analog Scale.Methods: A total of 1162 confidential questionnaires were sent by mail to anaesthesiologists in clinical hospitals. Information was queried on the incidence of inadequate postoperative pain management with different length of experience in anaesthesia, reasons for such incidence and possible rescue treatments after the occurrence of the incidence, and knowledge in terms of analgesia protocols. Education background and working settings were requested as the contributing fa... Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034836 Sat, 28 Nov 2009 13:41:45 +0100 3034836 http://www.medworm.com/index.php?rid=3034835&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000424%2Fabstract%3Frss%3Dyes Summary: Background and objective: Epidural analgesia (EA) is a gold-standard in post-operative pain control. Therefore, modern treatment concepts targeting early patient recovery regularly implement EA. Due to its increasing impact, EA should meet high quality standards in respect to application and maintenance. Though, daily practice often reveals EA-related problems, our investigation aimed to improve EA quality by assessing incidence and reasons of undeliberate, premature termination of post-operative EA.Methods: In the first step all patients with post-operative EA were retrospectively studied covering a 6-month period (group 1). We analysed incidences and reasons of undeliberate termination of EA. Thereafter we modified our treatment protocols (preferential thoracic EA, continuous pe... Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034835 Sat, 28 Nov 2009 13:41:44 +0100 3034835 http://www.medworm.com/index.php?rid=3034834&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000953%2Fabstract%3Frss%3Dyes (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034834 Sat, 28 Nov 2009 13:41:44 +0100 3034834 http://www.medworm.com/index.php?rid=3034833&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000849%2Fabstract%3Frss%3Dyes (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=3034833 Sat, 28 Nov 2009 13:41:44 +0100 3034833 http://www.medworm.com/index.php?rid=2485892&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000357%2Fabstract%3Frss%3Dyes (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=2485892 Sun, 31 May 2009 23:00:00 +0100 2485892 http://www.medworm.com/index.php?rid=2485891&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000242%2Fabstract%3Frss%3Dyes Conclusions: Fentanyl ITS is a promising novel modality for postoperative analgesia that is superior to placebo but may not be equivalent to morphine PCA as claimed by individual trials and recent reviews. Its use appears to be safe. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=2485891 Sun, 31 May 2009 23:00:00 +0100 2485891 http://www.medworm.com/index.php?rid=2485890&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000059%2Fabstract%3Frss%3Dyes This study examined whether preoperative gabapentin decreases acute postoperative pain and opioid consumption in this setting.Methods: Retrospective chart review of single institution, hospital-based orthopaedic practice. Consecutive patients undergoing unilateral elective primary knee arthroplasty were evaluated for perioperative gabapentin use. Sixty-one consecutive patients received gabapentin; for each, an age- and gender-matched control was identified.Results: Patients in both groups demonstrated similar demographics, all received lumbar plexus blockade. Catheters were removed on postoperative day 2 (95%). There were no differences in postoperative pain scores or opioid use between groups. Overall, median verbal pain scores (IQR) were 0(1), 0(3), 1(3) and 3(3) in the post-anaesthesia ... Acute Pain journals http://www.medworm.com/rss/comments.php?id=2485890 Sun, 31 May 2009 23:00:00 +0100 2485890 http://www.medworm.com/index.php?rid=2485889&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000047%2Fabstract%3Frss%3Dyes Conclusion: A substantial proportion of surveyed nurses were unable to describe the correct use of the FPS-R at either point of knowledge canvassing. In practice, it would appear that these nurses, if using the FPS-R, would not ask the patient about the intensity of their pain in situations when the patient is capable of a self-report. Implemented education strategies did not contribute to the correct application of FPS-R tool. Clinicians need to be aware of the possibility of misinterpreted application of self-reporting pain intensity measurement tools which employ a facial expression. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=2485889 Sun, 31 May 2009 23:00:00 +0100 2485889 http://www.medworm.com/index.php?rid=2485888&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000035%2Fabstract%3Frss%3Dyes Conclusion: Preoperative flurbiprofen axetil 50mg is a clinically effective analgesic means after uterine curettage on abortion. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=2485888 Sun, 31 May 2009 23:00:00 +0100 2485888 http://www.medworm.com/index.php?rid=2485887&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000308%2Fabstract%3Frss%3Dyes (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=2485887 Sun, 31 May 2009 23:00:00 +0100 2485887 http://www.medworm.com/index.php?rid=2342541&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000187%2Fabstract%3Frss%3Dyes (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=2342541 Sun, 01 Mar 2009 05:00:00 +0100 2342541 http://www.medworm.com/index.php?rid=2342540&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007108002052%2Fabstract%3Frss%3Dyes Summary: Renal artery embolization (angio-infarction) of a large renal cell carcinoma, prior to excision, is an acceptable surgical option. It may reduce the tumour's size and vascularity. However, postembolization syndrome, as characterized by flank pain, fever, nausea, and/or vomiting, is a potential complication of such an approach. The flank pain of this syndrome may be resistant to conventional opioid therapy. Here we report the successful use of a unilateral paravertabral block for the control of the unilateral flank pain of postembolization syndrome secondary to renal artery embolization. (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=2342540 Sun, 01 Mar 2009 05:00:00 +0100 2342540 http://www.medworm.com/index.php?rid=2342539&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007108001733%2Fabstract%3Frss%3Dyes This study was conducted to evaluate the postoperative analgesic efficacy and the safety of two low doses of intrathecal (IT) neostigmine in patients undergoing knee arthroscopy under spinal bupivacaine anaesthesia.Methods: By using a double-blinded study design, 80 patients undergoing knee arthroscopy during spinal anaesthesia were divided into four groups: bupivacaine group (Group B) received 15mg hyperbaric bupivacaine; bupivacaine+fentanyl group (Group BF) received 15mg hyperbaric bupivacaine mixed with 25μg fentanyl; bupivacaine+neostigmine group 1 (Group BN1) received 15mg hyperbaric bupivacaine mixed with 25μg neostigmine; bupivacaine+neostigmine group 2 (Group BN2) received 15mg hyperbaric bupivacaine mixed with 35μg neostigmine. The postoperative visual analog scale (VAS) and t... Acute Pain journals http://www.medworm.com/rss/comments.php?id=2342539 Sun, 01 Mar 2009 05:00:00 +0100 2342539 http://www.medworm.com/index.php?rid=2342538&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007108001745%2Fabstract%3Frss%3Dyes Summary: Objective: This prospective observer-blinded clinical trial is designed to evaluate the effectiveness and the safety of 0.5% ropivacaine 30ml (150mg) administrated via subcutaneous infiltration at incision with or without combination of intraperitoneal spray for analgesia after laparoscopically assisted gastrointestinal surgery.Methods: Ninety ASA grade I–III patients were randomized into three groups: Group R1 (29 patients) in which patients received infiltration of 0.5% ropivacaine 30ml at all incision sites before the suturing, Group R2 (31 patients) in which patients received 0.5% ropivacaine 20ml at all incision sites and intraperitoneal spray of 0.5% ropivacaine 10ml before the suturing and Group C (30 patients) in which patients received no ropivacaine as control. VAS sco... Acute Pain journals http://www.medworm.com/rss/comments.php?id=2342538 Sun, 01 Mar 2009 05:00:00 +0100 2342538 http://www.medworm.com/index.php?rid=2342537&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007108002064%2Fabstract%3Frss%3Dyes Summary: Background: Thrombophlebitis is a common complication of a widely used formulation of injectable diclofenac that employs propylene glycol and benzyl alcohol (PG–BA) as solvents. Initial studies of Dyloject®, a novel injectable diclofenac solubilised with hydroxypropyl-β-cyclodextrin (HPβCD), suggested that this complication occurred less frequently and with lower severity with the newer formulation.Methods: We conducted a safety analysis of seven single-dose clinical trials that enrolled 531 patients receiving either a rapid intravenous (IV) bolus of Dyloject® or a 30min IV infusion of PG–BA diclofenac.Results: The incidence of thrombophlebitis observed as an adverse event following Dyloject® treatment was 1.2% (5 of 423) versus 6.5% (7 of 108) following PG–BA diclofena... Acute Pain journals http://www.medworm.com/rss/comments.php?id=2342537 Sun, 01 Mar 2009 05:00:00 +0100 2342537 http://www.medworm.com/index.php?rid=2342536&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000023%2Fabstract%3Frss%3Dyes This article aimed to evaluate the evidence for varied techniques described for peri-operative pain management in breast surgery, and to review the literature on chronic pain after breast surgery and particularly ‘post-mastectomy pain syndrome’.Method: A Pubmed search was performed, with the key words “mastectomy” and “pain” for articles in the English language in the adult human population (age>19 years), looking specifically for different analgesic techniques that have been evaluated.Results: Thirty-three peer-reviewed publications with pain outcome data were included, ranging from 15 to 289 patients per study (total n=2104). Twenty three were randomised controlled trials and the rest were prospective or retrospective audits and case series. Inconsistent trial methodology pre... Acute Pain journals http://www.medworm.com/rss/comments.php?id=2342536 Sun, 01 Mar 2009 05:00:00 +0100 2342536 http://www.medworm.com/index.php?rid=2342535&cid=s_38434_5_f&fid=38434&url=http%3A%2F%2Fwww.acutepainjournal.com%2Farticle%2FPIIS1366007109000138%2Fabstract%3Frss%3Dyes (Source: Acute Pain) Acute Pain journals http://www.medworm.com/rss/comments.php?id=2342535 Sun, 01 Mar 2009 05:00:00 +0100 2342535