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Perioperative Use of Ketamine
This article highlights the current use and advances surrounding the perioperative use of ketamine.Recent FindingsKetamine has antidepressive effects at subanesthetic doses. Intraoperative ketamine may be beneficial in reducing postoperative depression. Additionally, newer studies are exploring whether ketamine can be useful in reducing postoperative sleep disturbances.SummaryKetamine continues to be a great tool in perioperative pain control, especially during an opioid epidemic. As its use continues to expand and gain more popularity in the perioperative period, more research could shed light on the additional nonanalges...
Source: Current Pain and Headache Reports - July 1, 2023 Category: Neurology Source Type: research

Acute Pain and Development of Opioid Use Disorder: Patient Risk Factors
AbstractPurpose of ReviewPharmacological therapy for acute pain carries the risk of opioid misuse, with opioid use disorder (OUD) reaching epidemic proportions worldwide in recent years. This narrative review covers the latest research on patient risk factors for opioid misuse in the treatment of acute pain. In particular, we emphasize newer findings and evidence-based strategies to reduce the prevalence of OUD.Recent FindingsThis narrative review captures a subset of recent advances in the field targeting the literature on patients ’ risk factors for OUD in the treatment for acute pain. Besides well-recognized risk fact...
Source: Current Pain and Headache Reports - July 1, 2023 Category: Neurology Source Type: research

The Stigma Surrounding Opioid Use as a Barrier to Cancer-Pain Management: An Overview of Experiences with Fear, Shame, and Poorly Controlled Pain in the Context of Advanced Cancer
Curr Oncol. 2023 Jun 17;30(6):5835-5848. doi: 10.3390/curroncol30060437.ABSTRACTCancer-related pain affects a majority of patients with advanced cancer and is often undertreated. The treatment of this pain is largely reliant on the use of opioids, which are essential medicines for symptom management and the maintenance of quality of life (QoL) for patients with advanced cancer. While there are cancer-specific guidelines for the treatment of pain, widespread publication and policy changes in response to the opioid epidemic have drastically impacted perceptions of opioid use. This overview therefore aims to investigate how m...
Source: Pain Physician - June 27, 2023 Category: Anesthesiology Authors: Hannah Harsanyi Colleen Cuthbert Fiona Schulte Source Type: research