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Practice Bulletin No. 177: Obstetric Analgesia and Anesthesia.

Practice Bulletin No. 177: Obstetric Analgesia and Anesthesia. Obstet Gynecol. 2017 Apr;129(4):e73-e89 Authors: Abstract Labor causes severe pain for many women. There is no other circumstance in which it is considered acceptable for an individual to experience untreated severe pain that is amenable to safe intervention while the individual is under a physician's care. Many women desire pain management during labor and delivery, and there are many medical indications for analgesia and anesthesia during labor and delivery. In the absence of a medical contraindication, maternal request is a sufficient medical indication for pain relief during labor. A woman who requests epidural analgesia during labor should not be deprived of this service based on the status of her health insurance. Third-party payers that provide reimbursement for obstetric services should not deny reimbursement for labor analgesia because of an absence of "other medical indications." Anesthesia services should be available to provide labor analgesia and surgical anesthesia in all hospitals that offer maternal care (levels I-IV) (). Although the availability of different methods of labor analgesia will vary from hospital to hospital, the methods available within an institution should not be based on a patient's ability to pay.The American College of Obstetricians and Gynecologists believes that in order to allow the maximum number of patients to benefit from neuraxial analgesi...
Source: Pain Physician - Category: Anesthesiology Tags: Obstet Gynecol Source Type: research

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This article offers a brief critical review of integrative medical therapies used to treat chronic pain, including nutritional supplements, yoga, relaxation, tai chi, massage, spinal manipulation, and acupuncture. The goal of this article is to identify those treatments that show evidence of efficacy and to identify gaps in the literature where additional studies and controlled trials are needed. An electronic search of the databases of PubMed, The Cochrane Library, EMBASE, PsycINFO, and Science Citation Index Expanded was conducted. Overall, weak positive evidence was found for yoga, relaxation, tai chi, massage, and mani...
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
(Wolters Kluwer Health) Can acupuncture and yoga help to fight the opioid epidemic? These and other integrative medicine approaches have shown at least preliminary evidence of effectiveness in pain management, according to an article in the December issue of Anesthesia&Analgesia -- a special thematic issue addressing the opioid crisis.
Source: EurekAlert! - Social and Behavioral Science - Category: International Medicine & Public Health Source Type: news
On September 8, 1854, acting on the advice of Dr. John Snow, London municipal authorities removed the pump handle from the Broad Street well in an effort to halt a major outbreak of cholera. Although an anesthesiologist by profession, Snow had methodically mapped the homes of new cases of cholera. He found that many clustered around the Broad Street pump. Snow’s findings, still regarded as a classic example of epidemiology, established the principle: “that the most important information to have about any communicable disease is its mode of communication.” Dr. Snow did not establish the biologic mechanism ...
Source: Health Affairs Blog - Category: Health Management Authors: Tags: Featured Public Health Quality Department of Veterans Affairs military health care Opioid Addiction opioid epidemic Source Type: blogs
CONCLUSION: There is a need for more evidence about interventions for CPSP. High-quality trials of multimodal interventions matched to pain characteristics are needed to provide robust evidence to guide management of CPSP. PMID: 28681962 [PubMed - as supplied by publisher]
Source: The British Journal of Surgery - Category: Surgery Authors: Tags: Br J Surg Source Type: research
ConclusionThere is a need for more evidence about interventions for CPSP. High‐quality trials of multimodal interventions matched to pain characteristics are needed to provide robust evidence to guide management of CPSP.
Source: British Journal of Surgery - Category: Surgery Authors: Tags: Systematic review Source Type: research
Publication date: Available online 24 April 2017 Source:Journal of Acupuncture and Meridian Studies Author(s): Parisa Shah Mohammadi Pour, Golnaz Foroogh Ameri, Majid Kazemi, Yones Jahani The aim of the present study was to compare the effects of topical anesthesia and acupressure at the Yintang (Extra 1) and the Laogong (P-8) points on the severity of venipuncture pain among hospitalized 6–12-year-old children. A sample (n = 120) of 6–12-year-old hospitalized children was recruited from two teaching hospitals located in Rafsanjan, Iran. The children were allocated to the topical anesthesia, acupress...
Source: Journal of Acupuncture and Meridian Studies - Category: Complementary Medicine Source Type: research
Publication date: Available online 24 April 2017 Source:Journal of Acupuncture and Meridian Studies Author(s): Parisa Shah Mohammadi Pour, Golnaz Foroogh Ameri, Majid Kazemi, Yones Jahani The aim of the present study was to compare the effects of topical anesthesia and acupressure at the Yintang (Extra 1) and the Laogong (P-8) points on the severity of venipuncture pain among hospitalized 6–12 year-old children. A sample of 120 6–12 year-old hospitalized children was recruited from two teaching hospitals located in Rafsanjan, Iran. The children were allocated to the topical anesthesia, acupressure, and control...
Source: Journal of Acupuncture and Meridian Studies - Category: Complementary Medicine Source Type: research
Authors: Abstract Labor causes severe pain for many women. There is no other circumstance in which it is considered acceptable for an individual to experience untreated severe pain that is amenable to safe intervention while the individual is under a physician's care. Many women desire pain management during labor and delivery, and there are many medical indications for analgesia and anesthesia during labor and delivery. In the absence of a medical contraindication, maternal request is a sufficient medical indication for pain relief during labor. A woman who requests epidural analgesia during labor should not be ...
Source: Pain Physician - Category: Anesthesiology Tags: Obstet Gynecol Source Type: research
The nation's crisis in pain treatment and need to reduce opioid dependence has lifted a powerful chorus of voices to change insurance practices. The American Medical Association is among the organizations urging payers to cover non-pharmacological approaches. Many specifically extend this call to integrative treatments. The statements were discovered by representatives of the Acupuncture Now Foundation (ANF) and the American Society of Acupuncturists (ASA) among comments submitted to the USA Center for Disease Control and Prevention (CDC). CDC had a public comment period prior to its March 2016 issuance of its Guidelines ...
Source: Healthy Living - The Huffington Post - Category: Consumer Health News Source Type: news
CONCLUSIONS: EA stimulation could alleviate inflammatory pain, at least in part, by restoring apelin and APJ mRNA and protein expression levels, which are downregulated in the CFA pain model. PMID: 27632349 [PubMed - as supplied by publisher]
Source: Anesthesia and Analgesia - Category: Anesthesiology Authors: Tags: Anesth Analg Source Type: research
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