‘Please take good care of our baby sister’: Help for Addison’s hemangioma
Most parents dress their baby girls in headbands for fun. But for Addison Quandt, these accessories, adorned with bows and flowers, weren’t a frivolous fashion statement. Instead, they helped hold in place the gauze that covered a large hemangioma on the back of her neck. “People always said what a fashionable baby she was,” says her mom, Dianne. “If they only knew.” Addison was born with four hemangiomas, common benign vascular tumors that typically appear as red birthmarks within a week or two of birth. In many cases, they don’t cause problems and clear up without treatment. But not only weren’t Addison’s hemangiomas going away — the one on her neck was growing at an alarming pace. “It bled a lot,” says Dianne. “And because of where it was located, it was causing her a lot of pain.” When she was three months old, Addison’s pediatrician referred Dianne and her husband, Dennis, to Dr. Denise Adams, co-director of the Vascular Anomalies Center at Boston Children’s Hospital. A high degree of care For the next few months, the Quandts kept in close contact with Dr. Adams, who monitored the hemangioma and advised them to keep it moisturized. She also prescribed medications aimed at slowing the growth of blood vessels in the tumor. “We’ve never met a doctor like Dr. Adams before,” says Dianne, who recalls speaking with her on the phone late at night and even during her vacat...
Dexmedetomidine is often used in the intensive care setting, but how might it impact the duration of mechanical ventilation in septic patients?BMC Pulmonary Medicine
If you’re staying shut in your home, anxious about when you will finally be able to take a stroll outside or whether you or someone close to you will be infected by the novel coronavirus, you are not the only one. In the U.S. alone, half of the adults report high levels of anxiety due to the COVID-19, according to the American Psychiatric Association. The ongoing pandemic is exerting the whole world both physically and mentally. One thing is sure to be asked by everyone: when will all this be over? Some think that things will never get back to normal. Acclaimed sci-fi writer Ted Chiang says that “we do...
Conclusion Patients’ responses highlighted the need to increase individuals’ awareness on the first signs and symptoms of the disease. The survey also showed that chronic stable angina patients need constant emotional support to overcome stress, anxiety, and depression. Finally, this study suggests the need to offer greater space for dialogue with healthcare professionals to get more comprehensive and ‘patient-friendly’ information.
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Conclusion: The current study demonstrated no analgesic effects of postoperative chlorzoxazone administration compared with placebo on acute or chronic postoperative pain 12 months following TKR and THR.
Discussion: Most clinicians agreed that OIH is a complication of opioid therapy, but were divided regarding the prevalence of OIH, etiological factors, and optimal management.
We examined variables that influence the provision of analgesia in a pediatric emergency department that uses TNIA. Methods: A 4-year retrospective cohort study of all children with triage pain scores ≥1 was conducted. Data on demographics and patients’ and nurses’ characteristics were collected. Logistic regression analyses were used to examine the effect of multiple variables on the provision of any analgesia and opioid analgesia. Results: Overall, 28,746 children had triage pain scores ≥1; 14,443 (50.2%) patients received analgesia of any type and 1888 (6.6%) received opioid analgesia. Mean time ...
Discussion: The study provides important new findings regarding the associations between social factors and physical and psychological functioning of individuals with chronic pain, supporting biopsychosocial models.
Discussion: Our findings support the notion of a positive association between inflammatory biomarkers and nonspecific LBP, specifically for CRP, TNFs, and IL-6. Although further high quality longitudinal studies are needed to confirm these findings and evaluate the magnitude of these associations, our findings suggest a role of inflammation in the pathogenesis of nonspecific LBP.
Discussion: The results of this review show that there is a need to improve the methodological quality of guidelines for procedural pain in newborns. The set of recommendations for procedural pain prevention needs to involve not only pharmacological and nonpharmacological pain treatment but also parents and interprofessional collaboration. It is also essential to take into account facilitators, barriers, and the context to improve pain management.