Topics in Pain Management CE Quiz
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Abstract Pancreatic cancer is a dismal disease with a poor prognosis and is one of the most painful malignancies. Therefore, adequate pain control is essential to improving the patient's quality of life. Pain in pancreatic cancer has complex pathophysiologic mechanisms and different characteristics. The choice of pain management modalities should be individualized depending on the pain characteristics using a multidisciplinary approach. The treatment options available include medical treatment, chemotherapy, celiac plexus/ganglion neurolysis, radiotherapy, and endoscopic technique. This review discusses the medica...
ConclusionOverall, the number of complaints was significantly reduced. Only in the case of persisting adenomyosis patients suffered from ongoing postoperative complaints, as in reproductive aged women keeping the uterus was highly required. Although this pilot study about systematic posterior peritonectomy showed improved recurrence rate and fertility rate, the main question remains: does this surgical technique appropriate better results and outcomes in the future. This question has to be addressed in a prospective randomized study.
AbstractPurpose of ReviewA high percentage of patients present to the emergency department for management of painful conditions. It is in society ’s interest to provide pain relief without contributing to the ongoing opioid crisis.Recent FindingsAcupuncture is an ancient therapy dating from more than 4000 years. It has not historically been shown in rigorous duplicated studies to be effective in the management of acutely painful conditions. More recent literature has shown its promise in the treatment of a variety of defined and common complaints.SummaryNonopioid treatment options for management of moderate to ...
This study will investigate two types of preformed pediatric crowns for the management of severe decay on primary molars. The results may help practitioners choose the better therapeutic option and to explain to parents the advantages and disadvantages of these two therapies.Trial registrationNCT03296709. Registered on 27 September 2017.
CONCLUSION: Patients with IBS in Germany are likely not receiving sufficient diag- nostic evaluation in conformity with the relevant guidelines. The high prevalence of comorbid mental disorders and other pain syndromes implies that the complaints of patients with IBS need to be more comprehensively evaluated and treated. PMID: 31431234 [PubMed - in process]
When they started practicing medicine, most surgeons say, there was little or no information about just how many pain pills patients needed after specific procedures. As a result, patients often were sent home with the equivalent of handfuls of powerful and addictive medications. Then the opioid crisis hit, along with studies showing one possible side effect of […]Find jobs at Careers by KevinMD.com. Search thousands of physician, PA, NP, and CRNA jobs now. Learn more.
ConclusionA multimodal oral analgesia protocol provides sufficient pain relief to allow closed reduction of upper-limb fractures in children at the emergency department. This management strategy provided high satisfaction rates in both the patients and their parents.Level of evidenceII, prospective observational study.
The unique biomechanical properties of the sacroiliac joint (SIJ) presents formidable challenges in spinal reconstructive surgery. Controversy exists as to effective surgical management of this joint. Abnormal motion across the joint is believed to lead to pain, dysfunction and instrumentation complications, but few data are available on the kinematic response. This investigation was performed to quantify and compare the sacroiliac kinematics of lumbosacral fixation and unilateral and bilateral iliac screw configurations.
This study is a biomechanical investigation to understand the effect of pelvic vs sacroiliac joint fixation on the sacroiliac joint in lumbosacral fusion.
Over the past decade, opioid use in the United States has increased rapidly. However, patient satisfaction with pain management has not improved. Instead, with growing number of overdose deaths, over- and misuse of opioids has been declared a public health crisis. Patients presenting for lumbar spine surgery frequently present with pain related to their spine condition, are frequently consuming opioids to treat this pain and, following surgery, this is exacerbated due to disruption of skin, muscle tissue, vertebrae, intervertebral discs, and facet joints.