My Pediatric Palliative Care Patient with a DNR Is Going to the Operating Room —Questions to Ask the Anesthesiologist (TH337)

Children with end-stage illness may have DNR orders, which limit common operating room interventions such as intubation, administration of vasoactive medications, and CPR. However, many of these children may still benefit from surgeries, imaging, or other interventions requiring anesthesia, such as radiation therapy to palliate metastases, long-term central venous access for medications or parenteral nutrition, gastric tubes, or pleura or paracentesis to help with breathlessness or abdominal distension.
Source: Journal of Pain and Symptom Management - Category: Palliative Care Authors: Source Type: research

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ABSTRACT Objectiv:e to analyze the relationship of anxiety and depression in the preoperative period with the presence of pain in the postoperative period. Method: cohort study conducted at a university hospital in the state of Minas Gerais (Brazil), between february and July 2017, with 65 patients. A collection instrument was elaborated for the demographic and clinical characteristics. The Hospital Anxiety and Depression Scale was used to assess anxiety and depression; pain intensity was measured using the Verbal Numerical Scale. Data were submitted to descriptive and inferential statistical analysis. Results: according t...
Source: Texto e Contexto - Enfermagem - Category: International Medicine & Public Health Source Type: research
OBJECTIVES: Unlike many investigations that focus on suicide ideation rather than suicidal behavior, the present research evaluates the merit and relative efficacy of psychache (i.e., unbearable mental pain) for predicting self-reported suicide attempts am...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
Kratom or Mitragna speciosa is a tropical tree that is indigenous to Southeast Asia, where it has been used for various medicinal reasons. In the West, it is used in the self-treatment of opioid withdrawal, pain, and a variety of mood and anxiety states. T...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
PURPOSE: Opioids are commonly prescribed for acute pain after surgery. However, it is unclear whether these prescriptions are usually modified to account for patient age and, in particular, opioid-related risks among older adults. We therefore sought to de...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
Alright guys so I'll be starting fellowship this year - some practices say they pay "training stipend" but don't want someone who can't start in the next 6months - how does that add up? Who would pay a training stipend then - a training stipend means a stipend during training, which means that the person is in training for the year. Someone explain this to me please.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Condition:   Pain, Acute Interventions:   Drug: cannabidiol;   Drug: placebo;   Drug: acetaminophen 500mg and ibuprofen 200mg combo Sponsor:   University of Tennessee Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Spinal Cord Injury;   Inflammation;   Neuropathic Pain Interventions:   Other: Anti-inflammatory Diet;   Other: Placebo Diet Sponsors:   Lawson Health Research Institute;   Ontario Neurotrauma Foundation Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Plantar Fasciitis, Chronic Intervention:   Sponsor:   Gaziosmanpasa Taksim Research and Education Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conditions:   Anxiety;   Fear of Pain;   Child Behavior Intervention:   Other: Video Sponsor:   KK Women's and Children's Hospital Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
CONCLUSIONS: These findings support the use of patient experiences and feedback to aide product development. In addition, post-9/11 veterans support the use of eScreening to assist health screening. However, evaluating the eScreening program in more diverse veteran groups and Veterans Affairs settings is needed to improve the generalizability of these findings to the larger veteran population. PMID: 32060553 [PubMed - as supplied by publisher]
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
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