Ayurvedic management of a refractory skin disease clinically diagnosed as Cutaneous Lichen Planus-A case report
This study reports the successful management of a recurrent, refractory skin disease diagnosed clinically as Cutaneous Lichen Planus (CLP) in a female patient with Ayurvedic treatment. A 42-year-old home maker from Coimbatore presented with blackish-red pigmented skin rashes and white streaks. Though mucous membranes were not affected, she did not respond to homoeopathic and biomedical treatment. The lesions were spread all over the body except for the face, scalp, axillary and genital region. In addition, she complained of dry skin, pain, and itching. The condition was treated as Kapha-Pitta dominant Tridoshaja Kushta bas...
Source: Pain Physician - March 21, 2024 Category: Anesthesiology Authors: Sushma Naranappa Salethoor Shyamasundaran Kulangara A R Aramya Rammanohar Puthiyedath Source Type: research

Impact of pharmacist-delivered interventions on pain-related outcomes: An umbrella review of systematic reviews and meta-analyses
CONCLUSION: This umbrella review highlights the effectiveness of pharmacist-delivered interventions in improving clinical, humanistic, and economic outcomes related to pain management. Existing evidence emphasises on the need to integrate pharamacists into multi-disciplinary pain management teams. Further research is needed to investigate innovative care models, such as pharmacist-independent prescribing initiatives within collaborative pain management clinics.PMID:38514293 | DOI:10.1016/j.sapharm.2024.03.005 (Source: Pain Physician)
Source: Pain Physician - March 21, 2024 Category: Anesthesiology Authors: Sunil Shrestha Ayesha Iqbal Siew Li Teoh Saval Khanal Siew Hua Gan Shaun Wen Huey Lee Vibhu Paudyal Source Type: research

Ultrasound-guided erector spinae nerve block for relief of endometriosis pain in the emergency department
We report the case of a 23-year-old female with a past medical history of endometriosis who presented to a freestanding emergency department with a chief complaint of 10/10 pelvic pain on a numeric rating scale. She had tried non-steroidal inflammatory medications and heat with no success. The patient had medication intolerances to opioid analgesics and was given ketorolac intramuscularly with no relief of her pain. The emergency physician discussed and offered to perform an erector spinae plane nerve block (ESPB) for pain relief. Ultrasonography was utilized for visualization of landmarks with a curvilinear transducer; a ...
Source: Pain Physician - March 21, 2024 Category: Anesthesiology Authors: Robert Stenberg Kristen Septaric Erin L Simon Source Type: research

Ethics and Medicolegal Aspects of Withdrawal of Treatment in Critical Care Patients without Advanced Directives in India: Who will Guard the Guardians Themselves?
This article examines ethical issues related to the specifics of the judgment with respect to those who do not have ADs in India. The present article emphasizes the need for self-regulation, credentialing, and continuing medical education in critical care and palliative medicine. In the absence of these, who will guard the guardians?HOW TO CITE THIS ARTICLE: Menon MR. Ethics and Medicolegal Aspects of Withdrawal of Treatment in Critical Care Patients without Advanced Directives in India: Who will Guard the Guardians Themselves? Indian J Crit Care Med 2024;28(1):15-17.PMID:38510766 | PMC:PMC10949292 | DOI:10.5005/jp-journal...
Source: Pain Physician - March 21, 2024 Category: Anesthesiology Authors: Mahesh Radhakrishnan Menon Source Type: research

Ayurvedic management of a refractory skin disease clinically diagnosed as Cutaneous Lichen Planus-A case report
This study reports the successful management of a recurrent, refractory skin disease diagnosed clinically as Cutaneous Lichen Planus (CLP) in a female patient with Ayurvedic treatment. A 42-year-old home maker from Coimbatore presented with blackish-red pigmented skin rashes and white streaks. Though mucous membranes were not affected, she did not respond to homoeopathic and biomedical treatment. The lesions were spread all over the body except for the face, scalp, axillary and genital region. In addition, she complained of dry skin, pain, and itching. The condition was treated as Kapha-Pitta dominant Tridoshaja Kushta bas...
Source: Pain Physician - March 21, 2024 Category: Anesthesiology Authors: Sushma Naranappa Salethoor Shyamasundaran Kulangara A R Aramya Rammanohar Puthiyedath Source Type: research

Impact of pharmacist-delivered interventions on pain-related outcomes: An umbrella review of systematic reviews and meta-analyses
CONCLUSION: This umbrella review highlights the effectiveness of pharmacist-delivered interventions in improving clinical, humanistic, and economic outcomes related to pain management. Existing evidence emphasises on the need to integrate pharamacists into multi-disciplinary pain management teams. Further research is needed to investigate innovative care models, such as pharmacist-independent prescribing initiatives within collaborative pain management clinics.PMID:38514293 | DOI:10.1016/j.sapharm.2024.03.005 (Source: Pain Physician)
Source: Pain Physician - March 21, 2024 Category: Anesthesiology Authors: Sunil Shrestha Ayesha Iqbal Siew Li Teoh Saval Khanal Siew Hua Gan Shaun Wen Huey Lee Vibhu Paudyal Source Type: research

Ultrasound-guided erector spinae nerve block for relief of endometriosis pain in the emergency department
We report the case of a 23-year-old female with a past medical history of endometriosis who presented to a freestanding emergency department with a chief complaint of 10/10 pelvic pain on a numeric rating scale. She had tried non-steroidal inflammatory medications and heat with no success. The patient had medication intolerances to opioid analgesics and was given ketorolac intramuscularly with no relief of her pain. The emergency physician discussed and offered to perform an erector spinae plane nerve block (ESPB) for pain relief. Ultrasonography was utilized for visualization of landmarks with a curvilinear transducer; a ...
Source: Pain Physician - March 21, 2024 Category: Anesthesiology Authors: Robert Stenberg Kristen Septaric Erin L Simon Source Type: research

Ethics and Medicolegal Aspects of Withdrawal of Treatment in Critical Care Patients without Advanced Directives in India: Who will Guard the Guardians Themselves?
This article examines ethical issues related to the specifics of the judgment with respect to those who do not have ADs in India. The present article emphasizes the need for self-regulation, credentialing, and continuing medical education in critical care and palliative medicine. In the absence of these, who will guard the guardians?HOW TO CITE THIS ARTICLE: Menon MR. Ethics and Medicolegal Aspects of Withdrawal of Treatment in Critical Care Patients without Advanced Directives in India: Who will Guard the Guardians Themselves? Indian J Crit Care Med 2024;28(1):15-17.PMID:38510766 | PMC:PMC10949292 | DOI:10.5005/jp-journal...
Source: Pain Physician - March 21, 2024 Category: Anesthesiology Authors: Mahesh Radhakrishnan Menon Source Type: research

Ayurvedic management of a refractory skin disease clinically diagnosed as Cutaneous Lichen Planus-A case report
This study reports the successful management of a recurrent, refractory skin disease diagnosed clinically as Cutaneous Lichen Planus (CLP) in a female patient with Ayurvedic treatment. A 42-year-old home maker from Coimbatore presented with blackish-red pigmented skin rashes and white streaks. Though mucous membranes were not affected, she did not respond to homoeopathic and biomedical treatment. The lesions were spread all over the body except for the face, scalp, axillary and genital region. In addition, she complained of dry skin, pain, and itching. The condition was treated as Kapha-Pitta dominant Tridoshaja Kushta bas...
Source: Pain Physician - March 21, 2024 Category: Anesthesiology Authors: Sushma Naranappa Salethoor Shyamasundaran Kulangara A R Aramya Rammanohar Puthiyedath Source Type: research

Impact of pharmacist-delivered interventions on pain-related outcomes: An umbrella review of systematic reviews and meta-analyses
CONCLUSION: This umbrella review highlights the effectiveness of pharmacist-delivered interventions in improving clinical, humanistic, and economic outcomes related to pain management. Existing evidence emphasises on the need to integrate pharamacists into multi-disciplinary pain management teams. Further research is needed to investigate innovative care models, such as pharmacist-independent prescribing initiatives within collaborative pain management clinics.PMID:38514293 | DOI:10.1016/j.sapharm.2024.03.005 (Source: Pain Physician)
Source: Pain Physician - March 21, 2024 Category: Anesthesiology Authors: Sunil Shrestha Ayesha Iqbal Siew Li Teoh Saval Khanal Siew Hua Gan Shaun Wen Huey Lee Vibhu Paudyal Source Type: research

Ultrasound-guided erector spinae nerve block for relief of endometriosis pain in the emergency department
We report the case of a 23-year-old female with a past medical history of endometriosis who presented to a freestanding emergency department with a chief complaint of 10/10 pelvic pain on a numeric rating scale. She had tried non-steroidal inflammatory medications and heat with no success. The patient had medication intolerances to opioid analgesics and was given ketorolac intramuscularly with no relief of her pain. The emergency physician discussed and offered to perform an erector spinae plane nerve block (ESPB) for pain relief. Ultrasonography was utilized for visualization of landmarks with a curvilinear transducer; a ...
Source: Pain Physician - March 21, 2024 Category: Anesthesiology Authors: Robert Stenberg Kristen Septaric Erin L Simon Source Type: research

Career and life planning in the context of the postgraduate medical training - current challenges and opportunities
CONCLUSION: Parenthood and the use of parental leave and part-time work appear to have a significant impact on the career paths of those surveyed. Although the majority of directors of medical training programs are open to job-sharing models, further measures are needed in order to equalize career opportunities for men and women.PMID:38504867 | PMC:PMC10946217 | DOI:10.3205/zma001660 (Source: Pain Physician)
Source: Pain Physician - March 20, 2024 Category: Anesthesiology Authors: Stella Oberberg Elena K Enax-Krumova Christiane Kruppa Christine H Meyer-Frie ßem Robin Denz Alina Funhoff Vanessa Behrens Dinah Berres Vera Fortmeier Dina Str äter Johanna Strotmann Maxi von Glinski Source Type: research

Case report: Organ donation after euthanasia for psychiatric suffering: some of the practical and ethical lessons Martijn taught us
In conclusion, the article advocates for a nuanced approach, respecting patients' altruistic wishes while at the same time addressing challenges associated with ODE in psychiatric suffering. Where possible, and within the current medical, ethical and legal boundaries, the importance of facilitating organ donation without unnecessarily prolonging the suffering of competent psychiatric patients seeking euthanasia is emphasized. The topic calls, for example, for further qualitative research to understand the stakeholders' perspectives to determine the perceived possibilities on the one hand and boundaries on the other.PMID:38...
Source: Pain Physician - March 20, 2024 Category: Anesthesiology Authors: Nathalie van Dijk Wim de Jongh Paulan St ärcke David Shaw Jan Bollen Walther van Mook Source Type: research

Social health in young women with chronic pain
CONCLUSIONS: Experience of chronic pain-regardless of the specific pain condition-may negatively affect some areas of social functioning in young women.PMID:38505830 | PMC:PMC10950150 | DOI:10.1097/PR9.0000000000001146 (Source: Pain Physician)
Source: Pain Physician - March 20, 2024 Category: Anesthesiology Authors: Ian A Boggero Linda Sangalli Lauryn Brasch Christopher D King Source Type: research

Effectiveness of Radiofrequency Ablation for Treatment of Glossopharyngeal Neuralgia: A Systematic Review of the Current Literature
CONCLUSION: RFA is efficacious in treating GPN with over 80% of patients experiencing postprocedure pain relief. However, further research in the form of clinical and controlled trials is needed to contribute to a better understanding of RFA's long-term outcomes for patients with GPN.PMID:38506675 (Source: Pain Physician)
Source: Pain Physician - March 20, 2024 Category: Anesthesiology Authors: Kenny Do Eric Kawana Vladislav Zhitny Michael C Wajda Shengping Zou Jenifer Do Navdeep Singh Valeryia Pratasava Harsha Dannapaneni Rae Stewart Ryan T Gualtier Source Type: research