Effectiveness of implementing a standardized perioperative pain management protocol in children undergoing tonsillectomy: A quality improvement project
CONCLUSION: The quality improvement project highlighted notable improvements in the intervention group for whom a standardized perioperative pain management protocol was used, including reduced opioid medication administration, lower incidence of respiratory interventions, and high adherence to the pain management protocol. These findings underscore the effectiveness and feasibility of standardized protocols in enhancing patient outcomes.PMID:38695104 | DOI:10.1111/pan.14917 (Source: Paediatric Anaesthesia)
Source: Paediatric Anaesthesia - May 2, 2024 Category: Anesthesiology Authors: Lauren Freedman Anna Varughese Binu Koirala Vinciya Pandian Source Type: research
Arthrocentesis versus occlusal coverage splints in the management of disc displacement without reduction: a systematic review and meta-analysis
Disc displacement without reduction (DDwoR) can cause pain and limitations in mouth opening, with a significant impact on function. The optimal management strategy for DDwoR is unclear. Treatments include conservative management such as mandibular manipulation, occlusal splints, and patient education/self-management, as well as arthrocentesis, which is a minimally invasive procedure. The aim of this systematic review and meta-analysis was to ascertain whether there is a role for arthrocentesis in the management of DDwoR. (Source: International Journal of Oral and Maxillofacial Surgery)
Source: International Journal of Oral and Maxillofacial Surgery - May 2, 2024 Category: ENT & OMF Authors: B ES Dawoud, O. Tabbenor, C. Crawford, S. Bayoumi Tags: TMJ Source Type: research
A detailed review of the spinal accessory nerve and its anatomical variations with cadaveric illustration
AbstractThe spinal accessory nerve, considered part of the eleventh cranial nerve, provides motor innervation to sternocleidomastoid and trapezius. A comprehensive literature review and two cadaveric dissections were undertaken. The spinal accessory nerve originates from the spinal accessory nucleus. Its rootlets unite and ascend between the denticulate ligament and dorsal spinal rootlets. Thereafter, it can anastomose with spinal roots, such as the McKenzie branch, and/or cranial roots. The spinal accessory nerve courses intracranially via foramen magnum and exits via jugular foramen, within which it usually lies anterior...
Source: Anatomical Science International - May 2, 2024 Category: Anatomy Source Type: research
Therapeutic use of granulocyte colony-stimulating factor (G-CSF) in patients with febrile neutropenia: a comprehensive systematic review for clinical practice guidelines for the use of G-CSF 2022 from the Japan Society of Clinical Oncology
ConclusionA weak recommendation is made that G-CSF treatment not be administered to patients with febrile neutropenia during cancer chemotherapy. G-CSF treatment can be considered for patients at high risk. (Source: International Journal of Clinical Oncology)
Source: International Journal of Clinical Oncology - May 2, 2024 Category: Cancer & Oncology Source Type: research
Children and the Opioid Crisis: We Can Make a Difference
The use of opioid-sparing and opioid-free strategies in children can provide adequate analgesia while decreasing the risk of adverse events and contributing to the ongoing battle against the opioid crisis. However, every child must be evaluated individually so that a safe and efficacious perioperative pain management plan can be created. A working knowledge of the risks and benefits of opioids, nonopioid adjuncts, and regional anesthesia along with the ethical considerations for balancing stewardship and beneficent care is essential to the success of these strategies. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - May 2, 2024 Category: Nursing Authors: Lisa Allison Herbinger Tags: Clinical Source Type: research
Effects of Virtual Reality on Analgesia in Wound Care and Physical Therapy for Burn Patients: A Systematic Review and Meta-analysis
This systematic review and meta-analysis aimed to determine the effectiveness of virtual reality (VR) in alleviating pain and improving the experience of burn patients during wound care and physical therapy. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 2, 2024 Category: Nursing Authors: Jiaqi Lou, JiLiang Li, Youfen Fan, Chun Zhang, Neng Huang Tags: Review Article Source Type: research
A Qualitative Analysis of the Impact of Preoperative Mindfulness-Based Stress Reduction on Total Knee Arthroplasty Surgical Experiences
We qualitatively explored the impact of preoperative mindfulness-based stress reduction (MBSR) on total knee arthroplasty (TKA) experiences. Participants (n = 10) who received MBSR prior to TKA participated in semi-structured interviews concerning their experiences with MBSR and its perceived impact on surgery. We analyzed interviews according to reflexive thematic analysis, and coded data into three main themes: 1) Impact of MBSR on surgery experiences; 2) Contributors to change; and 3) Motivations for participation. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 2, 2024 Category: Nursing Authors: Kristin A. Reynolds, Jordana L. Sommer, Rachel Roy, Jennifer Kornelsen, Corey S. Mackenzie, Ren ée El-Gabalawy Tags: Original Research Source Type: research
Effect of Educational Interventions for Improving the Nurses' Knowledge, Attitude, and Practice of Pediatric Pain Management: A Aystematic Review and Meta-Analysis
This study aimed to evaluate the effectiveness of educational interventions in improving nurses' knowledge, attitude, and practice regarding pediatric pain management. (Source: Pain Management Nursing)
Source: Pain Management Nursing - May 2, 2024 Category: Nursing Authors: Ling Yuan Tags: Review Article Source Type: research
Optimising Health-Related Quality of Life in Children With Osteogenesis Imperfecta
AbstractOsteogenesis Imperfecta is a rare, hereditary bone condition with an incidence of 1/15,000 –20,000. Symptoms include bone fragility, long bone deformity, scoliosis, hypermobility, alongside secondary features such as short stature, basilar invagination, pulmonary and cardiac complications, hearing loss, dentinogenesis imperfecta and malocclusion. Osteogenesis Imperfecta can have a large impact on the child and their family; this impact starts immediately after diagnosis. Fractures, pain, immobility, hospital admissions and the need for equipment and adaptations all influence the health-related quality of life of ...
Source: Calcified Tissue International - May 2, 2024 Category: Orthopaedics Source Type: research
The Effect of Cannabinoids on Single-level Lumbar Arthrodesis Outcomes in a Rat Model
The opioid epidemic is a public health crisis affecting spine care and pain management. Medical marijuana is a potential non-opioid analgesic yet to be studied in the surgical setting since its effects on bone healing are not fully understood. Studies have demonstrated analgesic and potentially osteoinductive properties of cannabinoids with endocannabinoid receptor expression in bone tissue. (Source: The Spine Journal)
Source: The Spine Journal - May 2, 2024 Category: Orthopaedics Authors: Harold Fogel, Diana Yeritsyan, Kaveh Momenzadeh, Nadim Kheir, Caleb M. Yeung, Mohammadreza Abbasian, Edith Martinez Lozano, Rosalynn M. Nazarian, Ara Nazarian Tags: Basic Science Source Type: research
The wish to hasten death in patients with life-limiting conditions. A systematic overview
A systematic review of the wish to hasten death among people with life-limiting conditions was published in 2011. Since then, other reviews and primary studies have been published that have added to knowledge regarding the conceptual definition, aetiology and assessment of the wish to hasten death. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - May 2, 2024 Category: Palliative Care Authors: Andrea Rodr íguez-Prat, Denise Pergolizzi, Iris Crespo, Joaquim Julià-Torras, Albert Balaguer, Kerstin Kremeike, Raymond Voltz, Cristina Monforte-Royo Source Type: research
Knowledge of female genital schistosomiasis and urinary schistosomiasis among final-year midwifery students in the Volta Region of Ghana
ConclusionAwareness of FGS was limited among the study participants. The high prevalence of knowledge of some FGS symptoms related to the genitalia needs cautious interpretation. Health care training institutions must make deliberate efforts to highlight FGS in the training of midwives as the condition has diagnostic and management implications for some sexual and reproductive health conditions. (Source: PLoS One)
Source: PLoS One - May 2, 2024 Category: Biomedical Science Authors: Wisdom Klutse Azanu Source Type: research
U.S. moves to reclassify cannabis as a lower risk drug
In a historic departure from generations of U.S. drug policy, the Drug Enforcement Administration has agreed to loosen its restrictions on cannabis, according to a statement from a spokesperson at DEA’s parent agency, the Department of Justice.
The decision, which follows a recommendation from experts at the Department of Health and Human Services (HHS), will move cannabis from its current classification as a Schedule I controlled substance—a category that encompasses drugs with a high potential for abuse and no accepted therapeutic value, such as heroin and LSD—to the less risky Schedule III, which includes pr...
Source: Science of Aging Knowledge Environment - May 1, 2024 Category: Geriatrics Source Type: research
Characterizing the presentation, management, and clinical outcomes of patients with intradural spinal chordomas: a systematic review
CONCLUSIONS: Treatment of intradural spinal chordomas primarily involves resection and radiotherapy. A significant challenge and complication in management is spinal tumor seeding after resection, with 9 studies proposing seeding as a mechanism of tumor metastasis in 11 cases. Factors such as tumor size, Ki-67 positivity, and distant metastasis may correlate with worse outcomes and demonstrate potential as prognostic indicators for intradural spinal chordomas. Further research is needed to improve understanding of this tumor and develop optimal treatment paradigms for these patients.PMID:38691865 | DOI:10.3171/2024.2.FOCUS...
Source: Neurosurgical Focus - May 1, 2024 Category: Neurosurgery Authors: Max A Saint-Germain Patrick Kramer Carly Weber-Levine Kelly Jiang Abdel-Hameed Al-Mistarehi Kristin J Redmond Sang H Lee Chetan Bettegowda Nicholas Theodore Daniel Lubelski Source Type: research
Characterizing the presentation, management, and clinical outcomes of patients with intradural spinal chordomas: a systematic review
CONCLUSIONS: Treatment of intradural spinal chordomas primarily involves resection and radiotherapy. A significant challenge and complication in management is spinal tumor seeding after resection, with 9 studies proposing seeding as a mechanism of tumor metastasis in 11 cases. Factors such as tumor size, Ki-67 positivity, and distant metastasis may correlate with worse outcomes and demonstrate potential as prognostic indicators for intradural spinal chordomas. Further research is needed to improve understanding of this tumor and develop optimal treatment paradigms for these patients.PMID:38691865 | DOI:10.3171/2024.2.FOCUS...
Source: Neurosurgical Focus - May 1, 2024 Category: Neurosurgery Authors: Max A Saint-Germain Patrick Kramer Carly Weber-Levine Kelly Jiang Abdel-Hameed Al-Mistarehi Kristin J Redmond Sang H Lee Chetan Bettegowda Nicholas Theodore Daniel Lubelski Source Type: research
