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Fentanyl: The dangers of this potent “ man-made ” opioid
As we watch the devastation of the opioid crisis escalate in a rising tide of deaths, a lesser known substance is frequently mentioned: fentanyl. Fentanyl’s relative obscurity was shattered with the well-publicized overdose death of pop star Prince. Previously used only as a pharmaceutical painkiller for crippling pain at the end of life or for surgical procedures, fentanyl is now making headlines as the drug responsible for a growing proportion of overdose deaths. So what is fentanyl and why is it so dangerous? Fentanyl is a synthetic opioid, meaning it is made in a laboratory but acts on the same receptors in the b...
Source: New Harvard Health Information - August 5, 2016 Category: Consumer Health News Authors: Sarah Wakeman, MD, FASAM, Medical Director, Massachusetts General Hospital Substance Use Disorder Initiative Tags: Addiction Behavioral Health Brain and cognitive health Pain Management Prevention Source Type: news

Overview of Prescription Opioid Deaths in the Oklahoma State Medicaid Population, 2012–2016
Conclusions: Several comorbidities indicative of opioid use disorder and greater exposure to opioids and concomitant benzodiazepines were associated with unintentional prescription opioid overdose fatalities. Prescribers and state agencies should be aware of these addressable patient-level factors among the Medicaid population. Targeting these factors with appropriate policy interventions and education may prevent future deaths.
Source: Medical Care - July 13, 2018 Category: Health Management Tags: Original Articles Source Type: research

Opioid Naive Surgeons and Opioid-Tolerant Patients: Can Education Alter Prescribing Patterns to Total Knee Arthroplasty Patients?
This study demonstrates that an educational intervention is associated with decreased opioid prescribing among opioid-tolerant TKA patients. While the effective management of these patients is challenging, surgeon education should be a key focus to optimizing their care. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: Journal of Knee Surgery - March 3, 2020 Category: Orthopaedics Authors: King, Connor A. Landy, David C. Bradley, Alexander T. Scott, Bryan Curran, John Devanagondi, Shwetha Balach, Tessa Mica, Megan Conti Tags: Original Article Source Type: research

Treatment of cancer pain in Mali: Experience of the mother-child medical oncology service of the CHU in Bamako
This study emphasizes the need for a pain control program at the Malian state level with a basic education of care givers, hospital-centric networks and access to morphine and opioids at the different levels involved in cancer management.PMID:34688484 | DOI:10.1016/j.bulcan.2021.08.007
Source: Bulletin du Cancer - October 24, 2021 Category: Cancer & Oncology Authors: Madani Ly Fatoumata Toumani Kone Kalifala Samake Ramata Ly Fatoumata Dao Mohamed Toure Bakarou Kamate Sekou Bah Source Type: research

The Effect of Preoperative Opioid Education on Opioid Consumption After Outpatient Orthopedic Surgery: A Prospective Randomized Trial.
Abstract Pain management and opioid consumption following outpatient orthopedic surgery may be influenced by several variables, including knowledge of safe opioid use. A prospective randomized study was undertaken to understand the effect of preoperative opioid education on opioid consumption following outpatient orthopedic surgeries. A total of 237 patients undergoing outpatient orthopedic surgeries were prospectively randomized to receive preoperative opioid education or not. Postoperative data collected included the number of pills taken, daily visual analog scale (VAS) pain scores, adverse events, and attitude...
Source: Orthopedics - February 9, 2021 Category: Orthopaedics Authors: Ilyas AM, Chapman T, Zmistowski B, Sandrowski K, Graham J, Hammoud S Tags: Orthopedics Source Type: research

Multidisciplinary Presurgical Education: Clinical Impact on Children With Orofacial Clefts Undergoing Maxillary Distraction via Rigid External Distraction
CONCLUSIONS: Multidisciplinary presurgical education is a beneficial adjunct in the care of patients with orofacial clefts and maxillary hypoplasia undergoing maxillary advancement with a RED.PMID:34730019 | DOI:10.1177/10556656211055411
Source: The Cleft Palate-Craniofacial Journal - November 3, 2021 Category: ENT & OMF Authors: Erinn N Kim Whitney D Moss Megan N Rosales Natalee Lyon Analise Lotz Duane K Yamashiro Barbu R Gociman Faizi A Siddiqi Dana N Johns Source Type: research

An Interprofessional Approach to Chronic Pain Management and Education
CONCLUSIONS: Our study illustrates the effectiveness of an interprofessional committee in lowering prescribed opioid doses and enhancing chronic pain education in a community-based residency setting.PMID:35006600 | DOI:10.22454/FamMed.2022.753618
Source: Famly Medicine - January 10, 2022 Category: Primary Care Authors: Nida S Awadallah Vanessa Rollins Alvin B Oung Miriam Dickinson Dionisia de la Cerda Susan Calcaterra Jeremy Orr Marc Grushan Source Type: research