keyword
https://read.qxmd.com/read/38476879/multimodal-acute-pain-management-in-the-parturient-with-opioid-use-disorder-a-review
#21
REVIEW
Victor Koltenyuk, Ismat Mrad, Ian Choe, Mohamad Ibrahim Ayoub, Sangeeta Kumaraswami, Jeff L Xu
The opioid epidemic in the United States has led to an increasing number of pregnant patients with opioid use disorder (OUD) presenting to obstetric units. Caring for this complex patient population requires an interdisciplinary approach involving obstetricians, anesthesiologists, addiction medicine physicians, psychiatrists, and social workers. The management of acute pain in the parturient with OUD can be challenging due to several factors, including respiratory depression, opioid tolerance, and opioid-induced hyperalgesia...
2024: Journal of Pain Research
https://read.qxmd.com/read/38473031/diagnostic-management-and-neonatal-outcomes-of-colorectal-cancer-during-pregnancy-two-case-reports-systematic-review-of-literature-and-metanalysis
#22
REVIEW
Arianna Galante, Marco Cerbone, Francesco Mannavola, Marco Marinaccio, Luca Maria Schonauer, Miriam Dellino, Gianluca Raffaello Damiani, Vincenzo Pinto, Gennaro Cormio, Ettore Cicinelli, Antonella Vimercati
OBJECTIVE: Colorectal cancer (CRC) during pregnancy is a rare occurrence, with a reported incidence of 0.8 cases per 100,000 pregnancies. Managing CRC during pregnancy poses substantial challenges for clinicians: the diagnosis is often complicated and delayed due to symptom overlap with pregnancy-related manifestations, and medical imaging is constrained by safety concerns for the foetus. METHODS: This article presents two cases of advanced CRC diagnosed and managed during pregnancy...
March 6, 2024: Diagnostics
https://read.qxmd.com/read/38459455/comparison-of-janani-suraksha-yojana-jsy-and-augmented-arogya-laxmi-scheme-als-in-improving-maternal-and-child-health-outcomes-in-urban-settlements-of-hyderabad-south-india
#23
JOURNAL ARTICLE
E R Nandeep, Raja Sriswan Mamidi, Sreenu Pagidoju, Spandana Pamidi, Mahesh Kumar Mummadi, Venkata Raji Reddy G, Chinta Khadar Babu, Samarasimha Reddy N, Jj Babu Geddam
BACKGROUND: India accounts for the largest number of global neonatal deaths with around 20 per 1000 live births. To improve the utilization of government services for institutional deliveries, Augmented Arogya Laxmi Scheme (ALS) was launched in Telangana state of southern India. This study assessed the effectiveness of the Janani Suraksha Yojana (JSY), which combines cash assistance with delivery and post-delivery care, in comparison to ALS in improving the outcomes related to antenatal, natal, and postnatal care in urban settlements of Hyderabad, Telangana, southern India...
March 8, 2024: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/38457589/comparison-of-different-interventions-for-the-reduction-of-labor-pain-a-systematic-review-and-network-meta-analysis
#24
JOURNAL ARTICLE
Mengxian Yu, Haiyan Qian, Miao Gan
OBJECTIVE: This systematic review and network meta-analysis were performed to compare different interventions for the reduction of labor pain. METHODS: PubMed, Embase, Cochrane Library, Web of Science and ScienceDirect databases were searched for the randomized controlled trials (RCTs) meeting prespecified inclusion criteria up to January, 2023. Interventions including electrical acupoint stimulation (TEAS), epidural analgesia (EA) and control treatments. The primary outcomes included pain scores, failure rate of natural delivery, adverse events and Apgar scores...
March 8, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38456522/implementation-of-sonopartogram-multicenter-feasibility-study
#25
JOURNAL ARTICLE
N M W Lee, S L Lau, Y K Yeung, C P H Chiu, F Liu, Y Y Lau, A M Fidalgo, M J Cuerva, A Aquise, L Nguyen-Hoang, M M Gil, L C Poon
OBJECTIVES: Well-established clinical practice to assess progress in labor involves routine abdominal palpation and vaginal examination (VE). However, VE is subjective, poorly reproducible and painful for women. In this study, our aim is to evaluate the feasibility of systematically integrating transabdominal and transperineal ultrasound assessment of fetal position, psAOP, HPD and SCD to monitor labor progress in women undergoing induction of labor (IOL). We also aim at determining if ultrasound can reduce women's pain during examinations...
March 8, 2024: Ultrasound in Obstetrics & Gynecology
https://read.qxmd.com/read/38455617/bicornis-unicollis-uterus-as-a-risk-factor-of-preterm-birth-a-case-of-young-woman-with-multiple-premature-births
#26
JOURNAL ARTICLE
Hasanuddin Hasanuddin, Cut R Maharani, Hilwah Nora, Roziana Roziana, Rizka Aditya, Tgk Puspa Dewi, Sofyan Qadri
Bicornis unicollis uterus is a rare congenital uterine abnormality that occurs due to the failure of Mullerian duct fusion early in the development of the female internal genitalia system. In this case report, we present a woman with bicornis unicollis uterus who had preterm birth. A 30-year-old female patient with two caesarean sections history with premature babies was presented to the hospital with a complaint of regular contractions for twelve hours in her third preterm pregnancy. The patient has no particular symptoms besides acute abdominal pain...
December 2023: Narra J
https://read.qxmd.com/read/38451648/dental-caries-in-the-permanent-dentition-and-health-related-quality-of-life-among-children-and-adolescents-with-sickle-cell-disease
#27
JOURNAL ARTICLE
Vera Lúcia Duarte da Costa Mendes, Patrícia A Risso, Marcia Pereira Alves Dos Santos
The aim was to associate living, health and oral health conditions with the quality of life (QL) of children and adolescents (CA) with sickle cell disease (SCD). Of the 120 eligible users of a public hematological service, 106 CA with SCD from 6 to 18 years of age, and their caregivers, answered semi-structured questions about socio-demographic, health and oral health conditions. For QL, we used the validated instrument PedsQLSCD™. The oral clinical examination occurred according to the guidelines of WHO and SB Brazil 2010...
March 2024: Ciência & Saúde Coletiva
https://read.qxmd.com/read/38447677/routine-vaginal-examination-to-assess-labor-progress-at-8-compared-to-4-hours-after-early-amniotomy-following-foley-balloon-ripening-in-the-labor-induction-of-multiparas-a-randomized-trial
#28
JOURNAL ARTICLE
Mohd Aishah, Maherah Kamarudin, Jesrine Hong, Neha Sethi, Mukhri Hamdan, Peng Chiong Tan
BACKGROUND: Vaginal examination to monitor labor progress is recommended at least every 4 hours, but it can cause pain and embarrassment to women. Trial data are limited on the best intensity for vaginal examination. Vaginal examination is not needed for oxytocin dose titration after an amniotomy has been performed and oxytocin infusion started. The Foley balloon commonly ripens the cervix without strong contractions. Amniotomy and oxytocin infusion are usually required to drive labor...
March 4, 2024: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/38447674/electric-massage-chairs-reduce-labor-pain-in-nulliparous-patients-a-randomized-cross-over-trial
#29
JOURNAL ARTICLE
Maziatun Nadia Khairudin, Narayanan Vallikkannu, Farah Gan, Mukhri Hamdan, Peng Chiong Tan
BACKGROUND: Labor pain varies significantly among pregnant women, ranging from mild to extremely distressing. Non-pharmacologic pain relief methods during vaginal birth are increasingly popular, either as a complement to pharmacologic agents or at times as the primary method of pain relief. Multiple trials have reported that manual or by-hand massage reduces labor pain. The effectiveness of full-body mechanical massage using electric massage chairs on labor pain remains unexplored. OBJECTIVE: To evaluate mechanical massage using electric massage chair on labor pain in nulliparous women...
March 4, 2024: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/38447639/use-of-intravenous-albumin-a-guideline-from-the-international-collaboration-for-transfusion-medicine-guidelines
#30
Jeannie Callum, Nikolaos J Skubas, Aarti Bathla, Homa Keshavarz, Edward G Clark, Bram Rochwerg, Dean Fergusson, Sesmu Arbous, Seth R Bauer, Louise China, Mark Fung, Rachel Jug, Michael Neill, Cary Paine, Katerina Pavenski, Prakesh S Shah, Susan Robinson, Hua Shan, Zbigniew M Szczepiorkowski, Thierry Thevenot, Bovey Wu, Simon Stanworth, Nadine Shehata
BACKGROUND: Albumin is commonly employed across a wide range of clinical settings to improve hemodynamics, facilitate fluid removal, and manage complications of cirrhosis. The International Collaboration for Transfusion Medicine Guidelines developed guidelines for the use of albumin in patients requiring critical care, undergoing cardiovascular surgery, kidney replacement therapy, or experiencing complications of cirrhosis. METHODS: Co-chairs oversaw the guideline development process and the panel included researchers, clinicians, methodologists, and a patient representative...
March 4, 2024: Chest
https://read.qxmd.com/read/38445156/fungemia-with-wickerhamomyces-anomalus-a-case-report-and-literature-review
#31
Yui Sakai, Toshibumi Taniguchi, Yoriko Herai, Misuzu Yahaba, Akira Watanabe, Katsuhiko Kamei, Hidetoshi Igari
We report the case of an 84-year-old man with a history of IgG4-related sclerosing cholangitis who was diagnosed with advanced esophageal cancer and underwent radiation and chemotherapy. An implantable central venous access port was placed for chemotherapy and total parenteral nutrition. The patient presented with a fever and received antimicrobial therapy for acute cholangitis but remained febrile, and subsequently, yeast was detected in the aerobic bottle of blood culture obtained from the central venous line...
February 2024: Curēus
https://read.qxmd.com/read/38440038/pre-medications-for-non-emergency-tracheal-intubation-in-the-united-states-neonatal-intensive-care-units
#32
JOURNAL ARTICLE
Mahmoud A Ali, Muppala Prasanth Raju, Greg Miller, Niraj Vora, Madhava Beeram, Venkata Raju, Ashith Shetty, Vinayak Govande, Nguyen Nguyen, Arpitha Chiruvolu
BACKGROUND: Premedication in neonates undergoing elective intubation effectively minimizes the negative physiological events of bradycardia, systemic hypertension, intracranial hypertension, and hypoxia. Premedication decreases procedure-related pain and discomfort. This study aimed to evaluate the current practice of pre-intubation medications for non-emergent intubations in preterm and term neonates in the United States. STUDY DESIGN: A cross-sectional survey (Appendix) was sent via e-mail to all level 3 and 4 Neonatal Intensive Care Units (NICUs) of the Organization of Neonatal Perinatal Medicine Training Program Directors (ONTPD), NICU directors with pediatric residency only, and Baylor Scott and White Health, Mednax, and Envision health services systems...
February 2024: Curēus
https://read.qxmd.com/read/38433425/repetitive-neonatal-procedural-pain-affects-stress-induced-plasma-corticosterone-increase-in-young-adult-females-but-not-in-male-rats
#33
JOURNAL ARTICLE
Mathilde Baudat, Sinno H P Simons, Elbert A J Joosten
Exposure to repetitive painful procedures in the neonatal intensive care unit results in long-lasting effects, especially visible after a "second hit" in adulthood. As the nociceptive system and the hypothalamic-pituitary-adrenal (HPA) axis interact and are vulnerable in early life, repetitive painful procedures in neonates may affect later-life HPA axis reactivity. The first aim of the present study was to investigate the effects of repetitive neonatal procedural pain on plasma corticosterone levels after mild acute stress (MAS) in young adult rats...
April 2024: Developmental Psychobiology
https://read.qxmd.com/read/38428262/pathophysiology-and-management-of-postoperative-ileus-in-adults-and-neonates-a-review
#34
REVIEW
Sindhu Mannava, Attie Vogler, Troy Markel
Postoperative ileus (POI) is caused by enteric neural dysfunction and inflammatory response to the stress of surgery as well as the effect of anesthetics and opioid pain medications. POI results in prolonged hospital stays, increased medical costs, and diminished enteral nutrition, rendering it a problem worth tackling. Many cellular pathways are implicated in this disease process, creating numerous opportunities for targeted management strategies. There is a gap in the literature in studies exploring neonatal POI pathophysiology and treatment options...
February 29, 2024: Journal of Surgical Research
https://read.qxmd.com/read/38426799/suprazygomatic-maxillary-nerve-block-in-palatoplasty-a-retrospective-cohort-study-of-perioperative-outcomes-in-syndromic-and-non-syndromic-children
#35
JOURNAL ARTICLE
Krystof Stanek, Walid Alrayashi, Lisa Nussbaum, Ingrid M Ganske, Carolyn R Rogers-Vizena
OBJECTIVE: This study compares the impact of surgical site infiltration of local anesthesia alone to surgical site infiltration plus suprazygomatic maxillary nerve block (SMB) in non-syndromic and syndromic children undergoing primary palatoplasty. DESIGN: Retrospective cohort study of intra- and post-operative outcomes and opioid utilization in children undergoing palatoplasty by a single surgeon. SETTING: Urban, academic, tertiary care children's hospital...
March 1, 2024: Cleft Palate-craniofacial Journal
https://read.qxmd.com/read/38426011/biomarkers-for-assessing-pain-and-pain-relief-in-the-neonatal-intensive-care-unit
#36
REVIEW
Judith A Ten Barge, Mathilde Baudat, Naomi J Meesters, Alida Kindt, Elbert A Joosten, Irwin K M Reiss, Sinno H P Simons, Gerbrich E van den Bosch
Newborns admitted to the neonatal intensive care unit (NICU) regularly undergo painful procedures and may face various painful conditions such as postoperative pain. Optimal management of pain in these vulnerable preterm and term born neonates is crucial to ensure their comfort and prevent negative consequences of neonatal pain. This entails accurate and timely identification of pain, non-pharmacological pain treatment and if needed administration of analgesic therapy, evaluation of treatment effectiveness, and monitoring of adverse effects...
2024: Front Pain Res (Lausanne)
https://read.qxmd.com/read/38417552/randomized-control-trial-comparing-hygroscopic-cervical-dilators-to-cervical-ripening-balloon-for-outpatient-cervical-ripening-corc-trial
#37
JOURNAL ARTICLE
Dr Anjanique Mariquit R Lu, Dr Brenda Lin, Ms Disha Shahani, Dr Kristen Demertzis, Dr Jolene Muscat, Dr Elizabeth Zabel, Dr Payton Olson, Dr Olivia Manayan, Mx Emily Nonnamaker, Dr Joy Fest, Dr Brigid McCue
BACKGROUND: Outpatient term pre-induction cervical ripening with mechanical agents has been associated with reduced length of stay, decreased cesarean delivery rates, low maternal and neonatal complications, and increased incidence of vaginal delivery within 24 hours. OBJECTIVE(S): This study aims to demonstrate equivalent efficacy between synthetic hygroscopic dilators and the single balloon catheter for outpatient cervical ripening. STUDY DESIGN: This randomized control equivalence trial compares synthetic hygroscopic dilators to the 30cc silicone single balloon catheter in primiparous and multiparous patients undergoing induction...
February 26, 2024: American journal of obstetrics & gynecology MFM
https://read.qxmd.com/read/38410813/neonatal-intensive-care-unit-nurses-knowledge-and-use-of-sucrose-for-neonatal-pain-management-in-saudi-arabia
#38
JOURNAL ARTICLE
Sumayah Faqihi, Ahmad Ismail, Abd Al-Hadi Hasan
INTRODUCTION: Sucrose is an evidence-based intervention used for short-term pain management and distress from minor procedures. Limited research exists on nurses' knowledge and use of sucrose in Neonatal Intensive Care Units in Saudi Arabia. OBJECTIVE: To assess nurses' knowledge and use of sucrose in Neonatal Intensive Care Units in Saudi Arabia. METHODS: A cross-sectional online survey was used to collect data from a convenience sample of 68 neonatal intensive care nurses in Saudi Arabia...
2024: SAGE Open Nursing
https://read.qxmd.com/read/38407332/a-preterm-rat-model-for-pain-studies
#39
JOURNAL ARTICLE
Ravena Carolina de Carvalho, Ana Laura Silva, Danielle Cavalcante de Paula, Laura Pereira Generoso, Natalie Lange Candido, Maria Gabriela Maziero Capello, Gabrielly Santos Pereira, Carlos Marcelo de Barros, Danielle Mazetto Cadide, Josie Resende Torres da Silva, Marcelo Lourenço da Silva
This research delves into the consequences of consistent pinprick stimulation on preterm offspring to ascertain its long-term implications for pain sensitivity. The primary objective of this protocol was to investigate the impact of neonatal pinprick stimuli on the pain threshold in the later stages of life using a preterm rat model. By establishing this model, we aim to advance the research on understanding and managing early postnatal pain associated with prematurity. The findings of this study indicate that while the baseline thresholds to mechanical stimuli remained unaffected, there was a notable increase in mechanical hypersensitivity following complete Freund's adjuvant (CFA) injection in adult rats...
February 9, 2024: Journal of Visualized Experiments: JoVE
https://read.qxmd.com/read/38407223/in-vivo-calcium-imaging-of-sensory-neurons-in-the-rat-trigeminal-ganglion
#40
JOURNAL ARTICLE
Jeremy Y Gedeon, Jorge Baruch Pineda-Farias, Michael S Gold
Genetically encoded calcium indicators (GECIs) enable imaging techniques to monitor changes in intracellular calcium in targeted cell populations. Their large signal-to-noise ratio makes GECIs a powerful tool for detecting stimulus-evoked activity in sensory neurons. GECIs facilitate population-level analysis of stimulus encoding with the number of neurons that can be studied simultaneously. This population encoding is most appropriately done in vivo. Dorsal root ganglia (DRG), which house the soma of sensory neurons innervating somatic and visceral structures below the neck, are used most extensively for in vivo imaging because these structures are accessed relatively easily...
February 9, 2024: Journal of Visualized Experiments: JoVE
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