keyword
https://read.qxmd.com/read/38531584/intercostal-nerve-cryoablation-versus-thoracic-epidural-analgesia-for-minimal-invasive-nuss-repair-of-pectus-excavatum-a-protocol-for-a-randomised-clinical-trial-ice-trial
#21
JOURNAL ARTICLE
Nicky Janssen, Jean H T Daemen, Aimée J P M Franssen, Elise J van Polen, Lori M van Roozendaal, Karel W E Hulsewé, Yvonne Vissers, Erik R de Loos
INTRODUCTION: Epidural analgesia is currently considered the gold standard in postoperative pain management for the minimally invasive Nuss procedure for pectus excavatum. Alternative analgesic strategies (eg, patient-controlled analgesia and paravertebral nerve block) fail in accomplishing adequate prolonged pain management. Furthermore, the continuous use of opioids, often prescribed in addition to all pain management strategies, comes with side effects. Intercostal nerve cryoablation seems a promising novel technique...
March 25, 2024: BMJ Open
https://read.qxmd.com/read/38531579/skeletal-muscle-relaxants-as-adjunctive-pain-control-following-cardiothoracic-surgery-a-systematic-review-protocol
#22
JOURNAL ARTICLE
Shadman Kabir, Quinn Whaley, Melissa Fernandez, Travis W Murphy
INTRODUCTION: Multimodal pain control following cardiothoracic surgery remains a focus in international guidelines. We hypothesise that non-depolarising skeletal muscle relaxants can prove to be a useful adjunct for this population. METHODS/ANALYSIS: This systematic review will focus on human adult studies of pain control using muscle relaxants within 1 week following cardiac and thoracic surgery available in PubMed, Cochrane Central, Web of Science and EMBASE...
March 25, 2024: BMJ Open
https://read.qxmd.com/read/38531569/efficacy-and-safety-of-traditional-chinese-manual-therapy-tuina-in-patients-with-non-specific-chronic-low-back-pain-a-study-protocol-for-a-randomised-controlled-trial
#23
JOURNAL ARTICLE
Ben Cao, Sitong Fang, Zhiwei Wu, Xin Zhou, Lingjun Kong, Qingguang Zhu, Bowen Zhu, Cheng Tang, Min Fang
INTRODUCTION: Non-pharmacological interventions play a crucial role in the management of non-specific chronic low back pain (NSCLBP). One prime example is Tuina, a traditional Chinese manual therapy that incorporates pressing, kneading and rubbing techniques to alleviate physical discomfort and enhance overall well-being. It serves as a widely used technique in China and other East Asian countries. However, the effectiveness and safety of Tuina for managing NSCLBP have not been substantiated through rigorous clinical research...
March 25, 2024: BMJ Open
https://read.qxmd.com/read/38531566/comparison-of-the-effects-of-ultrasound-guided-quadratus-lumborum-block-and-erector-spinae-plane-block-on-postoperative-pain-in-abdominal-surgeries-a-protocol-for-systematic-review-and-meta-analysis
#24
JOURNAL ARTICLE
Xiangdong Zhang, Donghang Zhang, Xiaoqing Wang, Yiyong Wei
INTRODUCTION: Ultrasound-guided quadratus lumborum block and erector spinae plane block are widely used for postoperative analgesia in adult patients undergoing abdominal surgeries. This protocol aims to compare the analgesic effects between ultrasound-guided quadratus lumborum block and erector spinae plane block on postoperative pain in abdominal surgeries. METHODS AND ANALYSIS: Four databases, including PubMed, EMBASE, Web of Science and the Cochrane Central Register of Controlled Trials (CENTRAL), will be searched...
March 25, 2024: BMJ Open
https://read.qxmd.com/read/38531006/postmenopausal-endometriosis-a-challenging-condition-beyond-menopause
#25
JOURNAL ARTICLE
Alexandre Vallée, Marie Carbonnel, Pierre-François Ceccaldi, Anis Feki, Jean-Marc Ayoubi
IMPORTANCE AND OBJECTIVE: Postmenopausal endometriosis is a complex condition that challenges the conventional belief that endometriosis resolves with menopause. Despite the cessation of menstruation, a subset of women continues to experience or develop endometriosis-related symptoms during the postmenopausal period. Thus, this review aimed to shed light on postmenopausal endometriosis, exploring its clinical features, diagnostic considerations, management approaches, and the potential impact on women's health...
March 25, 2024: Menopause: the Journal of the North American Menopause Society
https://read.qxmd.com/read/38530683/efficacy-of-intra-articular-corticosteroid-injection-for-nonsurgical-management-of-trapeziometacarpal-osteoarthritis-a-systematic-review-and-meta-analysis-of-randomized-controlled-trials
#26
JOURNAL ARTICLE
Alexandra N Krez, Kevin A Wu, Kevin M Klifto, Tyler S Pidgeon, Christopher S Klifto, David S Ruch
PURPOSE: As osteoarthritis (OA) of the trapeziometacarpal (TMC) joint leads to a high degree of disease burden with compromises in rudimentary and fine movements of the hand, intra-articular injections may be a desirable treatment option. However, because there are no evidence-based guidelines, the choice of intra-articular injection type is left to the discretion of the individual surgeon in collaboration with the patient. The purpose of our study was to perform a systematic review and meta-analysis using level I studies to compare outcomes following corticosteroid and alternative methods of intra-articular injections for the management of TMC OA...
March 26, 2024: Journal of Hand Surgery
https://read.qxmd.com/read/38530162/the-effect-of-nurse-led-remote-telephone-triage-on-symptom-management-of-patients-with-cancer-a-systematic-review-and-meta-analysis
#27
REVIEW
Merve Gozde Sezgin, Hicran Bektas
BACKGROUND: Cancer patients experience many symptoms. Nurse-led remote telephone triage can improve their quality of life by contributing to the management of these symptoms. AIMS: This study aimed to investigate the effects of nurse-led remote telephone triage on symptom management of patients with cancer. METHODS: The searches were conducted in 10 databases and gray literature from May 2023 to July 2023 without any year limitations. A fixed-effects model was used in the meta-analysis...
March 26, 2024: Worldviews on Evidence-based Nursing
https://read.qxmd.com/read/38529468/poller-screws-and-post-operative-pain-relief-in-tibial-fractures
#28
JOURNAL ARTICLE
Florence Bradshaw, Edward Wakefield, James Zhang, Ansh Tandon, Matija Krkovic
Introduction Poller screws optimise fracture alignment in those fractures managed with intramedullary (IM) nails. They enhance stability, control nail insertion, and prevent translation. Indications encompass acute fractures, delayed unions/non-unions, and deformity. Classified into four generations, they've shown positive outcomes: improved alignment, reduced complications, and shorter healing. However, their pain management impact is understudied. This retrospective cohort study aimed to compare opioid medication needs in tibial fractures managed with IM nails with and without poller screws...
February 2024: Curēus
https://read.qxmd.com/read/38529115/recent-advances-in-the-therapeutic-management-of-calcium-pyrophosphate-deposition-disease
#29
REVIEW
Paraskevi V Voulgari, Aliki I Venetsanopoulou, Alexandros A Drosos
Calcium pyrophosphate deposition (CPPD) disease is a form of crystal-induced arthropathy that arises from the accumulation of calcium pyrophosphate crystals within joints and soft tissues. This process leads to inflammation and damage to the affected joints. It can present asymptomatically or as acute or chronic inflammatory arthritis. Risk factors and comorbidities, including prior joint injury, osteoarthritis, hereditary or familial predisposition, and metabolic diseases, should be evaluated in CPPD cases...
2024: Frontiers in Medicine
https://read.qxmd.com/read/38526138/youth-athletes-with-sever-s-disease-exhibit-altered-achilles-tendon-ultrasound-characteristics-a-retrospective-case-control-study
#30
JOURNAL ARTICLE
Shawn L Hanlon, Kristin E Whitney, Alexandra F DeJong Lempke
OBJECTIVES: Calcaneal apophysitis (Sever's disease) is an overuse condition caused by repetitive traction stress to the calcaneal apophysis. Whether Achilles tendon morphology is altered in this young patient population remains unknown. Therefore, we aimed to identify differences in Achilles tendon morphology between youth athletes diagnosed with calcaneal apophysitis and healthy controls. METHODS: This retrospective chart review included 46 patients (n = 23 Sever's disease, 15F/8M, 12...
March 25, 2024: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/38525929/research-gap-in-esophageal-achalasia-a-narrative-review
#31
JOURNAL ARTICLE
Edoardo Vincenzo Savarino, Renato Salvador, Matteo Ghisa, Amir Mari, Francesca Forattini, Andrea Costantini, Roberto De Giorgio, Giovanni Zaninotto
In recent years, new translational evidence, diagnostic techniques, and innovative therapies have shed new light on esophageal achalasia and revamped the attention on this relatively rare motility disorder. This narrative review aims to highlight the most recent progress and the areas where further research is needed. The four senior authors identified five topics commonly discussed in achalasia management: i.e. pathogenesis, role of functional lumen imaging probe in the diagnostic flow chart of achalasia, how to define the outcome of achalasia treatments, how to manage persistent chest pain after the treatment, and if achalasia patients' may benefit from a regular follow-up...
March 24, 2024: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://read.qxmd.com/read/38525806/perspectives-on-approaching-pain-management-in-patients-with-dementia
#32
REVIEW
Lisa Attrill, Pat Schofield
This paper presents a review of the latest literature and guidance regarding the assessment and management of pain in older adults with dementia. The size and nature of the problem will be presented, in terms of the increasing aging population across the globe and potential for a significant increase in adults with dementia, along with the reduction in younger counterparts who will be available to provide care in the future. We will present the latest recommendations regarding how to assess pain and which tools are recommended for use underpinned by the strongest evidence...
March 25, 2024: Pain Management
https://read.qxmd.com/read/38525785/the-majority-of-clinical-trials-assessing-mobilization-and-manipulation-for-neck-pain-lack-a-pragmatic-approach-a-systematic-review-of-174-trials
#33
REVIEW
Kyle A Cottone, Matthew R Schumacher, Jodi L Young, Daniel I Rhon
BACKGROUND: Disorders of the cervical spine are some of the costliest musculoskeletal conditions to manage globally. Joint mobilization and manipulation have been shown to be an effective treatment for neck pain. However, the generalizability and clinical translation depends on the nature of the trial designs that inform its use. The extent to which randomized control trials (RCTs) assessing manual therapy treatments for cervical spine disorders fall on the efficacy (explanatory) -effectiveness (pragmatic) spectrum often informs how the findings are translated into clinical practice...
March 25, 2024: Journal of Manual & Manipulative Therapy
https://read.qxmd.com/read/38525640/lsd-and-psilocybin-for-chronic-nociplastic-pain-a-narrative-review-of-the-literature-supporting-the-use-of-classic-psychedelic-agents-in-chronic-pain
#34
REVIEW
J Van Der Walt, R Parker
Healthcare providers face the challenging task of managing patients who suffer from chronic nociplastic pain conditions. Pain is a multidimensional experience, and the current approach to managing people in chronic pain often fails to meet the needs of these patients. Novel ways of treating people who suffer from chronic nociplastic pain with classic psychedelic agents may offer a new lens through which to approach their pain. Lysergic acid diethylamide (LSD) and psilocybin are both serotonergic agents with a long history of use in treating people with chronic pain and mental health disorders...
November 6, 2023: South African Medical Journal
https://read.qxmd.com/read/38525115/pain-control-is-comparable-between-opioid-versus-non-opioid-management-after-otolaryngology-procedures
#35
JOURNAL ARTICLE
Ashwini Sarathy, Clemens An, Ty Bever, Peter Callas, Mayo H Fujii, Mirabelle Sajisevi
OBJECTIVE: The current study aims to measure patient-reported satisfaction with pain control using opioid and non-opioid medications after undergoing the following otolaryngology procedures: parathyroidectomy, thyroid lobectomy, total thyroidectomy, and bilateral tonsillectomy. MATERIALS AND METHODS: A prospective cohort study was performed at an academic medical center that included a telephone questionnaire and chart review. Opioid prescriptions, usage, and patient-reported pain outcomes were recorded...
April 2024: Laryngoscope Investigative Otolaryngology
https://read.qxmd.com/read/38525091/roles-of-pharmacists-in-the-management-of-sickle-cell-disease-in-adults-a-narrative-review
#36
REVIEW
Salome Bwayo Weaver, Nkem P Nonyel, Dhakrit Rungkitwattanakul
Background: Sickle cell disease (SCD) is an autosomal, recessive, genetic condition of the sickle cell genes. It affects about 100 000 people in the United States where an estimated 1 out of every 365 black children and 1 out of every 13 black children will be born with SCD and sickle cell trait, respectively. Severe and unpredictable pain crisis are the leading cause of emergency department visit for adult patients with SCD and account for 90% of inpatient hospitalizations and 85% of all acute medical care, as well as high usage of medical resources...
April 2024: Journal of Pharmacy Technology: JPT: Official Publication of the Association of Pharmacy Technicians
https://read.qxmd.com/read/38524856/recent-advances-in-the-understanding-and-management-of-chronic-pancreatitis-pain
#37
REVIEW
Jessica Walker, Olivia L Babyok, Jami L Saloman, Anna Evans Phillips
Abdominal pain is the most common symptom of chronic pancreatitis (CP) and is often debilitating for patients and very difficult to treat. To date, there exists no cure for the disease. Treatment strategies focus on symptom management and on mitigation of disease progression by reducing toxin exposure and avoiding recurrent inflammatory events. Traditional treatment protocols start with medical management followed by consideration of procedural or surgical intervention on selected patients with severe and persistent pain...
March 2024: Journal of pancreatology
https://read.qxmd.com/read/38524802/second-trimester-spontaneous-fundal-rupture-of-unscarred-bicornuate-uterus-in-primipara-a-case-report-and-literature-review-jigjiga-university-sheik-hassen-yabare-comprehensive-specialized-hospital-jigjiga-ethiopia
#38
Hassen Mohammed Areys, Nour Hies Omer, Osman Ali Osman
BACKGROUND: Primary rupture of an unscarred uterus is rare. Spontaneous rupture of an unscarred bicornuate uterus is a life-threatening obstetric emergency with high morbidity and mortality in the mother and fetus; however, it most commonly occurs in the first trimester of pregnancy. CASE: A 20-year-old primigravid woman at 22 weeks of gestation, with no prior surgery, presented with severe abdominal pain, anemia, and hemodynamic instability. With a preoperative diagnosis of uterine rupture, she was transfused with three units of cross-matched whole blood and underwent emergency laparotomy...
2024: International Medical Case Reports Journal
https://read.qxmd.com/read/38524695/management-of-post-dural-puncture-headaches-in-pediatric-patients-with-epidural-blood-or-saline-patch-an-educational-focused-review
#39
REVIEW
Amr Elhamrawy, Ahsan Syed, Timothy Smith, Giorgio Veneziano, Joseph D Tobias
Post-dural puncture headache (PDPH) is a common adverse outcome following puncture of the dura. It can occur after inadvertent dural puncture during epidural catheter placement or following diagnostic or therapeutic LP. The incidence of PDPH in pediatric patients has been estimated at 1-15% depending on patient factors (age, gender, body mass index) and needle factors (size and needle bevel/point type). The larger the needle gauge, the higher the incidence of PDPH. Various options have been proposed to treat PDPH including observation, bed rest, hydration, caffeine, and epidural blood/saline patch...
2024: Journal of Pain Research
https://read.qxmd.com/read/38524505/delayed-neurological-dysfunction-following-posterior-laminectomy-with-lateral-mass-screw-fixation-a-case-report-and-review-of-literature
#40
Rui-Zhong Yan, Chao Chen, Chu-Ran Lin, Yan-Hui Wei, Zhi-Jian Guo, Ya-Kun Li, Quan Zhang, He-Yi Shen, Hao-Lin Sun
BACKGROUND: While most complications of cervical surgery are reversible, some, such as symptomatic postoperative spinal epidural hematoma (SEH), which generally occurs within 24 h, are associated with increased morbidity and mortality. Delayed neurological dysfunction is diagnosed in cases when symptoms present > 3 d postoperatively. Owing to its rarity, the risk factors for delayed neurological dysfunction are unclear. Consequently, this condition can result in irreversible neurological deficits and serious consequences...
March 6, 2024: World Journal of Clinical Cases
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