Latest & greatest articles for acute pain

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Top results for acute pain

221. Oral versus Intravenous Opioid Dosing for the Initial Treatment of Acute Musculoskeletal Pain in the Emergency Department

Oral versus Intravenous Opioid Dosing for the Initial Treatment of Acute Musculoskeletal Pain in the Emergency Department 18945240 2009 08 20 2009 10 13 2013 11 21 1553-2712 15 12 2008 Dec Academic emergency medicine : official journal of the Society for Academic Emergency Medicine Acad Emerg Med Oral versus intravenous opioid dosing for the initial treatment of acute musculoskeletal pain in the emergency department. 1234-40 10.1111/j.1553-2712.2008.00266.x The objective was to compare the time (...) to 0.1 mg/kg IV morphine in the treatment of severe acute musculoskeletal pain when difficult or delayed IV placement greater than 30 minutes presents a barrier to treatment. Miner James R JR Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, USA. jimminer@hotmail.com Moore Johanna J Gray Richard O RO Skinner Lisa L Biros Michelle H MH eng Comparative Study Journal Article Randomized Controlled Trial Research Support, Non-U.S. Gov't 2008 10 17 United States Acad Emerg

EvidenceUpdates2009

222. Information sheets for patients with acute chest pain: randomised controlled trial.

Information sheets for patients with acute chest pain: randomised controlled trial. 19246544 2009 02 27 2009 03 09 2016 08 03 1756-1833 338 2009 Feb 26 BMJ (Clinical research ed.) BMJ Information sheets for patients with acute chest pain: randomised controlled trial. b541 10.1136/bmj.b541 338/feb26_2/b541 To determine whether providing an information sheet to patients with acute chest pain reduces anxiety, improves health related quality of life, improves satisfaction with care, or alters (...) subsequent symptoms or actions. Single centre, non-blinded, randomised controlled trial. Chest pain unit of an emergency department. 700 consecutive patients with acute chest pain and no clear diagnosis at initial presentation. After a diagnostic assessment patients were randomised to receive either standard verbal advice or verbal advice followed by an information sheet. The primary outcome was anxiety (hospital anxiety and depression scale). Secondary outcomes were depression (hospital anxiety

BMJ2009 Full Text: Link to full Text with Trip Pro

223. Management of acute undifferentiated abdominal pain

Management of acute undifferentiated abdominal pain Home - Monash Health Find a Location Latest news We are delighted to begin construction on the Victorian Heart Hospital, Australia’s first dedicated state-of-the art cardiac facility. Your health Protect your health and safety while you travel this holiday season by planning ahead and preparing for the unexpected. Our children’s hospital Monash Children’s Hospital is one of Australia’s leading providers of integrated children’s health services

Monash Health Evidence Reviews2009

224. A randomized trial of behavioral physical therapy interventions for acute and sub-acute low back pain

A randomized trial of behavioral physical therapy interventions for acute and sub-acute low back pain 18786762 2008 10 30 2009 01 13 2016 12 15 1872-6623 140 1 2008 Nov 15 Pain Pain A randomized trial of behavioral physical therapy interventions for acute and sub-acute low back pain (NCT00373867). 145-57 10.1016/j.pain.2008.07.029 Psychological factors consistent with fear-avoidance models are associated with the development of chronic low back pain (LBP). As a result, graded activity (GA (...) ) and graded exposure (GX) have been suggested as behavioral treatment options. This clinical trial compared the effectiveness of treatment-based classification (TBC) physical therapy alone to TBC augmented with GA or GX for patients with acute and sub-acute LBP. Our primary hypothesis was that GX would be most effective for those with elevated pain-related fear. In total, 108 patients enrolled in this clinical trial and were randomly assigned to receive TBC, GA, or GX. Outcomes were assessed by a blinded

EvidenceUpdates2008 Full Text: Link to full Text with Trip Pro

225. Analgesia for children with acute abdominal pain and diagnostic accuracy

Analgesia for children with acute abdominal pain and diagnostic accuracy BestBets: Analgesia for children with acute abdominal pain and diagnostic accuracy Analgesia for children with acute abdominal pain and diagnostic accuracy Report By: Mark Anderson - Specialist Registrar in Paediatrics Search checked by Emma Collins - Surgical Research Fellow Institution: University of Nottingham Date Submitted: 18th April 2007 Last Modified: 29th October 2008 Status: Green (complete) Three Part Question (...) In [children with acute abdominal pain] does [analgesia before surgical consultation] affect [surgical diagnostic accuracy]? Clinical Scenario A 9 year old boy presents with severe right iliac fossa pain. You contact the surgical team who are currently in theatre and will not be able to attend for at least twenty minutes. You wonder if administering morphine to the boy will hinder or delay diagnosis. Search Strategy Dialog Datastar interface in Medline and Embase MEDLINE (1950 - date):(abdominal ADJ pain

BestBETS2008

226. Single dose oral celecoxib for acute postoperative pain in adults.

Single dose oral celecoxib for acute postoperative pain in adults. BACKGROUND: This is an update of a review published in The Cochrane Library, Issue 1, 2003. Celecoxib is a selective cyclo-oxygenase-2 (COX-2) inhibitor prescribed for the relief of chronic pain in osteoarthritis and rheumatoid arthritis. Celecoxib is believed to be associated with fewer upper gastrointestinal adverse effects than conventional non-steroidal anti-inflammatory drugs (NSAIDs). Its effectiveness in acute pain (...) dose of oral celecoxib or placebo for acute postoperative pain were included. DATA COLLECTION AND ANALYSIS: Eight studies (1380 participants) met the inclusion criteria. Studies were assessed for quality and data extracted by two review authors. Summed pain relief (TOTPAR) or pain intensity difference (SPID) was converted into dichotomous information yielding the number of participants with at least 50% pain relief over four to six hours, and used to calculate the relative benefit (RB

Cochrane2008

227. Antipsychotics for acute and chronic pain in adults.

Antipsychotics for acute and chronic pain in adults. BACKGROUND: The role of antipsychotics as adjuvant analgesics is a subject of longstanding controversy. Neuroleptanalgesia (i.e. a state of quiescence, altered awareness, and analgesia produced by a combination of taking an opioid analgesic and an antipsychotic), an established term for the management of acute pain, was shown to negatively influence disease course and total mortality in unstable angina patients. Nevertheless, antipsychotics (...) are used to treat chronic pain (e.g. chronic headache, fibromyalgia and diabetic neuropathia). With atypical antipsychotics, a new class of antipsychotics, fewer extrapyramidal side effects and additional benefits may be available. OBJECTIVES: Assess analgesic efficacy and adverse effects of antipsychotics in acute or chronic pain. SEARCH STRATEGY: Cochrane Pain, Palliative & Supportive Care Register, CENTRAL, MEDLINE, PsycINFO, and EMBASE searched in October 2007. SELECTION CRITERIA: Randomised

Cochrane2008

228. Comparison of 3 physical therapy modalities for acute pain in lumbar disc herniation measured by clinical evaluation and magnetic resonance imaging

Comparison of 3 physical therapy modalities for acute pain in lumbar disc herniation measured by clinical evaluation and magnetic resonance imaging 18394495 2008 04 08 2008 05 16 2015 11 19 1532-6586 31 3 2008 Mar Journal of manipulative and physiological therapeutics J Manipulative Physiol Ther Comparison of 3 physical therapy modalities for acute pain in lumbar disc herniation measured by clinical evaluation and magnetic resonance imaging. 191-8 10.1016/j.jmpt.2008.02.001 This study measures (...) and compares the outcome of traction, ultrasound, and low-power laser (LPL) therapies by using magnetic resonance imaging and clinical parameters in patients presenting with acute leg pain and low back pain caused by lumbar disc herniation (LDH). A total of 60 patients were enrolled in this study and randomly assigned into 1 of 3 groups equally according to the therapies applied, either with traction, ultrasound, or LPL. Treatment consisted of 15 sessions over a period of 3 weeks

EvidenceUpdates2008

230. Combination of clinical risk profile, early exercise testing and circulating biomarkers for evaluation of patients with acute chest pain without ST-segment deviation or troponin elevation

Combination of clinical risk profile, early exercise testing and circulating biomarkers for evaluation of patients with acute chest pain without ST-segment deviation or troponin elevation 17639094 2008 02 15 2008 04 28 2015 11 19 1468-201X 94 3 2008 Mar Heart (British Cardiac Society) Heart Combination of clinical risk profile, early exercise testing and circulating biomarkers for evaluation of patients with acute chest pain without ST-segment deviation or troponin elevation. 311-5 (...) To investigate the combination of clinical data, exercise testing and biomarkers for the evaluation of patients with chest pain without ST-segment deviation or troponin elevation. Prospective cohort design. SETTTING: Two teaching hospitals in Spain. 422 patients presenting to the emergency department were studied. Leukocyte count, C-reactive protein (CRP), pregnancy-associated plasma protein A (PAPP-A) and N-terminal pro-brain natriuretic peptide (NT-proBNP) were determined. A validated clinical risk score

EvidenceUpdates2008

231. Managing an acute pain crisis in a patient with advanced cancer: "this is as much of a crisis as a code".

Managing an acute pain crisis in a patient with advanced cancer: "this is as much of a crisis as a code". The assessment and management of an acute pain crisis in the setting of advanced illness is challenging. Using the case of Mr X, a 33-year-old man with advanced metastatic mucinous adenocarcinoma of the appendix and "15 out of 10" pain, we explore the issues of acute pain and its management. We define a pain crisis as an event in which the patient reports pain that is severe, uncontrolled (...) , and causing distress for the patient, family members, or both. Our management strategy focuses on making a pain diagnosis, differentiating reversible from intractable causes of pain, and making decisions about further workup; selecting the opioid and monitoring and treating opioid adverse effects; titrating and rotating opioid and coanalgesics; consulting experts to treat a pain crisis as quickly as possible to prevent unnecessary suffering; and co-opting the available institutional resources. The timely

JAMA2008

232. The efficacy of oxycodone for management of acute pain episodes in chronic neck pain patients

The efficacy of oxycodone for management of acute pain episodes in chronic neck pain patients 18070045 2008 01 17 2008 07 31 2013 11 21 1368-5031 62 2 2008 Feb International journal of clinical practice Int. J. Clin. Pract. The efficacy of oxycodone for management of acute pain episodes in chronic neck pain patients. 241-7 Most treatments of acute pain associated with non-malignant chronic pains are not satisfactory. The aim of this study is to evaluate the efficacy and side effects (...) of oxycondone controlled release (Oxy-CR) in managing chronic neck pain with acute pain episodes. Randomised, double-blind, stand controlled study. A total of 116 patients were evenly divided into an oxycodone group (Oxy-CR, 5-10 mg and q12 h/day) and a placebo group (placebo, q12 h/day). Patients were assessed for the frequency of pain flares, visual analgesia score (VAS), quality of life (QOL), quality of sleep (QOS) and adverse effects before the treatment and on days 1, 3, 7, 14, 21 and 28 after

EvidenceUpdates2008

233. Review: opiate administration may alter physical examination findings but does not increase management errors in acute abdominal pain

Review: opiate administration may alter physical examination findings but does not increase management errors in acute abdominal pain Review: opiate administration may alter physical examination findings but does not increase management errors in acute abdominal pain | Evidence-Based Medicine This site uses cookies. By continuing to browse the site you are agreeing to our use of cookies. Log in using your username and password For personal accounts OR managers of institutional accounts Username (...) * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: opiate administration may alter physical examination findings but does not increase management errors in acute abdominal pain Article Text Therapeutics Review: opiate administration may alter physical examination findings but does

Evidence-Based Medicine (Requires free registration)2008

237. Individual patient education is effective for acute or subacute low-back pain

Individual patient education is effective for acute or subacute low-back pain PEARLS Practical Evidence About Real Life Situations PEARLS are succinct summaries of Cochrane Systematic Reviews for primary care practitioners. They are funded by the New Zealand Guidelines Group. PEARLS provide guidance on whether a treatment is effective or ineffective. PEARLS are prepared as an educational resource and do not replace clinician judgement in the management of individual cases. View PEARLS online (...) at: www.cochraneprimarycare.org Individual patient education is effective for acute or subacute low-back pain Clinical question How effective is individual patient education in the treatment of non-specific low-back pain? Bottom line People with low-back pain who received an individual patient education session, lasting at least 2 hours, in addition to their usual care had better outcomes than people who only received usual care. Shorter education sessions, or providing written information by itself without an individual

Cochrane PEARLS2008

238. Antipsychotics useful as add-on therapy for acute and chronic pain

Antipsychotics useful as add-on therapy for acute and chronic pain PEARLS Practical Evidence About Real Life Situations PEARLS are succinct summaries of Cochrane Systematic Reviews for primary care practitioners. They Antipsychotics useful as add-on therapy for acute and chronic pain Clinical question How effective are antipsychotics for acute and chronic pain in adults? Bottom line The review suggests that antipsychotics may be useful as addon therapy for acute and chronic pain. Five of 11 (...) trials showed beneficial effects of antipsychotics in the treatment of acute and chronic pain. Quantitative analysis showed a significant reduction of mean pain intensity after administration of the antipsychotic compared to placebo or another active compound. Caveat Results for antipsychotics in the treatment of different painful conditions were mixed, and most sample sizes in the reviewed trials were small (only one trial included more than 200 participants). Any benefits of antipsychotics have

Cochrane PEARLS2008

239. Cost-effectiveness of coronary MDCT in the triage of patients with acute chest pain

Cost-effectiveness of coronary MDCT in the triage of patients with acute chest pain Cost-effectiveness of coronary MDCT in the triage of patients with acute chest pain Cost-effectiveness of coronary MDCT in the triage of patients with acute chest pain Ladapo J A, Hoffmann U, Bamberg F, Nagurney J T, Cutler D M, Weinstein M C, Gazelle G S Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary (...) of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary The aim was to assess the cost-effectiveness of triage based on computerised tomography coronary angiography (CTCA), compared with usual care, for patients presenting to the emergency department with acute chest pain. CTCA-based triage for patients with low-risk chest pain was a cost-effective alternative to usual care in men, and a dominant strategy

NHS Economic Evaluation Database.2008

240. Systematic review of dexketoprofen in acute and chronic pain

Systematic review of dexketoprofen in acute and chronic pain Systematic review of dexketoprofen in acute and chronic pain Systematic review of dexketoprofen in acute and chronic pain Moore R A, Barden J CRD summary This generally well-conducted review concluded that dexketoprofen mediation was associated with a reduction in acute and chronic pain compared with placebo, and at least equivalent efficacy to comparator analgesics, with no difference in adverse event withdrawal. No conclusions could (...) be drawn about serious adverse events such as gastrointestinal bleeding or cardiovascular events. This conclusion is likely to be reliable. Authors' objectives To assess the efficacy and safety of dexketoprofen on the reduction of acute and chronic pain. Searching PubMed and Cochrane Central Register of Controlled Trials were searched up to October 2008. Search terms were reported. Reference lists of retrieved publications were screened. The manufacturers, Menarini, were also contacted for published

DARE.2008