Latest & greatest articles for acute pain

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Top results for acute pain

101. Acetaminophen plus a nonsteroidal anti-inflammatory drug decreases acute postoperative pain more than either drug alone

Acetaminophen plus a nonsteroidal anti-inflammatory drug decreases acute postoperative pain more than either drug alone Acetaminophen plus a nonsteroidal anti-inflammatory drug decreases acute postoperative pain more than either drug alone ADA Websites Access news, member benefits and ADA policy Attend ADA's premier event Take advantage of endorsed, discounted business products Access cutting-edge continuing education courses Find evidence to support your clinical decisions Access member-only (...) Council's children's oral health website Evidence Education About * Associated Topics Acetaminophen plus a nonsteroidal anti-inflammatory drug decreases acute postoperative pain more than either drug alone Ferne Kraglund DDS . Overview Systematic Review Conclusion Current evidence suggests that a combination of acetaminophen, also known as paracetamol, and a nonsteroidal anti-inflammatory drug (NSAID) may offer superior analgesia than does either drug alone. Critical Summary Assessment The authors

ADA Center for Evidence-Based Dentistry2014

102. The effects of topical heat therapy on chest pain in patients with acute coronary syndrome: a randomised double-blind placebo-controlled clinical trial

The effects of topical heat therapy on chest pain in patients with acute coronary syndrome: a randomised double-blind placebo-controlled clinical trial 24698126 2014 11 18 2015 12 07 2014 11 18 1365-2702 23 23-24 2014 Dec Journal of clinical nursing J Clin Nurs The effects of topical heat therapy on chest pain in patients with acute coronary syndrome: a randomised double-blind placebo-controlled clinical trial. 3460-7 10.1111/jocn.12595 To investigate the effects of local heat therapy on chest (...) pain in patients with acute coronary syndrome. Chest pain is a very common complaint in patients with acute coronary syndrome. It is managed both pharmacologically and nonpharmacologically. Pharmacological pain management is associated with different side effects. This was a randomised double-blind placebo-controlled clinical trial conducted in 2013. A convenience sample of 66 patients with acute coronary syndrome was selected from a coronary care unit of a local teaching hospital affiliated

EvidenceUpdates2014

103. Tapentadol: no therapeutic advance for acute or chronic pain

Tapentadol: no therapeutic advance for acute or chronic pain Prescrire IN ENGLISH - Spotlight ''Tapentadol: no therapeutic advance for acute or chronic pain'', 1 May 2014 {1} {1} {1} | | > > > Tapentadol: no therapeutic advance for acute or chronic pain Spotlight Every month, the subjects in Prescrire’s Spotlight. 100 most recent :  |   |   |   |   |   |   |   |   |  Spotlight Tapentadol: no therapeutic advance for acute (...) or chronic pain FEATURED REVIEW Tapentadol is an opioid similar to tramadol. For patients with acute or chronic pain, its analgesic efficacy is unknown, due to the lack of high-quality evaluation, but it provokes the adverse effects common to all opioids. It is better to continue relying on better-established opioids. Full review (4 pages) available for download by subscribers. Abstract The standard opioids for relieving moderate to severe pain are: codeine as a step 2 analgesic and morphine for step 3

Prescrire2014

105. Pentazocine versus short-acting opioids for chronic or acute pain: a review of the clinical effectiveness

Pentazocine versus short-acting opioids for chronic or acute pain: a review of the clinical effectiveness Pentazocine versus short-acting opioids for chronic or acute pain: a review of the clinical effectiveness Pentazocine versus short-acting opioids for chronic or acute pain: a review of the clinical effectiveness CADTH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made (...) for the HTA database. Citation CADTH. Pentazocine versus short-acting opioids for chronic or acute pain: a review of the clinical effectiveness. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response - Summary with Critical Appraisal. 2013 Authors' conclusions No relevant literature was identified regarding the comparative clinical effectiveness of pentazocine versus short acting opioids for chronic pain, acute pain in the community setting or palliative care. Final

Health Technology Assessment (HTA) Database.2014

106. Does this child have appendicitis? A systematic review of clinical prediction rules for children with acute abdominal pain

Does this child have appendicitis? A systematic review of clinical prediction rules for children with acute abdominal pain Does this child have appendicitis? A systematic review of clinical prediction rules for children with acute abdominal pain Does this child have appendicitis? A systematic review of clinical prediction rules for children with acute abdominal pain Kulik DM, Uleryk EM, Maguire JL CRD summary This review concluded that none of the six clinical prediction rules for children (...) with abdominal pain, suggestive of appendicitis, of less than one week in duration. Patients should be assessed throughout the year. Funding Not stated. Bibliographic details Kulik DM, Uleryk EM, Maguire JL. Does this child have appendicitis? A systematic review of clinical prediction rules for children with acute abdominal pain. Journal of Clinical Epidemiology 2013; 66(1): 95-104 PubMedID DOI Original Paper URL Indexing Status Subject indexing assigned by NLM MeSH Abdomen, Acute /diagnosis /etiology

DARE.2014

107. Efficacy of paracetamol for acute low-back pain: a double-blind, randomised controlled trial.

Efficacy of paracetamol for acute low-back pain: a double-blind, randomised controlled trial. 25064594 2014 12 02 2015 02 19 2015 07 21 1474-547X 384 9954 2014 Nov 01 Lancet (London, England) Lancet Efficacy of paracetamol for acute low-back pain: a double-blind, randomised controlled trial. 1586-96 10.1016/S0140-6736(14)60805-9 S0140-6736(14)60805-9 Regular paracetamol is the recommended first-line analgesic for acute low-back pain; however, no high-quality evidence supports (...) this recommendation. We aimed to assess the efficacy of paracetamol taken regularly or as-needed to improve time to recovery from pain, compared with placebo, in patients with low-back pain. We did a multicentre, double-dummy, randomised, placebo controlled trial across 235 primary care centres in Sydney, Australia, from Nov 11, 2009, to March 5, 2013. We randomly allocated patients with acute low-back pain in a 1:1:1 ratio to receive up to 4 weeks of regular doses of paracetamol (three times per day; equivalent

Lancet2014

108. Acute Coronary Syndromes: The Use of a Gastro Intestinal Cocktail for the Diagnosis of Acute Coronary Syndrome in Adult Emergency Department Patients Presenting with Chest Pain

Acute Coronary Syndromes: The Use of a Gastro Intestinal Cocktail for the Diagnosis of Acute Coronary Syndrome in Adult Emergency Department Patients Presenting with Chest Pain AUSTRALIAN RESUSCITATION COUNCIL Guideline 14.1.2 Page 1 of 3 August 2014 GUIDELINE 14.1.2 ACUTE CORONARY SYNDROMES: THE USE OF A GASTRO INTESTINAL COCKTAIL FOR THE DIAGNOSIS OF ACUTE CORONARY SYNDROME IN ADULT EMERGENCY DEPARTMENT PATIENTS PRESENTING WITH CHEST PAIN INTRODUCTION The Gastrointestinal (GI) cocktail (...) Infirmary. Antacids and diagnosis in patients with atypical chest pain. Emerg Med J 2003;20(2):170-1. 2. Goodacre SW, Angelini K, Arnold J, Revill S, Morris F. Clinical predictors of acute coronary syndromes in patients with undifferentiated chest pain. QJM 2003;96(12):893-8. 3. Schultz T, Mannheimer C, Dellborg M, Pilhall M, Borjesson M. High prevalence of gastroesophageal reflux in patients with clinical unstable angina and known coronary artery disease. Acute Card Care 2008;10(1):37-42. 4. Henderson

Australian Resuscitation Council2014

109. Chest Pain Suggestive of Acute Coronary Syndrome

Chest Pain Suggestive of Acute Coronary Syndrome American College of Radiology End User License Agreement ACR Appropriateness Criteria is a registered trademark of the American College of Radiology. By accessing the ACR Appropriateness Criteria®, you expressly agree and consent to the terms and conditions as described at: http://www.acr.org/~/media/ACR/Documents/AppCriteria/TermsandConditions.pdf Personal use of material is permitted for research, scientific and/or information purposes only (...) Criteria ® Clinical Condition: Chest Pain Suggestive of Acute Coronary Syndrome Radiologic Procedure Rating Comments RRL* Tc-99m SPECT MPI rest and stress 8 This procedure is appropriate for intermediate-to-high likelihood for coronary artery disease. There is abundant literature available on clinical utility. ???? Arteriography coronary 8 This procedure is the gold standard and is invasive. ??? Tc-99m SPECT MPI rest only 7 In the setting of ongoing chest pain, this procedure has a high negative

American College of Radiology2014

110. Acute Chest Pain ? Suspected Aortic Dissection

Acute Chest Pain ? Suspected Aortic Dissection Date of origin: 1995 Last review date: 2014 ACR Appropriateness Criteria ® 1 Acute Chest Pain — Suspected Aortic Dissection American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Acute Chest Pain — Suspected Aortic Dissection Radiologic Procedure Rating Comments RRL* X-ray chest 9 This procedure should be performed if readily available at the bedside and if it does not cause delay in obtaining a CT or MRI scan. Alternative (...) Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Acute Chest Pain — Suspected Aortic Dissection ACUTE CHEST PAIN — SUSPECTED AORTIC DISSECTION Expert Panel on Cardiac Imaging: Jill E. Jacobs, MD 1 ; Larry A. Latson Jr., MS, MD 2 ; Suhny Abbara, MD 3 ; Scott R. Akers, MD 4 ; Philip A. Araoz, MD 5 ; Kristopher W. Cummings, MD 6 ; Ricardo C. Cury, MD 7 ; Sharmila Dorbala, MD 8 ; James P. Earls, MD 9 ; Udo Hoffmann, MD, MPH 10 ; Joe Y. Hsu, MD 11 ; Faisal Khosa, MD 12 ; James

American College of Radiology2014

111. Acute Onset of Scrotal Pain ? without Trauma, without Antecedent Mass

Acute Onset of Scrotal Pain ? without Trauma, without Antecedent Mass Revised 2018 ACR Appropriateness Criteria ® 1 Acute Onset of Scrotal Pain American College of Radiology ACR Appropriateness Criteria ® Acute Onset of Scrotal Pain-Without Trauma, Without Antecedent Mass Variant 1: Adult or child. Acute onset of scrotal pain. Without trauma, without antecedent mass. Initial imaging. Procedure Appropriateness Category Relative Radiation Level US duplex Doppler scrotum Usually Appropriate O MRI (...) pelvis (scrotum) without and with IV contrast May Be Appropriate O Tc-99m scrotal scintigraphy Usually Not Appropriate ??? MRI pelvis (scrotum) without IV contrast Usually Not Appropriate O ACR Appropriateness Criteria ® 2 Acute Onset of Scrotal Pain ACUTE ONSET OF SCROTAL PAIN-WITHOUT TRAUMA, WITHOUT ANTECEDENT MASS Expert Panel on Urological Imaging: Carolyn L. Wang, MD a ; Barun Aryal, MD b ; Aytekin Oto, MD c ; Brian C. Allen, MD d ; Oguz Akin, MD e ; Lauren F. Alexander, MD f ; Dianna M. E

American College of Radiology2014

112. Intravenous acetaminophen for acute postoperative pain in adults

Intravenous acetaminophen for acute postoperative pain in adults Intravenous acetaminophen for acute postoperative pain in adults Intravenous acetaminophen for acute postoperative pain in adults Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Intravenous acetaminophen for acute postoperative pain in adults. Lansdale: HAYES, Inc.. Healthcare Technology Brief (...) Publication. 2014 Authors' conclusions Over 50 million inpatient surgeries are performed each year in the United States. Despite advances in pain management, and the development of novel drugs and delivery mechanisms, up to 70% of patients have persistent acute pain after surgery. Ideally, postoperative analgesics should be inexpensive, easy to administer, and offer rapid onset, few adverse effects, and little potential for interaction with other drugs. Therapies for perioperative pain include

Health Technology Assessment (HTA) Database.2014

113. An elderly man with acute anterior neck pain and odynophagia after a meal

An elderly man with acute anterior neck pain and odynophagia after a meal 25893057 2015 04 20 2015 04 20 2017 02 20 1985-207X 8 3 2013 Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia Malays Fam Physician An elderly man with acute anterior neck pain and odynophagia after a meal. 37-9 The upper aerodigestive tract, specifically the cricopharyngeal area, is the most common site of foreign body impaction. Anatomically, this area is the first (...) constriction of the oesophagus. Fish bones, one of the most common foreign bodies encountered in the throat, tend to get stuck in this area. The movement of this sharp-edged foreign body upon swallowing will induce odynophagia and an acute onset of neck pain. We report a case of a healthy elderly man who complained of sudden anterior neck pain and odynophagia after eating yellowtail scad fish. Mohamad I I Department of otorhinolaryngology-Head & neck surgery, school of Medical sciences, Universiti sains

Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia2013 Full Text: Link to full Text with Trip Pro

114. Traumeel vs. diclofenac for reducing pain and improving ankle mobility after acute ankle sprain: A multicentre, randomised, blinded, controlled and non-inferiority trial

Traumeel vs. diclofenac for reducing pain and improving ankle mobility after acute ankle sprain: A multicentre, randomised, blinded, controlled and non-inferiority trial 23889885 2013 09 30 2014 04 30 2017 02 20 1742-1241 67 10 2013 Oct International journal of clinical practice Int. J. Clin. Pract. Traumeel vs. diclofenac for reducing pain and improving ankle mobility after acute ankle sprain: a multicentre, randomised, blinded, controlled and non-inferiority trial. 979-89 10.1111/ijcp.12219 (...) Acute ankle sprains are common and activity limiting injuries, and topical diclofenac gel has proven efficacy in alleviating pain and restoring function. This trial aimed to compare a topical natural agent, Traumeel with topical diclofenac gel (1%) in the management of acute ankle sprain. This prospective, multicentre, randomised, blinded, active-control and non-inferiority study involved 449 physically active adults sustaining unilateral grade 1 or 2 ankle sprain within the past 24 h. Participants

EvidenceUpdates2013 Full Text: Link to full Text with Trip Pro

115. Prognostic implications of nonobstructive coronary artery disease in patients undergoing coronary computed tomographic angiography for acute chest pain

Prognostic implications of nonobstructive coronary artery disease in patients undergoing coronary computed tomographic angiography for acute chest pain 23332596 2013 03 18 2013 05 16 2016 11 25 1879-1913 111 7 2013 Apr 01 The American journal of cardiology Am. J. Cardiol. Prognostic implications of nonobstructive coronary artery disease in patients undergoing coronary computed tomographic angiography for acute chest pain. 941-5 10.1016/j.amjcard.2012.12.010 S0002-9149(12)02553-2 Coronary (...) computed tomographic angiography can detect nonobstructive atherosclerotic lesions that would not otherwise have been detected with functional cardiac imaging. Currently, limited data exist regarding the clinical significance of these lesions in patients with acute chest pain. The aim of our study was to examine the prognostic significance of these nonobstructive findings in a patient population presenting with acute chest pain. We evaluated 959 consecutive patients who underwent coronary computed

EvidenceUpdates2013

116. MR-proANP and MR-proADM for risk stratification of patients with acute chest pain

MR-proANP and MR-proADM for risk stratification of patients with acute chest pain 23213173 2013 02 20 2013 04 11 2015 11 19 1468-201X 99 6 2013 Mar Heart (British Cardiac Society) Heart MR-proANP and MR-proADM for risk stratification of patients with acute chest pain. 388-95 10.1136/heartjnl-2012-302956 To evaluate mid-regional pro-adrenomedullin (MR-proADM) and mid-regional pro-atrial natriuretic peptide (MR-proANP) as prognostic biomarkers in a representative 'real world' cohort of patients (...) with suspected acute coronary syndrome (ACS). Prospective observational multicentre cohort study. Chest pain units of three major hospitals in Germany from 2007 to 2008. Patients presenting with signs and symptoms suggestive of an ACS. Primary end point was death or non-fatal myocardial infarction (MI), and secondary end point was death, non-fatal MI, stroke, need for coronary revascularisation, and hospital admission for cardiovascular cause or acute heart failure within 6 months after enrolment. 1386

EvidenceUpdates2013

117. Randomised controlled trial: Coronary CT angiography decreases the length of stay in emergency department versus standard therapy in patients presenting with acute chest pain, but results in increased downstream testing and radiation exposure

Randomised controlled trial: Coronary CT angiography decreases the length of stay in emergency department versus standard therapy in patients presenting with acute chest pain, but results in increased downstream testing and radiation exposure Coronary CT angiography decreases the length of stay in emergency department versus standard therapy in patients presenting with acute chest pain, but results in increased downstream testing and radiation exposure | Evidence-Based Medicine This site uses (...) in emergency department versus standard therapy in patients presenting with acute chest pain, but results in increased downstream testing and radiation exposure Article Text Therapeutics Randomised controlled trial Coronary CT angiography decreases the length of stay in emergency department versus standard therapy in patients presenting with acute chest pain, but results in increased downstream testing and radiation exposure James K Min , Reza Arsanjani Statistics from Altmetric.com No Altmetric data

Evidence-Based Medicine (Requires free registration)2013

118. Efficacy of adding clonidine to intrathecal morphine in acute postoperative pain: meta-analysis

Efficacy of adding clonidine to intrathecal morphine in acute postoperative pain: meta-analysis Efficacy of adding clonidine to intrathecal morphine in acute postoperative pain: meta-analysis Efficacy of adding clonidine to intrathecal morphine in acute postoperative pain: meta-analysis Engelman E, Marsala C CRD summary The authors concluded that the addition of intrathecal clonidine to intrathecal morphine provided small clinical benefits, but increased the frequency of hypotension. The (...) results were heavily influenced by one trial, with an additional treatment.There were some limitations in the review, but the cautious conclusions reflect the evidence presented and seem reliable. Authors' objectives To evaluate the efficacy of adding intrathecal clonidine to intrathecal morphine for acute postoperative pain. Searching Seven databases, including EMBASE and PubMed, were searched in January 2012, for relevant studies. Search terms were reported. The references of the included articles

DARE.2013

119. Guidelines on Acute Pain Management

Guidelines on Acute Pain Management PS41 2013 Page 1 PS41 2013 Australian and New Zealand College of Anaesthetists (ANZCA) Faculty of Pain Medicine Guidelines on Acute Pain Management 1. INTRODUCTION 1.1 Effective treatment of acute pain is a fundamental component of quality patient care. 1.2 Education and practical experience in acute pain management are essential components of training programs for fellowships of ANZCA and FPMANZCA. 2. PRINCIPLES OF ACUTE PAIN MANAGEMENT 2.1 Adverse (...) physiological and psychological effects may result from unrelieved severe acute pain. 2.2 Effective treatment of postoperative pain may reduce the incidence of postoperative morbidity and facilitate earlier discharge from hospital. 2.3 Preventive treatment of postoperative pain may reduce the incidence of chronic pain. 2.4 Effective management of acute pain requires tailoring of treatment regimens to the individual patient. 2.5 Effective management of acute pain depends on close liaison with and education

Australian and New Zealand College of Anaesthetists2013

120. Neck pain - acute torticollis

Neck pain - acute torticollis Neck pain - acute torticollis - NICE CKS Clinical Knowledge Summaries Share Neck pain - acute torticollis - Summary Torticollis, or wry neck, is a twisted neck. Acute torticollis is thought to be due to minor local musculoskeletal irritation causing pain and spasm in neck muscles. The cause of torticollis is often not known, but it may be due to bad posture, e.g. poor positioning at a computer screen, inappropriate seating, sleeping without adequate neck support (...) , or carrying heavy unbalanced loads. Assessment of a person with acute torticollis involves: Excluding 'red flags' suggestive of a serious spinal or other abnormality, including compression of the spinal cord (myelopathy), cancer, severe trauma or skeletal injury, and vascular insufficiency. Identifying typical features of acute torticollis such as a sudden onset of severe unilateral pain, with restricted and painful neck movements, and diffuse tenderness on the involved side with palpable spasm. Excluding

NICE Clinical Knowledge Summaries2013