Articles Tagged With: pain
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Is Childbirth History Associated with Pain Level During Medication Abortion?
Patients who had painful childbirth experiences or a prior cesarean delivery reported more severe pain after receiving medication abortion, a new study shows.
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Intrauterine Instillation of Mepivacaine at the Time of IUD Placement
In a randomized clinical trial of 151 women, intrauterine instillation of mepivacaine significantly reduced pain with intrauterine device insertion on visual analog scales both before (53.9 mm vs. 67.2 mm, respectively; P < 0.001) and after adjustment for individual provider variability (55.2 mm vs. 77.4 mm, respectively; P < 0.001), compared to placebo.
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Interventions for Pain During Office Endometrial Biopsy
In this randomized controlled trial, the use of transcutaneous electric nerve stimulation during endometrial biopsy did not clinically significantly reduce pain compared to placebo (median [interquartile range], 50 mm [20 mm to 80 mm] vs. 60 mm [40 mm to 100 mm]; P = 0.039), but was associated with increased satisfaction with the procedure.
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Flank Pain and ‘Heartburn?’
The electrocardiogram (ECG) in the figure was obtained from a man in his 60s who presented to the emergency department for a suspected kidney stone. The patient also noted some intermittent heartburn in recent weeks. How would you interpret his ECG? Should you activate the cath lab?
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Pediatric Pain Control
The fast-paced environment of the emergency department, unfamiliar faces, and noisy surroundings can create challenges when taking care of a child in pain, especially a child who has experienced a traumatic event. Management of pain in pediatric patients requires special considerations because of the unique physiological and psychological needs of children.
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Pain Control in Older Adults
Many older adults experience pain, but there are limited guidelines to appropriately manage their pain. Additionally, assessment of pain control in older adult patients can be difficult because of impairments in cognition, hearing, and sight. Increasingly, acute care providers are challenged to manage pain in this unique population. This article will discuss the epidemiology and etiology of pain in the older adult population, the pathophysiology, tools for diagnosing pain in older adults with cognitive impairment, and appropriate multimodal pain management for older adult patients.
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Buprenorphine May Be an Effective Alternative to Full Opioids for Pain in the ICU
In a small, single-center, retrospective, propensity-matched cohort study examining enteral oxycodone vs. sublingual buprenorphine in a critically ill population, pain control was equivalent, indicating that sublingual buprenorphine may be an effective and appropriate alternative.
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Buprenorphine May Be an Effective Alternative to Full Opioids for Pain in the ICU
In a small, single-center, retrospective, propensity-matched cohort study examining enteral oxycodone vs. sublingual buprenorphine in a critically ill population, pain control was equivalent, indicating that sublingual buprenorphine may be an effective and appropriate alternative.
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Empowered Relief vs. CBT vs. Health Education for Low Back Pain
This randomized clinical trial involving adults with chronic low back pain demonstrates that a single session of a pain management class, when compared to a full course of cognitive behavioral therapy, yields noninferior (clinically on par) outcomes in pain catastrophizing and several other measures at the three-month follow-up.
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Pain Researchers Are Engaging Patients as Partners
Pain researchers would benefit by enacting a comprehensive approach to patient engagement, perhaps engaging people with lived experience of chronic pain in developing study recruitment materials.