JAMA : the journal of the American Medical Association
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Editorial Comment
To thwart the tobacco companies. It's every physician's responsibility.
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Randomized Controlled Trial Clinical Trial
Patient-controlled analgesia. Does a concurrent opioid infusion improve pain management after surgery?
--To assess the influence of a continuous (basal) morphine infusion as part of a patient-controlled analgesia (PCA) system on the postoperative analgesic requirement and on recovery parameters following abdominal hysterectomy. ⋯ --The routine use of a continuous opioid infusion in combination with a standard PCA regimen does not improve pain management compared with PCA alone after abdominal hysterectomy.
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--To determine the ability of ultrasonography to detect appendicitis and to identify other conditions responsible for symptoms in children with acute abdominal pain. ⋯ --Approximately half of children referred for suspected appendicitis will have a final diagnosis of abdominal pain of unknown origin. In the remainder, ultrasonography is useful, both to establish the diagnosis of appendicitis and to aid in diagnosing other causes of acute abdominal pain.