The Clinical journal of pain
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Randomized Controlled Trial Comparative Study Clinical Trial
Superior hypogastric block: transdiscal versus classic posterior approach in pelvic cancer pain.
The classic posterior approach of superior hypogastric block has several technical difficulties. The transdiscal approach is a novel and easier approach for superior hypogastric which overcome these technical difficulties. ⋯ The transdiscal approach for superior hypogastric plexus block in pelvic cancer pain is easier, safer, and more effective with less side effects than the classic approach.
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Comparative Study
Ultrasound-guided facet joint injections in the middle to lower cervical spine: a CT-controlled sonoanatomic study.
The aim of this study was to investigate the efficacy of ultrasound as a guiding tool for simulated cervical facet joint injections in cadavers. ⋯ This preclinical study suggests that ultrasound is a useful guiding tool for facet joint injections in the cervical spine.
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Comparative Study
Pain Assessment in Noncommunicative Elderly persons--PAINE.
We describe the validation of an informant-based pain assessment for persons suffering from dementia called Pain Assessment in Noncommunicative Elderly persons (PAINE) using 2 different samples. ⋯ PAINE has the advantage of using a comprehensive list of pain symptoms on the basis of systematic questioning of direct caregivers from several institutions. The validity results suggest that this assessment could be a useful tool in detecting pain in persons with dementia.
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Randomized Controlled Trial Comparative Study Clinical Trial
Effects of an opioid (oxycodone/paracetamol) and an NSAID (bromfenac) on driving ability, memory functioning, psychomotor performance, pupil size, and mood.
It has been suggested that driving a car is relatively safe when the driver is treated with nonsteroid anti-inflammatory drugs than when he or she is treated with opioid analgesics. However, the evidence for this statement is scarce. The objective of this study was to determine the effects of a nonsteroid anti-inflammatory drug (bromfenac 25 mg and 50 mg) and an opioid (oxycodone/paracetamol 5/325 mg and 10/650 mg), and placebo on driving ability, memory functioning, psychomotor performance, pupil size, and mood. ⋯ No significant impairment in behavior was found in the volunteers for both bromfenac and oxycodone/paracetamol. The lack of impairment from oxycodone/paracetamol may have been related to the participants reporting increased effort during driving while under the influence of this drug.