Pain medicine : the official journal of the American Academy of Pain Medicine
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Regional anesthesia simulation manikins with phantom skeletal structures are commercially available. Unfortunately, they are quite expensive. This article introduces our handmade, low cost, phantom for training of nerve block with fluoroscopic guidance. ⋯ Although it might lack radiographic fidelity, our inexpensive phantom can be used for basic training of nerve block with fluoroscopic guidance.
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Clinical Trial
Combination therapy with flupirtine and opioid: open-label case series in the treatment of neuropathic pain associated with cancer.
This study is a case series that was designed to provide data on the efficacy and the incidence and duration of adverse effects of flupirtine in the treatment of cancer-related neuropathic pain. ⋯ These results in humans follow animal studies that suggest a role for flupirtine in the treatment of neuropathic pain. This short duration open-label study in 10 subjects suggests that flupirtine may be useful in the treatment of neuropathic pain when used in combination with opioids.
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To evaluate the prevalence, characteristics, and correlates of chronic pain in a population of predominantly employed, alcoholic patients attending an outpatient drug and alcohol treatment program. ⋯ Chronic severe pain was prevalent in this predominantly employed, alcoholic population attending an outpatient drug and alcohol treatment program. Pain was associated with significant functional impairment, medical and psychiatric comorbidities, and abuse behaviors. Few patients accessed adequate pain treatment. Efforts should be made to better address the pain problems in this patient population.
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To determine if a pilot phase workshop influenced residents' beliefs and concerns about using opioids for chronic noncancer pain. ⋯ Residents' beliefs and concerns about using opioids for chronic noncancer pain changed after participating in a 4-hour interactive workshop.
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Randomized Controlled Trial
Reduction of topical anesthetic onset time using ultrasound: a randomized controlled trial prior to venipuncture in young children.
Ultrasound treatment prior to topical anesthetic application has been shown to speed anesthesia onset by enhancing anesthetic penetration into the skin. ⋯ Ultrasound treatment speeds time of onset of liposomal lidocaine cream anesthesia in young children undergoing venipuncture. Side effects were mild in our population.