Articles: pain-management-methods.
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Anesthesia and analgesia · Jun 2019
Clinical TrialIntraoperative Hyperoxia Does Not Reduce Postoperative Pain: Subanalysis of an Alternating Cohort Trial.
Postoperative pain is common and promotes opioid use. Surgical wounds are hypoxic because normal perfusion is impaired. Local wound ischemia and acidosis promote incisional pain. Some evidence suggests that improving oxygen supply to surgical wounds might reduce pain. We therefore tested the hypothesis that supplemental (80% inspired) intraoperative oxygen reduces postoperative pain and opioid consumption. ⋯ Supplemental intraoperative oxygen does not reduce acute postoperative pain or reduce opioid consumption.
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Int J Geriatr Psychiatry · Jun 2019
ReviewPain assessment and pain treatment for community-dwelling people with dementia: A systematic review and narrative synthesis.
To describe the current literature on pain assessment and pain treatment for community-dwelling people with dementia. ⋯ This review identifies a dearth of high-quality studies exploring pain assessment and/or treatment for community-dwelling people with dementia, not least into non-pharmacological interventions. The consequences of this lack of evidence, given the current and projected prevalence of the disease, are very serious and require urgent redress. In the meantime, clinicians should adopt a patient- and caregiver-centred, multi-dimensional, longitudinal approach to pain assessment and pain treatment for this population.
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To review current opioid guidelines, public policy, and legal challenges that can threaten optimal management of cancer pain. ⋯ To provide excellent care, nurses must understand current policies affecting delivery of pain care to oncology patients and serve as patient advocates in the evolving policy debates.
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Clin Oncol (R Coll Radiol) · Jun 2019
Observational StudyPossible Dose-Response Relationship in Palliative Radiotherapy for Non-bone Painful Lesions.
Total radiation dose does not predict pain response in conventionally fractionated radiotherapy for bone metastases. By contrast, in radiotherapy for solid painful tumours other than bone metastases, it is unknown whether there is a dose-response relationship. We sought to determine whether a higher total radiation dose predicted a higher pain response rate in palliative radiotherapy for non-bone painful lesions. ⋯ Higher total radiation dose seemed to be associated with a higher rate of pain response in patients with non-bone painful lesions. However, this finding was not robust to sensitivity analysis. Dose-response relationship should be investigated in clinical trials enrolling patients with these kinds of painful tumour.