Articles: pain-management-methods.
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Opioid misuse in the USA is an epidemic. Utilization of neuromodulation for refractory chronic pain may reduce opioid-related morbidity and mortality, and associated economic costs. ⋯ Patients undergoing SCS were able to reduce opioid usage. Given the potential to reduce the risks of long-term opioid therapy, this study lays the groundwork for efforts that may ultimately push stakeholders to reduce payment and policy barriers to SCS as part of an evidence-based, patient-centered approach to nonopioid solutions for chronic pain.
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Lancet Child Adolesc Health · Dec 2020
ReviewUse of virtual reality in the supportive care management of paediatric patients with cancer.
Paediatric patients with cancer undergo multiple treatments and procedures that can be invasive and painful. Virtual reality technologies could support the management of paediatric cancer. This Review focuses on the physiological and psychological efficacy of virtual reality in supportive care management. ⋯ Virtual reality games with high fidelity (eg, fully-isolating head-mounted display, stereo sound, and controllers) components provide a higher level of immersion, presence, and narrative engagement, which could better manage pain. Personalising the virtual reality experience to the patient and procedure would also improve accessibility and comfort. Clinicians should work closely with virtual reality developers to ensure that the virtual reality applications used are appropriate for their patients.
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Interprofessional staff are in a position to champion nonpharmacological pain management interventions, which can be effective when used in conjunction with analgesic medications. The purposes of this study were to understand the barriers and facilitators to using nonpharmacological pain management interventions as perceived by interprofessional staff, as well as to describe current knowledge, attitudes, and practices of interprofessional staff. ⋯ This study provides a starting point for further understanding the potential implementation of nonpharmacological pain management interventions at the bedside. Recommendations include further evaluation of the current use of nonpharmacological pain management interventions as well as promoting education about available resources.
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Pediatric emergency care · Dec 2020
ReviewLocal and Topical Anesthetics for Pediatric Patients in the Emergency Department.
Painful diagnostic and therapeutic procedures are common in the emergency department. Adequately treating pain, including the pain of procedures is an essential component of the practice of emergency medicine. ⋯ Local and topical anesthetics when used appropriately, generally, have few, if any, systemic side effects, such as hypotension or respiratory depression, which is an advantage over procedural sedation. Use of local and topical anesthetics can do much toward alleviating the pain and anxiety of pediatric patients undergoing procedures in the emergency department.
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Curr Opin Anaesthesiol · Dec 2020
ReviewUse of cannabis and cannabinoids in palliative care setting.
Cannabis products have been used for various ailments since ancient times. But their use diminished in the medical community due to the legal and social concerns of substance abuse. With evolving evidence of their use in alleviating various symptoms, resurgence of interest in their medicinal use is seen in the past decade. ⋯ A few symptoms in palliative care setting can be difficult to treat in a few patients with the available treatment measures. Anecdotal reports and early clinical data have proved cannabinoids to be a promising pharmacological option in managing this subset of patients. However, absence of robust clinical data in proving that cannabinoids have definitely favorable risk-benefit ratio, precludes the inclusion of cannabinoids in the routine recommendation for palliative symptom management. Before cannabinoids enter the broader market with patient-driven and industry-driven hype, high-quality clinical evidence is emergently needed.