Articles: pain-management-methods.
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Randomized Controlled Trial Multicenter Study
Reducing pain by using venous blood gas instead of arterial blood gas (VEINART): a multicentre randomised controlled trial.
Venous sampling for blood gas analysis has been suggested as an alternative to arterial sampling in order to reduce pain. The main objective was to compare pain induced by venous and arterial sampling and to assess whether the type of sampling would affect clinical management or not. ⋯ Venous blood gas is less painful for patients than ABG in non-hypoxaemic patients. Venous blood gas should replace ABG in this setting.
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Randomized Controlled Trial Multicenter Study
The effectiveness of graded motor imagery for reducing phantom limb pain in amputees: a randomised controlled trial.
To investigate whether graded motor imagery (GMI) is effective for reducing phantom limb pain (PLP) in people who have undergone limb amputations. ⋯ (PACTR201701001979279).
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The pericapsular nerve group (PENG) block is a novel ultrasound-guided regional anesthesia technique derived from recent anatomic studies detailing the sensory innervation of the hip. Targeting these terminal sensory branches, the PENG block was originally developed as a potentially more effective block for perioperative hip fracture anesthesia, with the added benefit of preserving motor function. ⋯ This raises the possibility that the PENG block may have a role in the Emergency Department (ED) where regional anesthesia options for pelvic fractures are lacking. Herein, we present the first description of PENG blocks successfully used for pelvic fractures in the ED setting.
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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.