Articles: pain-management.
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Acta Obstet Gynecol Scand · Jan 1982
Pain relief during delivery. An evaluation of conventional methods.
The study evaluates the effect of conventional obstetric analgesia on 544 parturients and their newborn infants. The parturients' pain situation was evaluated with respect to both the effect of pain relief given, and the total pain experience in the first and second stage. This gave a more correct view of the parturients' pain situation and effectiveness of the analgesic procedures that if one or the other estimation was used separately. ⋯ Severe to almost unbearable pain was experienced by about 60% of all parturients in the first stage as well as in the second stage. The duration of labor showed a strong positive correlation (p less than 0.0001) to the pain intensity in the first stage and a strong negative correlation (p less than 0.0001) to the degree of cervical dilation at admission. No adverse effects on the newborn infants were seen, apart from the well-known association between the drug--delivery interval and the slightly depressant effects of pethidine.
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Journal of medicine · Jan 1982
Case ReportsConcepts in the use of hypnosis for pain relief in cancer.
Hypnosis has no single place, but rather a broad range of application of technique and a long standing basis in the philosophy of patient care. We are not purists in any sense of the word. Our use of hypnosis in relief of pain in cases of cancer involves all formal medical procedures enhancing their potential through proper suggestions. We will endeavor to present some techniques of relaxation and pertinent case histories.
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Håkanson's treatment of trigeminal neuralgia by injecting 0.2 to 0.4 ml of glycerol into the cerebrospinal fluid in Meckel's cave was carried out in 27 patients with trigeminal neuralgia, 3 with atypical facial neuralgia, and 1 with post-traumatic facial neuralgia. Minor modifications of his technique are described based on our finding of a greater pain and sensory loss upon injection than he noted. We present evidence that glycerol is more toxic than its cryoprotectant effect would intimate and that it selectively eliminates those components of the compound action potential in the trigeminal rootlets customarily associated with pain. We conclude that the method is probably going to be an improvement over radiofrequency heating for the treatment of trigeminal neuralgia in many situations.