Intervention analgesia patient controlled. Medical search. Frequent questions

Association between breakthrough labor pain, patient-controlled epidural analgesia use, and numeracy: A pilot observational study. (bvsalud.org)
Labor analgesia can be maintained with a continuous epidural infusion, supplemented by patient -controlled epidural boluses. (bvsalud.org)
patient -controlled epidural boluses use and timing require numeric understanding , as patients need to understand when they can administer supplemental boluses, lockout intervals, and total doses. (bvsalud.org)
We hypothesized that women with lower numeric literacy have a higher rate of provider-administered supplemental boluses for breakthrough pain because they do not understand the concept behind patient -controlled epidural boluses. (bvsalud.org)
Combined spinal-epidural labor analgesia was initiated with intrathecal fentanyl and epidural analgesia was maintained using continuous epidural infusion with patient -controlled epidural boluses. (bvsalud.org)
Patients were stratified by whether or not they required supplemental provider-administered analgesia and patient -controlled epidural boluses use patterns were evaluated. (bvsalud.org)
Patients who required treatment of breakthrough pain had higher patient -controlled epidural boluses demands-to-delivery ratio. (bvsalud.org)
IMPLICATIONS FOR PRACTICE Easy to understand scripts on how to use patient -controlled epidural boluses allows for understanding of patient -controlled epidural boluses use. (bvsalud.org)
Epidural analgesia may give good pain relief after hip or knee replacement surgery, but this benefit must be weighed against the possibility of adverse effects and complications. (cochrane.org)
Aside from pain relief, there was insufficient information to draw conclusions on other benefits or harms arising from epidural analgesia. (cochrane.org)
Epidural analgesia may be useful for postoperative pain relief following major lower limb joint replacements. (cochrane.org)
The current evidence is insufficient to draw conclusions on the frequency of rare complications from epidural analgesia, postoperative morbidity or mortality, functional outcomes, or length of hospital stay. (cochrane.org)
Lumbar epidural analgesia is a common modality for pain relief following these procedures. (cochrane.org)
As the use of epidural analgesia may delay the initiation of anticoagulant thromboprophylaxis due to the potential risk of epidural hematoma, a synthesis of the evidence is necessary to determine whether or not alternative analgesic modalities are worse, equivalent, or better than epidural analgesia. (cochrane.org)
Is lumbar epidural analgesia more efficacious than systemic analgesia or long-acting spinal analgesia for postoperative pain relief in patients after elective hip or knee replacement? (cochrane.org)
A study was included if it was a randomized or pseudo randomized controlled clinical trial (RCT) of patients undergoing hip or knee replacement, in which postoperative lumbar epidural analgesia was compared to other methods for pain relief. (cochrane.org)
For pain relief with movement after surgery, patients receiving epidural analgesia reported lower pain scores than patients receiving systemic analgesia in all four studies examining these outcomes. (cochrane.org)
Epidural analgesia in labor: an evaluation of risks and benefits. (afar.info)
BACKGROUND: Intrapartum epidural analgesia has become increasingly popular because it is the most effective method of providing pain relief during labor. (afar.info)
This article reviews the literature about the effects of epidural analgesia on the mother and infant. (afar.info)
METHODS: We performed a computer-assisted MEDLINE search for articles and a review of bibliographies from articles on epidural analgesia. (afar.info)
Retrospective studies and randomized controlled trials both demonstrate that epidural analgesia is associated with increases in duration of labor, instrument vaginal delivery, and cesarean birth. (afar.info)
To date only three trials randomized patients to narcotic versus epidural groups, and all showed a twofold to threefold increase in cesarean section for dystocia. (afar.info)
Limiting epidural use in nulliparous labor and delaying its placement until after 5 cm of cervical dilation may reduce the risk of operative intervention for dystocia. (afar.info)
Epidural analgesia may also increase intervention for fetal distress. (afar.info)
CONCLUSIONS: Epidural analgesia is a safe and effective method of relieving pain in labor, but is associated with longer labor, more operative intervention, and increases in cost. (afar.info)
Possible regional anesthesia techniques include epidural analgesia, spinal analgesia (sometimes referred to as the intrathecal or subarachnoid space), or a combination of epidural and spinal analgesia. (medscape.com)
Epidural analgesia has provided effective pain relief in labour for over three decades. (bvsalud.org)
Delivery with epidural analgesia is routine for willing parturients in the developing world, however ignorance, cost as well as lack of qualified personnel has made this to be out of reach of the average Nigerian mother. (bvsalud.org)
The aim of this study was to assess level of awareness, acceptability, previous utilization and willingness to utilize epidural analgesia in labour following health education.Subjects/Methods: This cross-sectional study was carried out in the antenatal clinic of UTH, Osogbo. (bvsalud.org)
This service provides daily management of patients with postoperative, post-traumatic, and other types of acute pain requiring specialized interventions such as epidural analgesia, other regional anesthetic techniques, or complex pharmacological management. (unc.edu)

Lumbar laminectomy is commonly performed in patients with lumbar spinal stenosis to relieve low back pain, reduce radiculopathy and improve overall function. (springer.com)
12 - 14 Two randomised controlled trials of acupuncture in ED settings have been published: one reported greater pain reduction with acupuncture together with standard therapy than with standard therapy alone, 15 while the other reported significant neurological and functional recovery in patients with acute spinal cord injuries. (mja.com.au)
In obstetric patients, regional analgesia refers to partial or complete loss of pain sensation below the T8 to T10 spinal level. (medscape.com)
For pain that's hard to control, a pain-control specialist may give an opioid drug directly into the spinal cord area. (hopkinsmedicine.org)

This study randomized 566 patients with acute respiratory failure or shock and hypoactive (89%) or hyperactive delirium (11%) to receive intravenous boluses of haloperidol (maximum dose, 20 mg daily), ziprasidone (maximum dose, 40 mg daily), or placebo. (thoracic.org)
As we now know, intravenous (IV) lidocaine is used widely, predominately in the perioperative setting in gastrointestinal surgeries and as an outpatient chronic pain intervention. (asra.com)
Patients with hormone-refractory prostate cancer and bone pain needing external-beam radiotherapy were assigned to four intravenous injections of (223)Ra (50 kBq/kg, 33 patients) or placebo (31 patients), given every 4 weeks. (researchgate.net)
Patient-controlled intravenous analgesia (B01.003.004.009.002). (mtrconsult.com)

The concept has quickly found wide acceptance in anesthesia and critical care: The evaluation of Pulse Pressure Variation (PPV) allows for goal-directed fluid management in sedated and ventilated patients. (wikipedia.org)
A 2018 Cochrane review of randomized controlled trials (RCT) evaluating IV lidocaine compared to placebo/no treatment in patients undergoing elective or urgent surgeries under general anesthesia [68 trials (4,525 randomized patients)] indicated statistical significance of IV lidocaine in reducing pain at 1-4 hours and at 24 hours after surgery. (asra.com)
This is to help minimize the need for emergency anesthesia in patients for whom such anesthesia would be especially hazardous. (medscape.com)
Thought you might appreciate this item(s) I saw in Anesthesia & Analgesia. (lww.com)
Anesthesia practice today has largely eliminated serious adverse events in healthy patients who are having routine surgery. (medscape.com)

The analgesic regimen for lumbar laminectomy should include paracetamol and a non-steroidal anti-inflammatory drug (NSAID) or cyclooxygenase (COX)-2 selective inhibitor administered preoperatively or intraoperatively and continued post-operatively, with post-operative opioids for rescue analgesia. (springer.com)
For patients with acute severe pain, parenteral opioids are the first-line therapy. (saem.org)
Elderly patients are at greater risk of developing constipation, sedation, and confusion when treated with opioids, and it is reasonable to adjust doses to account for age-related changes in pharmacokinetics. (saem.org)
Opioids remain the mainstay for pain relief, but patient-controlled analgesia, NSAIDs, standardization of pain management, bio/behavioral interventions, modification of head dressings as well as patient-centric management are useful opportunities that potentially improve patient care. (surgicalneurologyint.com)
Only opioids could be used for labor analgesia in these situations, as they do not decrease systemic vascular resistance. (medscape.com)
There is limited evidence that weak oral opioids may be effective analgesics for some patients with RA, but adverse effects are common and may offset the benefits of this class of medications. (cochrane.org)
COCA is excited to partner with CDC's National Center for Injury Prevention and Control to offer this call series on CDC Guideline for Prescribing Opioids for Chronic Pain. (cdc.gov)

Multimodal analgesia has frequently been recommended for enhanced recovery after surgery [ 5 ]. (springer.com)
Flurbiprofen axetil is a safe and inexpensive NSAID used perioperatively as a part of multimodal analgesia. (bmj.com)
In fact, among the cardinal principles that we teach to trainees is that multimodal analgesia -- the practice of administering multiple agents to reduce pain -- is preferable to using a single analgesic at higher doses in the postoperative setting. (medscape.com)

The latest applications in emergency and obstetric surgery are presented, as well as implications in the specific subset of cancer patients, in which other "outcomes" may add to the traditional ones and may promote the development of cancer-specific ERAS protocols in the future. (hindawi.com)

Randomised controlled trials (RCTs) published in the English language from 1 January 2008 until 31 March 2020-assessing post-operative pain using analgesic, anaesthetic and surgical interventions-were identified from MEDLINE, EMBASE and Cochrane Databases. (springer.com)
Inclusion criteria were randomised control trials (RCTs) or systematic reviews of analgesic, anaesthetic and operative interventions, published in the English language assessing pain management for patients undergoing up to two-level lumbar laminectomy. (springer.com)
Secondary end-points included pain scores, analgesic use, functional ability, and local tumor control. (oldcitypublishing.com)
The implications Acupuncture is safe, acceptable and has an analgesic effect comparable with that of pharmacotherapy, but none of the therapeutic strategies used provided optimal analgesia within one hour of presentation. (mja.com.au)
In the first case, placebo analgesia is typically blocked by the opioid antagonist naloxone, whereas in the second case it is not, depending on the procedure that is applied to induce the placebo analgesic response. (jneurosci.org)
IV lidocaine infusions are a promising analgesic intervention in the perioperative setting. (asra.com)
These are important findings as the effectiveness of an analgesic intervention should be held in consideration with both pain scores and opioid consumption. (asra.com)
Procedural sedation and analgesia (PSA) is the administration of a short-acting sedative-hypnotic or dissociative agent, with or without an analgesic, for patients undergoing anxiety-provoking and/or painful procedures. (msdmanuals.com)
The investigators calculated the effective dose in 50% of patients (ED 50 ) for analgesic efficacy (defined as achieving a pain score ≤ 3 on a scale of 0 to 10) for acetaminophen only, morphine only, and the combination of acetaminophen and morphine. (medscape.com)

If PSA provides inadequate sedation or analgesia, injectable anesthetic (peripheral nerve block or local infiltration) may be added. (msdmanuals.com)

Methods and analysis This study is a multicentre, parallel group, open label, randomised controlled trial. (bmj.com)
However, the included randomised controlled trials (RCT) were heterogeneous and incorporated different SWI techniques (single and four-injection SWI methods), methods of administration (intradermal or subcutaneous), and comparison groups (normal saline, transcutaneous electronic nerve stimulation and "standard care" defined as massage, counter pressure and water immersion). (biomedcentral.com)
Laboring patients must be educated about the different available methods of labor analgesia. (medscape.com)
Many pharmacological and nonpharmacological methods of labor analgesia have been adopted over the years. (medscape.com)
Patients and methods. (bvsalud.org)
Health education on events of labour and methods of analgesia available was provided to all antenatal clinic attendees between September 2021and March 2022, following which a semi-structured purpose designed, and self- administered questionnaire was administered to 415 of these women who consented to participate in this study. (bvsalud.org)
The structured intervention will comprise three components: 1) a staff education module, 2) a standardized protocol for administration of analgesics, and 3) emphasis on rapid delivery methods depending on the clinical circumstance. (vchri.ca)

Lung protective mechanical ventilation significantly improved intraoperative pulmonary oxygenation function and pulmonary compliance in patients experiencing various abdominal laparoscopic surgeries, but it could not ameliorate early postoperative atelectasis and oxygenation function on the first day after surgery. (springer.com)
Strategies to ameliorate craniotomy pain demand interventions during all phases of patient care: preoperative, intraoperative, and postoperative interventions. (surgicalneurologyint.com)
ERAS protocols divide the key components of perioperative care according to phase of care: preoperative, intraoperative, and postoperative interventions. (surgicalneurologyint.com)
The Multimodal Pain Initiative (MMPI) consisted of improved preoperative documentation of risk factors for postoperative pain, standardization of intraoperative analgesia, improved recognition of postoperative pain by floor nurses, and development of a standardized pain management protocol. (cns.org)

The perioperative period is a critical time to apply non-pharmacological interventions that target pre-surgery anxiety, help patients set reasonable expectations for surgery, and support lifestyle behaviors that facilitate recovery after surgery, including adaptive skills to self-manage acute post-operative pain. (frontiersin.org)

Finally, anxiety among family members concerning a pain-control strategy should be thoroughly addressed and considered in decision-making about postoperative pain management. (medscape.com)
Two patients in the CCB group received a rescue interscalene block due to severe postoperative pain. (unboundmedicine.com)
It is well established that postoperative pain has far reaching effects on patient physiology and length of stay. (cns.org)
However, recent CMS initiatives such as the HCAHP survey have forced hospitals and neurosurgery departments to improve postoperative pain control. (cns.org)
Furthermore its implementation correlated with improved postoperative pain scores among neurosurgery patients. (cns.org)
This research provides a method to improve postoperative pain control among neurosurgery patients. (cns.org)

Effective pain control improves post-operative outcomes and patient satisfaction. (springer.com)
Development of standardized pain management and enhanced recovery after surgery (ERAS) protocols are necessary and crucial to optimize outcomes and patient satisfaction and reduce health care costs. (surgicalneurologyint.com)

This study aimed to assess analgesia provided by acupuncture, alone or in combination with pharmacotherapy, to patients presenting to emergency departments with acute low back pain, migraine or ankle sprain. (mja.com.au)
To assess the efficacy and safety of opioid analgesics for treating pain in patients with RA. (cochrane.org)
To assess patients correctly and consistently, health care providers should use a standardized, comprehensive screening tool. (cdc.gov)

CONCLUSIONS Blood salvage and erythropoietin use reduced over time, but not differently between intervention and control hospitals. (transfusionevidencelibrary.com)

Some interventions-gabapentinoids and intrathecal opioid administration-although effective, carry significant risks and consequently were omitted from the recommendations. (springer.com)

Only within the past few decades has the sophisticated medical establishment realized that pediatric patients, including neonates, also feel pain and require medical intervention to alleviate unnecessary suffering. (medscape.com)
Adverse circulatory and respiratory events are also most likely to occur during the postoperative course of neonates who have had inadequate interventions to minimize stress responses. (medscape.com)
Tachycardia, systemic hypertension, pulmonary hypertension, respiratory embarrassment, and intraventricular hemorrhage may be associated with inadequate pain control in neonates. (medscape.com)
Besides providing analgesia in labor, regional analgesia may facilitate atraumatic vaginal delivery of twins, preterm neonates, and neonates with breech presentation. (medscape.com)

Although these practitioners may administer narcotic analgesics, they frequently use nonaggressive intervention and subtherapeutic regimens in preverbal patients compared with adults. (medscape.com)
There are no absolute contraindications to providing analgesics to patients in pain. (saem.org)
Pain intensity scores are directly influenced by the amount of analgesics consumed, and patients enrolled in clinical trials are ethically entitled to standard clinical practices, which often include self-administration of opioid medications (i.e., patient-controlled analgesia). (asra.com)
More soldiers injured on the battlefield need analgesics for pain than life-saving interventions (LSIs). (ima.org.il)
These medicines, called adjuvant analgesics, can help control pain in certain situations. (hopkinsmedicine.org)

RCT found daily interruption of sedation in a MICU population resulted in shorter duration of mechanical ventilation and ICU stay, less total dose of sedation, and less use of diagnostic tests to work-up impaired mental status compared to the control group. (thoracic.org)
Daily sedation interruption in mechanically ventilated critically ill patients cared for with a sedation protocol: a randomized controlled trial. (thoracic.org)
Dexmedetomidine vs midazolam for sedation of critically ill patients: a randomized trial. (thoracic.org)
Early sedation with dexmedetomidine in critically ill patients. (thoracic.org)
Evaluation of Analgesia and Sedation Management in Mechanically Ventilated Patients Admitted to the Neuroscience Intensive Care Unit. (brighamandwomens.org)
A trained observer (who may also be the person giving the PSA drugs) is required to monitor the patient (sedation level, airway, ventilation, vital signs, pulse oximetry and/or capnography) throughout the sedation and recovery periods. (msdmanuals.com)

Secondary outcomes included postoperative hemoglobin, length of stay, allogeneic transfusions, and use of local infiltration analgesia (LIA) and tranexamic acid (TXA). (transfusionevidencelibrary.com)
The reduction in blood salvage was associated with increased use of local infiltration analgesia and tranexamic acid, suggesting that de-implementation is assisted by the substitution of techniques. (transfusionevidencelibrary.com)

A risk diagnosis is not evidenced by signs and symptoms, as the problem has not occurred and nursing interventions are directed at prevention. (surenapps.com)

showed a decreased mortality and respiratory complications after surgery in patients over 65 years old as well as a better functional status at 2 weeks, 2 months, and 4 months [ 11 ]. (biomedcentral.com)
Rationale: Helps evaluate degree of discomfort and effectiveness of analgesia or may reveal developing complications. (surenapps.com)
It also helps control blood pressure in women with preeclampsia by alleviating labor pain, and it blunts the hemodynamic effects of uterine contractions and the associated pain response in patients with other medical complications. (medscape.com)

5 Acupuncture can provide analgesia for chronic musculoskeletal pain and headache, 6 - 9 and its use is covered by therapeutic guidelines for acute pain. (mja.com.au)
Acute pain is one of the most common symptoms of patients in emergency departments (EDs). (vchri.ca)

Thus, placebo effects may represent points of either strength or vulnerability for the expression and maintenance of various pathological states and their inherent therapeutic interventions. (jneurosci.org)
The therapeutic effect has been explained by gate control theory [ 4 ] whereby the painful stinging stimulates competing nerve fibres, creating a block to the slower visceral signals from uterine contractions and back pain. (biomedcentral.com)
Authors concluded that SWI are an effective therapeutic intervention for the management of continuous back pain during labour. (biomedcentral.com)
There is much to be studied about how this intervention might impart therapeutic benefits across patients, across surgical populations, but we're very excited for the future. (medpagetoday.com)
a Uso clínico de lidocaína considerable number of patients present pain refractory to existing treatments, making it a diagnostic and therapeutic intravenosa para manejo challenge. (bvsalud.org)

Scientists are interested in placebo responses because the effects of belief on human experience and behavior provide an entry point for studying internal control of affective, sensory, and peripheral processes. (jneurosci.org)

4 5 However, surgery alone may not be a sufficient treatment because an observational study of 11 663 surgically treated patients with NSCLC showed that the 5-year overall survival (OS) rate in all patients was 69.6%, while the rates in patients with clinical stage IA, IB, IIA and IIB were 82.0%, 66.1%, 54.5% and 46.1%, respectively. (bmj.com)
Dr. Andolfatto's before-and-after observational study will look at patients presenting to the emergency department with painful musculoskeletal injuries. (vchri.ca)

Multi-center RCT to Determine Most Effective Interventions (Anti-Depressants and/or Enhanced Fear Avoidance Rehabilitation) for Patients with Chronic Low Back Pain and Negative Affect. (brighamandwomens.org)
This study aimed to identify and classify effective interventions to reduce unnecessary caesarian sections. (who.int)
Thematic content analysis was used to identify and classify the effective interventions. (who.int)

Daily interruption of sedative infusions in critically ill patients undergoing mechanical ventilation. (thoracic.org)
Several institutions to our knowledge within the U.S. and Canada currently utilize postoperative IV lidocaine infusions on hospital wards, and while formal clinical trials are needed, data from these centers aid in developing our understanding of this intervention. (asra.com)

Improving pain control for our patients is of vital importance as inadequate pain relief can lead to long-term alterations in pain perception, understanding, and potentially lead to the development of pain-related behavioral expressions in children. (bcm.edu)
Regional analgesia is also contraindicated in cases of patient refusal or inadequate practitioner training and experience. (medscape.com)
Despite improvements in the management of rheumatoid arthritis (RA), pain control is often inadequate even when inflammation is well controlled. (cochrane.org)

New perspectives include the use of ERAS in emergency surgery, where efficacy and safety on outcome have been documented, and flexibility of traditional items may add benefits for traditionally high-risk patients. (hindawi.com)
A Randomized, Double-Blind, Placebo-Controlled, Multi-center study to evaluate the Efficacy of ManNAc in subjects with GNE Myopathy. (brighamandwomens.org)
Previous observational studies, including TROPHY 1 , have shown that denervation of the pulmonary artery improves hemodynamic and exercise capacity in patients with PAH, but its efficacy and safety have not been studied in a randomized trial, he noted. (medscape.com)

This study characterizes ambulatory care adverse drug events reported to a large patient safety organization between May 2012 and October 2018. (ahrq.gov)

reported that 23% of patients had chronic pain one year after simple rib fractures. (biomedcentral.com)

The results of this randomised, controlled clinical trial demonstrated that acupuncture provided no greater benefit than invasive sham acupuncture in reducing systolic or diastolic BP (blood pressure). (ebm-first.com)
In this clinical trial of 90 healthy patients (American Society of Anesthesiologists physical status score 1 or 2) undergoing inguinal hernia repair, appendectomy , varicocelec tomy, anal fistulotomy, breast lump resection, or a minor orthopedic surgical procedure, pain levels were assessed in the recovery room with a numerical rating scale from 0 (no pain) to 10 (worst imaginable pain). (medscape.com)

A systematic review of the literature associated with analgesia after lumbar laminectomy was conducted in accordance with the PROSPECT methodology [ 9 ]. (springer.com)
How can we enhance perioperative pain management in patients undergoing lumbar laminectomy? (springer.com)
Estimates suggest that 10-40% of lumbar spine surgery patients experience persistent post-surgical pain (PPSP). (frontiersin.org)
This report describes the integration of an online, live-instructor delivered single-session pain self-management intervention (Empowered Relief) into the standard of care for lumbar spine surgery. (frontiersin.org)

There were no demographic differences between patients who required supplemental analgesia compared with those who did not. (bvsalud.org)
This study discovered both similarities and differences in the way surgeons, nurses, anesthesiologists, and patients responded to four scripted clinical error scenarios. (ahrq.gov)
In addition, noted differences existed between patients who supported reporting for all negative events and nurses who believed in selective reporting. (ahrq.gov)

Centers for Disease Control and Prevention. (cdc.gov)
I am Loretta Jackson-Brown and I am representing the Clinician Outreach and Communication Activity, COCA with the Emergency Risk Communication Branch at the Centers for Disease Control and Prevention. (cdc.gov)
They would like to disclose that their employer the University of Washington received a contract payment from the Centers for Disease Control and Prevention. (cdc.gov)
Dr. Dowell is the Senior Medical Advisor for the National Centers for Injury Prevention and Control at the Centers for Disease Control and Prevention. (cdc.gov)

This situation poses treatment challenges, and raises ethical and logistic problems for designing clinical trials that meet the pragmatic needs of patients and ED staff while also maintaining scientific rigour. (mja.com.au)
3 Although there have been no randomised controlled trials to compare surgery with radiation therapy or chemotherapy, observational studies have suggested that surgery is the most curative treatment for lung cancer. (bmj.com)
Larger clinical trials are warranted to study (223)Ra on the prevention of SREs and on overall survival in patients with hormone-refractory prostate cancer. (researchgate.net)
We searched the Cochrane Central Register of Controlled Trials (CENTRAL) ( The Cochrane Library ), MEDLINE and EMBASE for studies to May 2010. (cochrane.org)
Studies were included if they were randomized or quasi-randomized controlled trials (RCTs or CCTs) which compared opioid therapy to another therapy (active or placebo) for pain in patients with RA. (cochrane.org)
Chen reported that a blinding questionnaire showed 96.8% of PADN-treated and 95.4% of sham-treated patients believed they received active treatment, and said 12-month follow-up is very important, as are larger trials with clinical outcomes as the primary endpoint. (medscape.com)

Pain management should begin in the perioperative period with risk assessment, patient education, and premedication. (surgicalneurologyint.com)
Indeed, brief behavioral pain treatments delivered in the perioperative period may offer patients a low burden opportunity to acquire essential pain coping strategies for enhanced surgical recovery. (frontiersin.org)

This document updates and replaces CDC's previously published 'Guideline for Prevention of Nosocomial Pneumonia' (Infect Control 1982;3:327-33, Respir Care 1983;28:221-32, and Am J Infect Control 1983;11:230-44). (cdc.gov)
This revised guideline addresses common problems encountered by infection- control practitioners regarding the prevention and control of nosocomial pneumonia in U.S. hospitals. (cdc.gov)
Sections on the prevention of bacterial pneumonia in mechanically ventilated and/or critically ill patients, care of respiratory-therapy devices, prevention of cross-contamination, and prevention of viral lower respiratory tract infections (e.g., respiratory syncytial virus {RSV} and influenza infections) have been expanded and updated. (cdc.gov)
Part I, 'An Overview of the Prevention of Nosocomial Pneumonia, 1994,' provides the background information for the consensus recommendations of the Hospital Infection Control Practices Advisory Committee (HICPAC) in Part II, 'Recommendations for Prevention of Nosocomial Pneumonia. (cdc.gov)
Section "B" includes medical services, which are a set of medical interventions aimed at the prevention, diagnosis and treatment of diseases, medical rehabilitation and have an independent complete meaning. (mtrconsult.com)
Palliative care is explicitly recognized under the human right to health and is an approach that aims to improve the quality of life of patients (adults and children) and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems-physical, psychological, social and spiritual. (who.int)
Furthermore, WHO explicitly recognizes that palliative care is part of the comprehensive services required for noncommunicable diseases (NCDs) through the Global Action Plan for the Prevention and Control of NCDs 2013-2020, and fundamental to improving the quality of life, wellbeing, comfort, and human dignity for individuals, as an effective person-centered health service. (who.int)
At regional level, improved access to essential palliative care services is one of the regional strategic health care interventions included in the Framework for action on cancer prevention and control in the Eastern Mediterranean Region. (who.int)
The WHO Regional Office for Africa conducted a rapid assessment of the continuity of essential oral health services in the context of COVID-19 to understand the situation and identify important actions to strengthen oral health promotion and oral disease prevention and control as part of the overall health system. (who.int)

Fentanyl was introduced in 2013, and by 2019 was given to 39% of patients. (ima.org.il)

This limitation of specialty palliative medicine to those chosen population excludes a majority of patients who are facing a serious life-limiting illness and has physical and psychological symptoms throughout their disease trajectory. (jpalliativecare.com)
In the PCU model palliative interventions are provided only after acute interventions have failed and patients have been transferred to the PCU for comfort care only. (jpalliativecare.com)
Early palliative care not only improves quality of life for patients but is also a cost-saving public health intervention that reduces unnecessary hospitalizations and use of health-care services. (who.int)
Lack of awareness among policy-makers, health professionals and the public about what palliative care is, and the benefits it can offer patients and health systems. (who.int)
Misconceptions about palliative care, such as that it is only for patients with cancer, or for the last weeks of life. (who.int)

Seventy patients, aged 20 to 70 years with ASA Physical Status classifications I to III and scheduled for elective arthroscopic rotator cuff repair were recruited. (unboundmedicine.com)

Furthermore, inappropriately long periods of taking nothing by mouth (NPO) can be eliminated to minimize patient discomfort. (medscape.com)
The goals of these interventions are to minimize alveolar overdistention, to prevent repeated collapse and reopening of alveoli and to reduce atelectasis. (springer.com)

The effectiveness of acupuncture in providing acute analgesia for patients with back pain and ankle sprain was comparable with that of pharmacotherapy. (mja.com.au)
McClinton S, Starr K, Thomas R The clinical and cost effectiveness of surgical interventions for stones in the lower pole of the kidney: the percutaneous nephrolithotomy, flexible ureterorenoscopy and extracorporeal shockwave lithotripsy for lower pole kidney stones randomised controlled trial (PUrE RCT) protocol. (britishjournalofnursing.com)
In this video, Beth Darnall, PhD, of Stanford University's Pain Relief Innovations Lab, discusses her research into the effectiveness of digital pain management interventions and their potential for improving equitable care and access. (medpagetoday.com)

A randomized controlled trial was conducted to determine if selecting patients for ANH using a transfusion nomogram improves management and resource use compared with selection using extent of resection. (transfusionevidencelibrary.com)

Contributing factors included prescribing errors, failure to review clinical contraindications or drug-drug interactions, and lack of patient education or communication. (ahrq.gov)
Other maternal conditions such as aortic stenosis , pulmonary hypertension , or right-to-left shunts are also relative contraindications to the use of regional analgesia. (medscape.com)
Administration involves a series of actions: assessing patient vaccination status and determining needed vaccines, screening for contraindications and precautions, educating patients, preparing and administering vaccines properly, and documenting the vaccines administered. (cdc.gov)
Before administering any vaccine, patients should be screened for contraindications and precautions, even if the patient has previously received that vaccine. (cdc.gov)

This retrospective cohort study will use the United States Acute Care Solutions (USACS) national database to compare several variables including frequency and timing of pain medication delivery to this patient population between general EDs and pediatric EDs. (bcm.edu)
This qualitative study is based on semi-structured interviews of professional interpreters and healthcare team members working in a quaternary pediatric emergency department that are involved in high-acuity encounters requiring rapid assessment and interventions of non-English speaking patients and families. (bcm.edu)
In alignment with that movement, we are designing a set of pediatric specific curriculum for EMS clinicians targeted at addressing gaps in knowledge identified by the literature, such as patient and family centered care. (bcm.edu)

Delirium as a predictor of mortality in mechanically ventilated patients in the intensive care unit. (thoracic.org)
Borofsky MS, Walter D, Shah O, Goldfarb D, Mues A, Makarov D. Surgical decompression is associated with decreased mortality in patients with sepsis and ureteral calculi. (britishjournalofnursing.com)

Ethics and dissemination The study protocol was approved by the Clinical Research Review Board of Saitama Medical University in September 2019 (No. 192002) and will be approved by each institutional review board of all participating institutions before patient enrolment. (bmj.com)
Another change was an increase of casualties receiving analgesia from 5-10% until 2010 to 34% by 2019. (ima.org.il)
Entre le 1er Novembre 2019 et le 31 Octobre 2020, le recrutement des patients a été réalisé. (bvsalud.org)

Immediate effects of cervical mobilisations on neck muscle activity during active neck movements in patients with non-specific neck pain. (kcl.ac.uk)
Interventions: One session of cervical mobilisations or motionless manual contact (placebo). (kcl.ac.uk)
Dive into the research topics of 'Immediate effects of cervical mobilisations on neck muscle activity during active neck movements in patients with non-specific neck pain. (kcl.ac.uk)

Se seleccionaron artículos en inglés y español de 2017 a 2021. (bvsalud.org)

Finally, we discuss the scalable potential of Empowered Relief and other single-session interventions in surgical populations, their importance during extended perioperative periods, practical and scientific limitations, and new directions for future research on this topic. (frontiersin.org)

Symptoms varied from minimal pain requiring no intervention to severe pain impacting on function. (oldcitypublishing.com)
We aim to recruit 319 women presenting at term, seeking analgesia for continuous severe lower back pain during labour. (biomedcentral.com)
After orthopedic trauma surgery, patients often have quite a bit of pain that they can manage for months, and up to 10% of people have moderate to severe pain for 2 years later. (medpagetoday.com)

Design: Double-blind randomised placebo controlled trial. (kcl.ac.uk)
A Randomized double-blinded Placebo-controlled Study. (brighamandwomens.org)

Dr. Chlan's patient-centered program of research seeks to improve care and post-ICU outcomes for critically ill patients receiving mechanical ventilatory support. (mayo.edu)

A recent analysis of 1074 trauma patients admitted to an emergency department [ 5 ] highlighted a linear relationship between the number of fractured ribs and length of stay in the hospital and opioid use. (biomedcentral.com)
Pain control in trauma is an integral part of treatment in combat casualty care. (ima.org.il)
We enrolled patients who were undergoing orthopedic trauma surgery at Stanford University. (medpagetoday.com)
We enrolled 84 patients undergoing orthopedic trauma surgery, randomized them either to MSS or our digital control intervention, and we followed them after surgery for 3 months to understand how our intervention might change pain intensity, as well as use of medication. (medpagetoday.com)
So that was an interesting finding, and that combined with our new results where we show sustained analgesia after orthopedic trauma surgery really suggests that there's true heterogeneity and treatment effects based on the surgical population. (medpagetoday.com)

A three pronged approach to patient evaluation and management emphasizes pain control, psychological optimization, and rehabilitation. (unc.edu)

Interest in pain control in children has blossomed over the past decade, but there remains an incongruity between what is available technologically and what is practiced clinically. (cirp.org)
Effective, timely pain control is a fundamental component of ED care," says investigator Dr. Gary Andolfatto. (vchri.ca)
A multimodal pain control protocol can be developed and implemented among neurosurgery patients. (cns.org)

Metabolic and hormonal indicators of the degree of stress a surgical patient has can be monitored during and after surgery. (medscape.com)
After surgery, good pain relief is essential to enable patients to start walking again. (cochrane.org)
Baseline patient information (age, gender, menopausal status, body mass index, use of bone-thinning agents, presence of osteoporosis), tumor characteristics (histology, lesion appearance and extent) and treatment parameters (dose/fractionation, prior radiation/surgery) were documented. (oldcitypublishing.com)
Some retrospective studies showed promising results of rib fixation with surgery in patients with uncomplicated rib fractures: De Moya et al. (biomedcentral.com)
100 ] Preoperative interventions aim at optimizing the patient for surgery, including patient education, risk assessment, and medication. (surgicalneurologyint.com)
Although the incidence of HDP was lower, CCB did not show noninferiority in immediate postoperative analgesia compared with STB in arthroscopic shoulder surgery. (unboundmedicine.com)
Despite the fact that several possible topics may be discussed and much progress is still possible within ERAS, we decided to focus only on the most innovative ones (even when few studies exist), that is, those that are supposed to have the higher development in the future years and produce some changes in the philosophy of ERAS towards a patient-specific (and not only surgery-specific) approach. (hindawi.com)
Up to 80% of spine surgery patients experience post-surgery discomfort ( 3 ) and 20% will experience persistent post-surgical pain (PPSP). (frontiersin.org)
The COVID-19 pandemic has created major symptom challenges for patients seeking pain care and spine surgery, including exacerbated pain, increased distress, and decreased health promoting behaviors, such as physical activity ( 6 ). (frontiersin.org)
In this study , we were examining the benefit of a brief digital pain education intervention that might help people recover from surgery with less pain. (medpagetoday.com)
Most importantly, we found that people in MSS reported reductions in pain proximal to the surgery and also durability of analgesia to 3 months later. (medpagetoday.com)
Clinically, a pain score of 3 or less after surgery is considered to reflect adequate analgesia. (medscape.com)

At baseline, data were gathered for 924 patients from 10 intervention and 1040 patients from 11 control hospitals undergoing hip or knee arthroplasty. (transfusionevidencelibrary.com)

Pulmonary artery denervation (PADN) plus a phosphodiesterase-5 inhibitor improved exercise capacity, cardiac function, and some clinical outcomes in patients with pulmonary arterial hypertension (PAH) in a sham-controlled trial. (medscape.com)

This article considers the application of medical advances in pain management to the care of neonatal surgical patients. (medscape.com)
RCT of 4000 patients undergoing ventilation in the ICU for less than 12 hours to receive dexmedetomidine as sole or primary agent vs usual care with target RASS score of -2 to +1. (thoracic.org)
Nursing research at Mayo Clinic generates science to address unmet needs of patients with complex health care conditions. (mayo.edu)
She investigates mindfulness-based interventions aimed at decreasing stress and promoting resilience among caregivers of patients with complex health care needs. (mayo.edu)
Dr. Heidi Lindroth's program of research focuses on innovative, scalable and sustainable solutions to individualize care and mitigate the symptoms and severity of delirium, a form of acute brain dysfunction among hospitalized patients, including vulnerability to delirium, identifying at-risk individuals, and predicting delirium. (mayo.edu)
Pain is the most common reason patients seek care in the ED. While we may be focused on rapidly identifying life- and limb-threatening conditions, patients' first priority is often pain relief. (saem.org)
This is important for many reasons, including the fact that satisfied patients are more likely to return to you for care after discharge if their condition worsens. (saem.org)
Here lies the basic ethical challenge to care givers: Since pain seems harmful to patients, and care givers are categorically committed to preventing harm to their patients, not using all the available means of relieving pain must be justified. (cirp.org)
Medication errors in ambulatory care settings represent an ongoing patient safety challenge. (ahrq.gov)
There is no existing data that provides an insight and understanding of potential communication breakdowns between health care staff, interpreters and non-English speaking patients within the Emergency Department in high acuity settings. (bcm.edu)
The purpose of this study is to expand our understanding of the contributing factors of the inequity non-English speaking patients and families face by using input of interdisciplinary team members' in real time, to identify possible point of intervention in improving communication across the continuum of emergency care. (bcm.edu)
It is also unknown whether anesthesiology resident burnout/depression may affect patient care and safety. (lww.com)
In addition to effects on the health of anesthesiology trainees, burnout and depression may also affect patient care and safety. (lww.com)
Disruption in care, sometimes including months-long surgical delays, have left patients with few options to manage increased pain, distress, and anxiety within the context of an extended pre-surgical timeframe. (frontiersin.org)
Given pre-existing patient need for integrated perioperative care coupled with COVID-related surgical delays, we underscore the importance of accessible (e.g., online) and low burden perioperative pain interventions. (frontiersin.org)
What I love most about these brief single-session, digital interventions is that they transform the largest barrier that we have in pain care, in this behavioral pain care space, which is access. (medpagetoday.com)
It exists to further the teaching mission of the University of North Carolina and to provide state-of-the-art patient care. (unc.edu)
We provide a comprehensive interdisciplinary, yet individualized, approach to patient care, drawing upon the expertise of our faculty as well as consultants from other specialties. (unc.edu)
Health care professionals should be knowledgeable about appropriate techniques to prepare and care for patients when administering vaccines. (cdc.gov)
To save time, some facilities ask patients to answer screening questions before seeing the provider, either electronically via an online health care portal or on a paper form while in the waiting or exam room. (cdc.gov)
Research also shows when a strong recommendation is given by a health care provider, a patient is four to five times more likely to be vaccinated. (cdc.gov)

Rationale: Helps patient rest more effectively and refocuses attention, thereby reducing pain and discomfort. (surenapps.com)

The authors discuss several modifications to existing FTR definitions to better suit neurosurgical patients, such as incorporating measures of baseline frailty. (ahrq.gov)
The primary outcome is the change in self-reported pain measured by visual analogue scale at baseline and thirty minutes post intervention. (biomedcentral.com)
Postoperative hemoglobin levels were significantly higher (beta 0.21, 95% CI 0.08 to 0.34) and length of stay shorter (beta -0.36, 95% CI -0.64 to -0.09) in hospitals receiving the multifaceted strategy, compared with control hospitals and after adjustment for baseline. (transfusionevidencelibrary.com)
All study participants underwent Intensive Periodontal Treatment (IPT) or Control Periodontal Treatment (CPT) within 1 month from the baseline visit. (who.int)

Therefore, physicians rely on behavioral observations and knowledge of the specific pathophysiologic processes involved, as well as patients' own reports, to make judgments about children's experience of pain. (cirp.org)
But we feel that showing that people have reduced pain from a brief self-administered, on-demand intervention is a really nice result, suggesting that other programs might be able to implement this type of a program wherein behavioral health and pain management could be vastly more accessible than it is now. (medpagetoday.com)

Anatomy7

Organisms1

Diseases16

Chemicals and Drugs59

Analytical, Diagnostic and Therapeutic Techniques and Equipment88

Psychiatry and Psychology32

Phenomena and Processes14

Disciplines and Occupations6

Anthropology, Education, Sociology and Social Phenomena10

Humanities1

Information Science9

Named Groups6

Health Care71

Geographicals3

Epidural31

Spinal4

Intravenous4

Anesthesia5

Opioids7

Multimodal analgesia3

Obstetric1

Analgesic9

Anesthetic1

Methods7

Intraoperative4

Pharmacological1

Postoperative pain6

Outcomes and patient satisfaction2

Assess3

CONCLUSIONS1

Intrathecal1

Neonates4

Analgesics5

Sedation6

Local infiltration2

Nursing Interventions1

Complications3

Acute pain2

Therapeutic5

Peripheral1

Observational study2

Effective Interventions3

Infusions2

Inadequate3

Efficacy3

Adverse drug e1

Chronic pain1

Clinical trial2

Lumbar4

Differences3

Centers for Diseas4

Trials6

Perioperative period2

Prevention9

Fentanyl1

Palliative5

Elective1

Minimize2

Effectiveness3

Improves1

Contraindications4

Pediatric3

Mortality2

20193

Cervical3

20211

Surgical populations1

Severe3

Placebo controlled2

Critically ill patients1

Trauma5

Evaluation1

Pain control3

Surgery12

Undergoing hip or knee1

Sham-controlled trial1

Care21

Discomfort1

Baseline4

Behavioral2