Methods of PAIN relief that may be used with or in place of ANALGESICS.
The relief of pain without loss of consciousness through the introduction of an analgesic agent into the epidural space of the vertebral canal. It is differentiated from ANESTHESIA, EPIDURAL which refers to the state of insensitivity to sensation.
The elimination of PAIN, without the loss of CONSCIOUSNESS, during OBSTETRIC LABOR; OBSTETRIC DELIVERY; or the POSTPARTUM PERIOD, usually through the administration of ANALGESICS.
Relief of PAIN, without loss of CONSCIOUSNESS, through ANALGESIC AGENTS administered by the patients. It has been used successfully to control POSTOPERATIVE PAIN, during OBSTETRIC LABOR, after BURNS, and in TERMINAL CARE. The choice of agent, dose, and lockout interval greatly influence effectiveness. The potential for overdose can be minimized by combining small bolus doses with a mandatory interval between successive doses (lockout interval).
Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.
Pain during the period after surgery.
The principal alkaloid in opium and the prototype opiate analgesic and narcotic. Morphine has widespread effects in the central nervous system and on smooth muscle.
Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.
A widely used local anesthetic agent.
Drugs that block nerve conduction when applied locally to nerve tissue in appropriate concentrations. They act on any part of the nervous system and on every type of nerve fiber. In contact with a nerve trunk, these anesthetics can cause both sensory and motor paralysis in the innervated area. Their action is completely reversible. (From Gilman AG, et. al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed) Nearly all local anesthetics act by reducing the tendency of voltage-dependent sodium channels to activate.
Analgesia produced by the insertion of ACUPUNCTURE needles at certain ACUPUNCTURE POINTS on the body. This activates small myelinated nerve fibers in the muscle which transmit impulses to the spinal cord and then activate three centers - the spinal cord, midbrain and pituitary/hypothalamus - to produce analgesia.
A potent narcotic analgesic, abuse of which leads to habituation or addiction. It is primarily a mu-opioid agonist. Fentanyl is also used as an adjunct to general anesthetics, and as an anesthetic for induction and maintenance. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1078)
Compounds capable of relieving pain without the loss of CONSCIOUSNESS.
Procedure in which an anesthetic is injected into the epidural space.
A narcotic analgesic that can be used for the relief of most types of moderate to severe pain, including postoperative pain and the pain of labor. Prolonged use may lead to dependence of the morphine type; withdrawal symptoms appear more rapidly than with morphine and are of shorter duration.
Pain associated with OBSTETRIC LABOR in CHILDBIRTH. It is caused primarily by UTERINE CONTRACTION as well as pressure on the CERVIX; BLADDER; and the GASTROINTESTINAL TRACT. Labor pain mostly occurs in the ABDOMEN; the GROIN; and the BACK.
An opioid analgesic that is used as an adjunct in anesthesia, in balanced anesthesia, and as a primary anesthetic agent.
An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.
Interruption of NEURAL CONDUCTION in peripheral nerves or nerve trunks by the injection of a local anesthetic agent (e.g., LIDOCAINE; PHENOL; BOTULINUM TOXINS) to manage or treat pain.
Introduction of therapeutic agents into the spinal region using a needle and syringe.
The repetitive uterine contraction during childbirth which is associated with the progressive dilation of the uterine cervix (CERVIX UTERI). Successful labor results in the expulsion of the FETUS and PLACENTA. Obstetric labor can be spontaneous or induced (LABOR, INDUCED).
A variety of anesthetic methods such as EPIDURAL ANESTHESIA used to control the pain of childbirth.
Organic compounds containing the -CO-NH2 radical. Amides are derived from acids by replacement of -OH by -NH2 or from ammonia by the replacement of H by an acyl group. (From Grant & Hackh's Chemical Dictionary, 5th ed)
Procedure in which an anesthetic is injected directly into the spinal cord.
A narcotic analgesic proposed for severe pain. It may be habituating.
A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.
A subclass of analgesic agents that typically do not bind to OPIOID RECEPTORS and are not addictive. Many non-narcotic analgesics are offered as NONPRESCRIPTION DRUGS.
A specific opiate antagonist that has no agonist activity. It is a competitive antagonist at mu, delta, and kappa opioid receptors.
Extraction of the FETUS by means of abdominal HYSTEROTOMY.
Emesis and queasiness occurring after anesthesia.
Amount of stimulation required before the sensation of pain is experienced.
Injection of ANALGESICS; LOCAL ANESTHETICS; or NARCOTICS into the PLEURAL CAVITY between the two pleural membranes.
Progressive diminution of the susceptibility of a human or animal to the effects of a drug, resulting from its continued administration. It should be differentiated from DRUG RESISTANCE wherein an organism, disease, or tissue fails to respond to the intended effectiveness of a chemical or drug. It should also be differentiated from MAXIMUM TOLERATED DOSE and NO-OBSERVED-ADVERSE-EFFECT LEVEL.
A class of opioid receptors recognized by its pharmacological profile. Mu opioid receptors bind, in decreasing order of affinity, endorphins, dynorphins, met-enkephalin, and leu-enkephalin. They have also been shown to be molecular receptors for morphine.
Procedure in which patients are induced into an unconscious state through use of various medications so that they do not feel pain during surgery.
A drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway. (From: American Society of Anesthesiologists Practice Guidelines)
A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is an NSAID and is used principally for its analgesic activity. (From Martindale The Extra Pharmacopoeia, 31st ed)
Period from the onset of true OBSTETRIC LABOR to the complete dilatation of the CERVIX UTERI.
An opioid analgesic made from MORPHINE and used mainly as an analgesic. It has a shorter duration of action than morphine.
A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of PROCAINE but its duration of action is shorter than that of BUPIVACAINE or PRILOCAINE.
A form of therapy that employs a coordinated and interdisciplinary approach for easing the suffering and improving the quality of life of those experiencing pain.
Epidural anesthesia administered via the sacral canal.
An imidazoline sympatholytic agent that stimulates ALPHA-2 ADRENERGIC RECEPTORS and central IMIDAZOLINE RECEPTORS. It is commonly used in the management of HYPERTENSION.
Medical methods of either relieving pain caused by a particular condition or removing the sensation of pain during a surgery or other medical procedure.
A cyclohexanone derivative used for induction of anesthesia. Its mechanism of action is not well understood, but ketamine can block NMDA receptors (RECEPTORS, N-METHYL-D-ASPARTATE) and may interact with sigma receptors.
A nerve originating in the lumbar spinal cord (usually L2 to L4) and traveling through the lumbar plexus to provide motor innervation to extensors of the thigh and sensory innervation to parts of the thigh, lower leg, and foot, and to the hip and knee joints.
Cell membrane proteins that bind opioids and trigger intracellular changes which influence the behavior of cells. The endogenous ligands for opioid receptors in mammals include three families of peptides, the enkephalins, endorphins, and dynorphins. The receptor classes include mu, delta, and kappa receptors. Sigma receptors bind several psychoactive substances, including certain opioids, but their endogenous ligands are not known.
The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.
A diphenylpropylamine with intense narcotic analgesic activity of long duration. It is a derivative of MEPERIDINE with similar activity and usage.
Drugs used to induce drowsiness or sleep or to reduce psychological excitement or anxiety.
A synthetic morphinan analgesic with narcotic antagonist action. It is used in the management of severe pain.
A short-acting opioid anesthetic and analgesic derivative of FENTANYL. It produces an early peak analgesic effect and fast recovery of consciousness. Alfentanil is effective as an anesthetic during surgery, for supplementation of analgesia during surgical procedures, and as an analgesic for critically ill patients.
A narcotic used as a pain medication. It appears to be an agonist at kappa opioid receptors and an antagonist or partial agonist at mu opioid receptors.
Agents inhibiting the effect of narcotics on the central nervous system.
The use of two or more chemicals simultaneously or sequentially to induce anesthesia. The drugs need not be in the same dosage form.
Injection of an anesthetic into the nerves to inhibit nerve transmission in a specific part of the body.
Surgical incision into the chest wall.
The endogenous peptides with opiate-like activity. The three major classes currently recognized are the ENKEPHALINS, the DYNORPHINS, and the ENDORPHINS. Each of these families derives from different precursors, proenkephalin, prodynorphin, and PRO-OPIOMELANOCORTIN, respectively. There are also at least three classes of OPIOID RECEPTORS, but the peptide families do not map to the receptors in a simple way.
A form of acupuncture with electrical impulses passing through the needles to stimulate NERVE TISSUE. It can be used for ANALGESIA; ANESTHESIA; REHABILITATION; and treatment for diseases.
A local anesthetic that is chemically related to BUPIVACAINE but pharmacologically related to LIDOCAINE. It is indicated for infiltration, nerve block, and epidural anesthesia. Mepivacaine is effective topically only in large doses and therefore should not be used by this route. (From AMA Drug Evaluations, 1994, p168)
An intense itching sensation that produces the urge to rub or scratch the skin to obtain relief.
An IBUPROFEN-type anti-inflammatory analgesic and antipyretic. It is used in the treatment of rheumatoid arthritis and osteoarthritis.
Agents that are administered in association with anesthetics to increase effectiveness, improve delivery, or decrease required dosage.
An effect usually, but not necessarily, beneficial that is attributable to an expectation that the regimen will have an effect, i.e., the effect is due to the power of suggestion.
Analogs or derivatives of morphine.
An increased sensation of pain or discomfort produced by mimimally noxious stimuli due to damage to soft tissue containing NOCICEPTORS or injury to a peripheral nerve.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
A blocking of nerve conduction to a specific area by an injection of an anesthetic agent.
Central gray matter surrounding the CEREBRAL AQUEDUCT in the MESENCEPHALON. Physiologically it is probably involved in RAGE reactions, the LORDOSIS REFLEX; FEEDING responses, bladder tonus, and pain.
Nitrogen oxide (N2O). A colorless, odorless gas that is used as an anesthetic and analgesic. High concentrations cause a narcotic effect and may replace oxygen, causing death by asphyxia. It is also used as a food aerosol in the preparation of whipping cream.
The first mixed agonist-antagonist analgesic to be marketed. It is an agonist at the kappa and sigma opioid receptors and has a weak antagonist action at the mu receptor. (From AMA Drug Evaluations Annual, 1991, p97)
The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)
A imidazole derivative that is an agonist of ADRENERGIC ALPHA-2 RECEPTORS. It is closely-related to MEDETOMIDINE, which is the racemic form of this compound.
Surgery performed on an outpatient basis. It may be hospital-based or performed in an office or surgicenter.
Excision of the uterus.
A family of hexahydropyridines.
The relationship between the dose of an administered drug and the response of the organism to the drug.
The large network of nerve fibers which distributes the innervation of the upper extremity. The brachial plexus extends from the neck into the axilla. In humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (C5-C8 and T1), but variations are not uncommon.
Persistent pain that is refractory to some or all forms of treatment.
A semisynthetic derivative of CODEINE.
The process by which PAIN is recognized and interpreted by the brain.
The injection of drugs, most often analgesics, into the spinal canal without puncturing the dura mater.
Analgesic antipyretic derivative of acetanilide. It has weak anti-inflammatory properties and is used as a common analgesic, but may cause liver, blood cell, and kidney damage.
Process of administering an anesthetic through injection directly into the bloodstream.
Intravenous anesthetics that induce a state of sedation, immobility, amnesia, and marked analgesia. Subjects may experience a strong feeling of dissociation from the environment. The condition produced is similar to NEUROLEPTANALGESIA, but is brought about by the administration of a single drug. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th ed)
A local anesthetic that is similar pharmacologically to LIDOCAINE. Currently, it is used most often for infiltration anesthesia in dentistry.
Peripheral AFFERENT NEURONS which are sensitive to injuries or pain, usually caused by extreme thermal exposures, mechanical forces, or other noxious stimuli. Their cell bodies reside in the DORSAL ROOT GANGLIA. Their peripheral terminals (NERVE ENDINGS) innervate target tissues and transduce noxious stimuli via axons to the CENTRAL NERVOUS SYSTEM.
Delivery of the FETUS and PLACENTA under the care of an obstetrician or a health worker. Obstetric deliveries may involve physical, psychological, medical, or surgical interventions.
Medical problems associated with OBSTETRIC LABOR, such as BREECH PRESENTATION; PREMATURE OBSTETRIC LABOR; HEMORRHAGE; or others. These complications can affect the well-being of the mother, the FETUS, or both.
A cholinesterase inhibitor used in the treatment of myasthenia gravis and to reverse the effects of muscle relaxants such as gallamine and tubocurarine. Neostigmine, unlike PHYSOSTIGMINE, does not cross the blood-brain barrier.
Dull or sharp aching pain caused by stimulated NOCICEPTORS due to tissue injury, inflammation or diseases. It can be divided into somatic or tissue pain and VISCERAL PAIN.
Injections made into a vein for therapeutic or experimental purposes.
Extraction of the fetus by means of obstetrical instruments.
A drug that has analgesic, anti-inflammatory, and antipyretic properties. It is the sodium sulfonate of AMINOPYRINE.
Anti-inflammatory agents that are non-steroidal in nature. In addition to anti-inflammatory actions, they have analgesic, antipyretic, and platelet-inhibitory actions.They act by blocking the synthesis of prostaglandins by inhibiting cyclooxygenase, which converts arachidonic acid to cyclic endoperoxides, precursors of prostaglandins. Inhibition of prostaglandin synthesis accounts for their analgesic, antipyretic, and platelet-inhibitory actions; other mechanisms may contribute to their anti-inflammatory effects.
A cylindrical column of tissue that lies within the vertebral canal. It is composed of WHITE MATTER and GRAY MATTER.
Time schedule for administration of a drug in order to achieve optimum effectiveness and convenience.
The space between the arachnoid membrane and PIA MATER, filled with CEREBROSPINAL FLUID. It contains large blood vessels that supply the BRAIN and SPINAL CORD.
Agents that induce NARCOSIS. Narcotics include agents that cause somnolence or induced sleep (STUPOR); natural or synthetic derivatives of OPIUM or MORPHINE or any substance that has such effects. They are potent inducers of ANALGESIA and OPIOID-RELATED DISORDERS.
Methods of delivering drugs into a joint space.
An opioid analgesic related to MORPHINE but with less potent analgesic properties and mild sedative effects. It also acts centrally to suppress cough.
Non-narcotic analgesic chemically similar to ORPHENADRINE. Its mechanism of action is unclear. It is used for the relief of acute and chronic pain. (From Martindale, The Extra Pharmacopoeia, 30th ed, p26)
The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.
The long-term (minutes to hours) administration of a fluid into the vein through venipuncture, either by letting the fluid flow by gravity or by pumping it.
A derivative of the opioid alkaloid THEBAINE that is a more potent and longer lasting analgesic than MORPHINE. It appears to act as a partial agonist at mu and kappa opioid receptors and as an antagonist at delta receptors. The lack of delta-agonist activity has been suggested to account for the observation that buprenorphine tolerance may not develop with chronic use.
Interventions to provide care prior to, during, and immediately after surgery.
A narcotic analgesic that may be habit-forming. It is a controlled substance (opium derivative) listed in the U.S. Code of Federal Regulations, Title 21 Parts 329.1, 1308.11 (1987). Sale is forbidden in the United States by Federal statute. (Merck Index, 11th ed)
A method, developed by Dr. Virginia Apgar, to evaluate a newborn's adjustment to extrauterine life. Five items - heart rate, respiratory effort, muscle tone, reflex irritability, and color - are evaluated 60 seconds after birth and again five minutes later on a scale from 0-2, 0 being the lowest, 2 being normal. The five numbers are added for the Apgar score. A score of 0-3 represents severe distress, 4-7 indicates moderate distress, and a score of 7-10 predicts an absence of difficulty in adjusting to extrauterine life.
Drugs administered before an anesthetic to decrease a patient's anxiety and control the effects of that anesthetic.
The insertion of drugs into the rectum, usually for confused or incompetent patients, like children, infants, and the very old or comatose.
A strain of albino rat used widely for experimental purposes because of its calmness and ease of handling. It was developed by the Sprague-Dawley Animal Company.
The air-dried exudate from the unripe seed capsule of the opium poppy, Papaver somniferum, or its variant, P. album. It contains a number of alkaloids, but only a few - MORPHINE; CODEINE; and PAPAVERINE - have clinical significance. Opium has been used as an analgesic, antitussive, antidiarrheal, and antispasmodic.
The period of emergence from general anesthesia, where different elements of consciousness return at different rates.
A class of opioid receptors recognized by its pharmacological profile. Kappa opioid receptors bind dynorphins with a higher affinity than endorphins which are themselves preferred to enkephalins.
A class of opioid receptors recognized by its pharmacological profile. Delta opioid receptors bind endorphins and enkephalins with approximately equal affinity and have less affinity for dynorphins.
Thiazines are heterocyclic chemical compounds containing a sulfur atom and a nitrogen atom in a six-membered ring, which are the core structure of various drugs used in treatment of psychiatric disorders, cardiovascular diseases, and gastrointestinal conditions.
Fluid propulsion systems driven mechanically, electrically, or osmotically that are used to inject (or infuse) over time agents into a patient or experimental animal; used routinely in hospitals to maintain a patent intravenous line, to administer antineoplastic agents and other drugs in thromboembolism, heart disease, diabetes mellitus (INSULIN INFUSION SYSTEMS is also available), and other disorders.
A 31-amino acid peptide that is the C-terminal fragment of BETA-LIPOTROPIN. It acts on OPIOID RECEPTORS and is an analgesic. Its first four amino acids at the N-terminal are identical to the tetrapeptide sequence of METHIONINE ENKEPHALIN and LEUCINE ENKEPHALIN.
An enkephalin analog that selectively binds to the MU OPIOID RECEPTOR. It is used as a model for drug permeability experiments.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
That portion of the body that lies between the THORAX and the PELVIS.
Elements of limited time intervals, contributing to particular results or situations.
Forceful administration into a muscle of liquid medication, nutrient, or other fluid through a hollow needle piercing the muscle and any tissue covering it.
A semisynthetic analgesic used in the study of narcotic receptors.
Drugs that selectively bind to and activate alpha adrenergic receptors.
Sensing of noxious mechanical, thermal or chemical stimuli by NOCICEPTORS. It is the sensory component of visceral and tissue pain (NOCICEPTIVE PAIN).
Derivative of noroxymorphone that is the N-cyclopropylmethyl congener of NALOXONE. It is a narcotic antagonist that is effective orally, longer lasting and more potent than naloxone, and has been proposed for the treatment of heroin addiction. The FDA has approved naltrexone for the treatment of alcohol dependence.
Single preparations containing two or more active agents, for the purpose of their concurrent administration as a fixed dose mixture.
A state characterized by loss of feeling or sensation. This depression of nerve function is usually the result of pharmacologic action and is induced to allow performance of surgery or other painful procedures.
One of the three major families of endogenous opioid peptides. The enkephalins are pentapeptides that are widespread in the central and peripheral nervous systems and in the adrenal medulla.
The administration of liquid medication, nutrient, or other fluid through some other route than the alimentary canal, usually over minutes or hours, either by gravity flow or often by infusion pumping.
One of the three major groups of endogenous opioid peptides. They are large peptides derived from the PRO-OPIOMELANOCORTIN precursor. The known members of this group are alpha-, beta-, and gamma-endorphin. The term endorphin is also sometimes used to refer to all opioid peptides, but the narrower sense is used here; OPIOID PEPTIDES is used for the broader group.
An intravenous anesthetic agent which has the advantage of a very rapid onset after infusion or bolus injection plus a very short recovery period of a couple of minutes. (From Smith and Reynard, Textbook of Pharmacology, 1992, 1st ed, p206). Propofol has been used as ANTICONVULSANTS and ANTIEMETICS.
Ultrashort-acting anesthetics that are used for induction. Loss of consciousness is rapid and induction is pleasant, but there is no muscle relaxation and reflexes frequently are not reduced adequately. Repeated administration results in accumulation and prolongs the recovery time. Since these agents have little if any analgesic activity, they are seldom used alone except in brief minor procedures. (From AMA Drug Evaluations Annual, 1994, p174)
A short-acting hypnotic-sedative drug with anxiolytic and amnestic properties. It is used in dentistry, cardiac surgery, endoscopic procedures, as preanesthetic medication, and as an adjunct to local anesthesia. The short duration and cardiorespiratory stability makes it useful in poor-risk, elderly, and cardiac patients. It is water-soluble at pH less than 4 and lipid-soluble at physiological pH.
Compounds based on a partially saturated iminoethanophenanthrene, which can be described as ethylimino-bridged benzo-decahydronaphthalenes. They include some of the OPIOIDS found in PAPAVER that are used as ANALGESICS.
Surgery performed on the female genitalia.
The observable response an animal makes to any situation.
A range of methods used to reduce pain and anxiety during dental procedures.
Intense or aching pain that occurs along the course or distribution of a peripheral or cranial nerve.
Trained lay women who provide emotional and/or physical support during obstetric labor and the postpartum period for mothers and their partners.
The period of OBSTETRIC LABOR that is from the complete dilatation of the CERVIX UTERI to the expulsion of the FETUS.
A non-steroidal anti-inflammatory agent (ANTI-INFLAMMATORY AGENTS, NON-STEROIDAL) similar in mode of action to INDOMETHACIN.
A cyclooxygenase inhibiting, non-steroidal anti-inflammatory agent (NSAID) that is well established in treating rheumatoid arthritis and osteoarthritis and used for musculoskeletal disorders, dysmenorrhea, and postoperative pain. Its long half-life enables it to be administered once daily.
Designated locations along nerves or organ meridians for inserting acupuncture needles.
The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration (= OXYGEN CONSUMPTION) or cell respiration (= CELL RESPIRATION).
Procedures used to treat and correct deformities, diseases, and injuries to the MUSCULOSKELETAL SYSTEM, its articulations, and associated structures.
Intensely discomforting, distressful, or agonizing sensation associated with trauma or disease, with well-defined location, character, and timing.
Injections into the cerebral ventricles.
An opioid analgesic with actions and uses similar to those of MORPHINE, apart from an absence of cough suppressant activity. It is used in the treatment of moderate to severe pain, including pain in obstetrics. It may also be used as an adjunct to anesthesia. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1092)
Procedure in which an individual is induced into a trance-like state to relieve pain. This procedure is frequently performed with local but not general ANESTHESIA.
Space between the dura mater and the walls of the vertebral canal.
The period following a surgical operation.
Replacement of the knee joint.
A butyrophenone with general properties similar to those of HALOPERIDOL. It is used in conjunction with an opioid analgesic such as FENTANYL to maintain the patient in a calm state of neuroleptanalgesia with indifference to surroundings but still able to cooperate with the surgeon. It is also used as a premedicant, as an antiemetic, and for the control of agitation in acute psychoses. (From Martindale, The Extra Pharmacopoeia, 29th ed, p593)
A non-steroidal anti-inflammatory agent (NSAID) with antipyretic and analgesic actions. It is primarily available as the sodium salt.
The heart rate of the FETUS. The normal range at term is between 120 and 160 beats per minute.
The action of a drug that may affect the activity, metabolism, or toxicity of another drug.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
Compounds that bind to and activate ADRENERGIC ALPHA-2 RECEPTORS.
An unpleasant sensation in the stomach usually accompanied by the urge to vomit. Common causes are early pregnancy, sea and motion sickness, emotional stress, intense pain, food poisoning, and various enteroviruses.
Endoscopic examination, therapy and surgery of the joint.
Cyclohexanecarboxylic acids are organic compounds consisting of a cyclohexane ring substituted with a carboxylic acid group, typically represented by the structural formula C6H11COOH.
A method in which either the observer(s) or the subject(s) is kept ignorant of the group to which the subjects are assigned.
An abdominal hernia with an external bulge in the GROIN region. It can be classified by the location of herniation. Indirect inguinal hernias occur through the internal inguinal ring. Direct inguinal hernias occur through defects in the ABDOMINAL WALL (transversalis fascia) in Hesselbach's triangle. The former type is commonly seen in children and young adults; the latter in adults.
The use of specifically placed small electrodes to deliver electrical impulses across the SKIN to relieve PAIN. It is used less frequently to produce ANESTHESIA.
Forceful administration under the skin of liquid medication, nutrient, or other fluid through a hollow needle piercing the skin.
The forcible expulsion of the contents of the STOMACH through the MOUTH.
Drugs used to prevent NAUSEA or VOMITING.
Therapy with two or more separate preparations given for a combined effect.
Strong dependence, both physiological and emotional, upon morphine.
The number of offspring a female has borne. It is contrasted with GRAVIDITY, which refers to the number of pregnancies, regardless of outcome.
Use or insertion of a tubular device into a duct, blood vessel, hollow organ, or body cavity for injecting or withdrawing fluids for diagnostic or therapeutic purposes. It differs from INTUBATION in that the tube here is used to restore or maintain patency in obstructions.
A nerve which originates in the lumbar and sacral spinal cord (L4 to S3) and supplies motor and sensory innervation to the lower extremity. The sciatic nerve, which is the main continuation of the sacral plexus, is the largest nerve in the body. It has two major branches, the TIBIAL NERVE and the PERONEAL NERVE.
The active sympathomimetic hormone from the ADRENAL MEDULLA. It stimulates both the alpha- and beta- adrenergic systems, causes systemic VASOCONSTRICTION and gastrointestinal relaxation, stimulates the HEART, and dilates BRONCHI and cerebral vessels. It is used in ASTHMA and CARDIAC FAILURE and to delay absorption of local ANESTHETICS.
The surgical removal of a tooth. (Dorland, 28th ed)
A disulfide opioid pentapeptide that selectively binds to the DELTA OPIOID RECEPTOR. It possesses antinociceptive activity.
A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is a non-steroidal anti-inflammatory agent used for analgesia for postoperative pain and inhibits cyclooxygenase activity.
Presence of warmth or heat or a temperature notably higher than an accustomed norm.
Surgical removal of a tonsil or tonsils. (Dorland, 28th ed)
Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.
The period during a surgical operation.
One of the endogenous pentapeptides with morphine-like activity. It differs from MET-ENKEPHALIN in the LEUCINE at position 5. Its first four amino acid sequence is identical to the tetrapeptide sequence at the N-terminal of BETA-ENDORPHIN.
A subclass of alpha-adrenergic receptors found on both presynaptic and postsynaptic membranes where they signal through Gi-Go G-PROTEINS. While postsynaptic alpha-2 receptors play a traditional role in mediating the effects of ADRENERGIC AGONISTS, the subset of alpha-2 receptors found on presynaptic membranes signal the feedback inhibition of NEUROTRANSMITTER release.
The action of a drug in promoting or enhancing the effectiveness of another drug.
Insertion of a catheter into a peripheral artery, vein, or airway for diagnostic or therapeutic purposes.
A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable.
Preliminary administration of a drug preceding a diagnostic, therapeutic, or surgical procedure. The commonest types of premedication are antibiotics (ANTIBIOTIC PROPHYLAXIS) and anti-anxiety agents. It does not include PREANESTHETIC MEDICATION.
The time from the onset of a stimulus until a response is observed.

Dextromethorphan and pain after total abdominal hysterectomy. (1/379)

Dextromethorphan is an N-methyl-D-aspartate (NMDA) receptor antagonist which has been shown to inhibit the development of cutaneous secondary hyperalgesia after tissue trauma. We studied 60 ASA I-II patients undergoing total abdominal hysterectomy in a randomized, double-blind, placebo-controlled study. Patients received either dextromethorphan 27 mg capsules, two doses before operation and three doses in the first 24 h after operation, or placebo. Visual analogue pain scores (VAS) at 24 and 48 h were assessed at rest, on coughing and on sitting up, and were not significantly different between groups. Morphine consumption from a patient-controlled analgesia (PCA) device was also not significantly different between groups. Evidence of secondary hyperalgesia was assessed with von Frey hairs 10 cm above the Pfannenstiel incision. Both groups of patients exhibited evidence of secondary hyperalgesia after 24 and 48 h but there were no significant differences between groups. There was also no difference between groups in VAS scores at 1 month.  (+info)

Effects of prophylactic nalmefene on the incidence of morphine-related side effects in patients receiving intravenous patient-controlled analgesia. (2/379)

BACKGROUND: Opioid-related side effects associated with intravenous patient-controlled analgesia can be reduced by a low-dose naloxone infusion. The influence of nalmefene, a pure opioid antagonist with a longer duration of action, on opioid-related side effects has not been evaluated. This study was designed to determine the dose-response relation for nalmefene for the prevention of morphine-related side effects in patients receiving intravenous patient-controlled analgesia. METHODS: One hundred twenty women undergoing lower abdominal surgery were enrolled in the study. General anesthesia was induced using thiopental and rocuronium and maintained with desflurane, nitrous oxide, and fentanyl or sufentanil. All patients received neostigmine and glycopyrrolate to reverse residual neuromuscular blockade. No prophylactic antiemetics were administered. At the end of surgery, patients were randomized to receive saline, 15 microg nalmefene, or 25 microg nalmefene intravenously. The need for antiemetic and antipruritic drugs and the total consumption of morphine during the 24-h study were recorded. The incidences of postoperative nausea, vomiting, pruritus, and pain were recorded 30 min after patients were admitted to the postanesthesia care unit. In addition, patient remembrance of these side effects was noted at 24 h after operation. RESULTS: The need for antiemetic and antipruritic medications during the 24-h study period was significantly lower in the patients receiving nahmefene compared with those receiving placebo. However, the need to treat side effects was similar in the two nahmefene groups. Prophylactic administration of nalmefene reduced the patients remembrance of nausea and itching as assessed 24 h after operation. Although the total consumption of morphine during the 24-h study period was similar in the three groups, retrospectively patients who received nalmefene characterized their pain as less severe in the previous 24 h. CONCLUSION: Compared with placebo, prophylactic administration of nalmefene significantly decreased the need for antiemetics and antipruritic medications in patients receiving intravenous patient-controlled analgesia with morphine.  (+info)

Continuous epidural infusion of ropivacaine for postoperative analgesia after major abdominal surgery: comparative study with i.v. PCA morphine. (3/379)

We have compared the quality of three regimens of postoperative analgesia (continuous epidural administration of ropivacaine (Ropi. group), epidural ropivacaine and patient-controlled analgesia (PCA) with i.v. morphine (Ropi. + PCA group) and PCA morphine alone (PCA group)) during the first postoperative 24 h in a multicentre, randomized, prospective study. Postoperative analgesia was studied in 130 patients after major abdominal surgery performed under general anaesthesia. The ropivacaine groups received 20 ml of epidural bolus ropivacaine 2 mg ml-1 via the epidural route at the end of surgery, followed by continuous infusion of 10 ml h-1 for 24 h. The Ropi. + PCA group also had access to i.v. PCA morphine 1 mg, with a 5-min lockout. The PCA group received morphine as the sole postoperative pain treatment. The two ropivacaine groups had lower pain scores (P < 0.01) than the PCA group. Morphine consumption was higher in the PCA group (P < 0.05) than in the two ropivacaine groups. The quality of pain relief was rated as good or excellent in 79-85% of patients in the three groups. The percentage of patients without motor block increased between 4 and 24 h from 61% to 89% in the Ropi. group, and from 51% to 71% in the Ropi. + PCA group.  (+info)

Prospective, randomized comparison of epidural versus parenteral opioid analgesia in thoracic trauma. (4/379)

OBJECTIVE: To evaluate systemic versus epidural opioid administration for analgesia in patients sustaining thoracic trauma. SUMMARY BACKGROUND DATA: The authors have previously shown that epidural analgesia significantly reduces the pain associated with significant chest wall injury. Recent studies report that epidural analgesia is associated with a lower catecholamine and cytokine response in patients undergoing elective thoracotomy compared with patient-controlled analgesia (PCA). This study compares the effect of epidural analgesia and PCA on pain relief, pulmonary function, cathechol release, and immune response in patients sustaining significant thoracic trauma. METHODS: Patients (ages 18 to 60 years) sustaining thoracic injury were prospectively randomized to receive epidural analgesia or PCA during an 18-month period. Levels of serum interleukin (IL)-1beta, IL-2, IL-6, IL-8, and tumor necrosis factor-alpha (TNF-alpha) were measured every 12 hours for 3 days by enzyme-linked immunosorbent assay. Urinary catecholamine levels were measured every 24 hours. Independent observers assessed pulmonary function using standard techniques and analgesia using a verbal rating score. RESULTS: Twenty-four patients of the 34 enrolled completed the study. Age, injury severity score, thoracic abbreviated injury score, and length of hospital stay did not differ between the two groups. There was no significant difference in plasma levels of IL-1beta, IL-2, IL-6, or TNF-alpha or urinary catecholamines between the two groups at any time point. Epidural analgesia was associated with significantly reduced plasma levels of IL-8 at days 2 and 3, verbal rating score of pain on days 1 and 3, and maximal inspiratory force and tidal volume on day 3 versus PCA. CONCLUSIONS: Epidural analgesia significantly reduced pain with chest wall excursion compared with PCA. The route of analgesia did not affect the catecholamine response. However, serum levels of IL-8, a proinflammatory chemoattractant that has been implicated in acute lung injury, were significantly reduced in patients receiving epidural analgesia on days 2 and 3. This may have important clinical implications because lower levels of IL-8 may reduce infectious or inflammatory complications in the trauma patient. Also, tidal volume and maximal inspiratory force were improved with epidural analgesia by day 3. These results demonstrate that epidural analgesia is superior to PCA in providing analgesia, improving pulmonary function, and modifying the immune response in patients with severe chest injury.  (+info)

Epidural analgesia during labor and maternal fever. (5/379)

BACKGROUND: In recent observational studies, epidural analgesia during labor at patient request has been associated with maternal fever. The authors report a secondary analysis of fever in women who were randomized to receive either epidural or patient-controlled intravenous analgesia during labor. METHODS: Maternal tympanic temperature was measured during spontaneous labor in 715 women at term who were randomized to either epidural analgesia with bupivacaine and fentanyl or to patient-controlled intravenous analgesia with meperidine. Intent-to-treat analysis of women with fever (temperature > or = 38.0 degrees C) versus those without was performed using Student t test and Fisher exact test to determine statistical significance (P < 0.05). RESULTS: Epidural analgesia was associated with maternal fever (odds ratio = 4.0; 95% confidence interval = 2.0-7.7), as was nulliparity (odds ratio = 4.1; 95% confidence interval = 1.8-9.1) and labor longer than 12 h (odds ratio = 5.4; 95% confidence interval = 2.9-9.9). These factors were all independent variables for maternal fever when analyzed using logistic regression. CONCLUSIONS: Epidural analgesia is associated with maternal fever. However, nulliparity and dysfunctional labor are also significant cofactors in the fever attributed to epidural analgesia.  (+info)

Influence of bolus size on efficacy of postoperative patient-controlled analgesia with piritramide. (6/379)

We have examined the influence of bolus size on efficacy, opioid consumption, side effects and patient satisfaction during i.v. patient-controlled analgesia (PCA) in 60 patients (ASA I-II, aged 32-82 yr) after abdominal surgery. Patients were allocated randomly, in a double-blind manner, to receive PCA with a bolus dose of either piritramide 0.75 mg or 1.5 mg (lockout 5 min) for postoperative pain control. Mean 24 h piritramide consumption differed significantly between groups (11.4 (SD 5.8) mg vs 22.5 (18.3) mg; P = 0.001). There were no significant differences in the number of applied bolus doses, pain scores, pain relief (VAS), sedation, nausea, pruritus and patient satisfaction. We conclude that a PCA regimen with a bolus dose of piritramide 0.75 mg and a lockout time of 5 min was effective in the treatment of postoperative pain, but did not reduce the occurrence of side effects.  (+info)

Nocturnal hypoxaemia and respiratory function after endovascular and conventional abdominal aortic aneurysm repair. (7/379)

Respiratory function, assessed by pre- and postoperative spirometry, and overnight pulse oximetry recordings, was compared prospectively in patients undergoing infrarenal abdominal aortic aneurysm repair by endovascular or conventional surgery. Episodic hypoxaemia was common in both groups before operation and up to the fifth night after operation. The frequency and severity of hypoxaemia were greater in the conventional group (P < 0.05). FEV1 and FVC decreased significantly on the third and fifth days after operation in both groups (P < 0.05); decreases in FVC were greater in patients undergoing conventional surgery. On the fifth day after operation, FVC had recovered to 86% and 64% of preoperative values in the endovascular and conventional groups, respectively (P < 0.05). Duration of surgery was greater (P < 0.05) and duration of postoperative artificial ventilation significantly less (P < 0.05) after endovascular repair. Postoperative PCA morphine consumption and duration of use were significantly greater (P < 0.05) in patients undergoing conventional abdominal aortic aneurysm surgery.  (+info)

Comparison of midwife top-ups, continuous infusion and patient-controlled epidural analgesia for maintaining mobility after a low-dose combined spinal-epidural. (8/379)

We studied 133 women given a combined spinal-epidural for analgesia in labour. The initial intrathecal dose contained bupivacaine 2.5 mg with fentanyl 25 micrograms. When the mothers were comfortable, they were allocated randomly to one of three groups: continuous infusion (group Cl, n = 46), midwife top-ups (group MW, n = 43) or patient-controlled epidural analgesia (group PCEA, n = 44), to maintain analgesia throughout labour. All epidural solutions contained 0.1% bupivacaine and fentanyl 2 micrograms ml-1. Motor block was assessed by the mother's ability to straight leg raise (SLR). Four hours after combined spinal-epidural analgesia, 88.1% of women could SLR in group MW, 83.7% in group PCEA and 57.8% in group Cl (P = 0.002). Total use of bupivacaine was highest in group Cl (mean 11.3 (SD 3.3) mg h-1) compared with group MW (7.5 (3.1) mg h-1) and group PCEA (9.1 (2.1) mg h-1) (P < 0.001). Analgesia was similar between groups and overall satisfaction was equally high.  (+info)

Analgesia is defined as the absence or relief of pain in a patient, achieved through various medical means. It is derived from the Greek word "an-" meaning without and "algein" meaning to feel pain. Analgesics are medications that are used to reduce pain without causing loss of consciousness, and they work by blocking the transmission of pain signals to the brain.

Examples of analgesics include over-the-counter medications such as acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Advil, Motrin) and naproxen (Aleve). Prescription opioid painkillers, such as oxycodone (OxyContin, Percocet) and hydrocodone (Vicodin), are also used for pain relief but carry a higher risk of addiction and abuse.

Analgesia can also be achieved through non-pharmacological means, such as through nerve blocks, spinal cord stimulation, acupuncture, and other complementary therapies. The choice of analgesic therapy depends on the type and severity of pain, as well as the patient's medical history and individual needs.

Epidural analgesia is a type of regional anesthesia used to manage pain, most commonly during childbirth and after surgery. The term "epidural" refers to the location of the injection, which is in the epidural space of the spinal column.

In this procedure, a small amount of local anesthetic or narcotic medication is injected into the epidural space using a thin catheter. This medication blocks nerve impulses from the lower body, reducing or eliminating pain sensations without causing complete loss of feeling or muscle movement.

Epidural analgesia can be used for both short-term and long-term pain management. It is often preferred in situations where patients require prolonged pain relief, such as during labor and delivery or after major surgery. The medication can be administered continuously or intermittently, depending on the patient's needs and the type of procedure being performed.

While epidural analgesia is generally safe and effective, it can have side effects, including low blood pressure, headache, and difficulty urinating. In rare cases, it may also cause nerve damage or infection. Patients should discuss the risks and benefits of this procedure with their healthcare provider before deciding whether to undergo epidural analgesia.

Obstetrical analgesia refers to the use of medications or techniques to relieve pain during childbirth. The goal of obstetrical analgesia is to provide comfort and relaxation for the mother during labor and delivery while minimizing risks to both the mother and the baby. There are several methods of obstetrical analgesia, including:

1. Systemic opioids: These medications, such as morphine or fentanyl, can be given intravenously to help reduce the pain of contractions. However, they can cause side effects such as drowsiness, nausea, and respiratory depression in the mother and may also affect the baby's breathing and alertness at birth.
2. Regional anesthesia: This involves numbing a specific area of the body using local anesthetics. The two most common types of regional anesthesia used during childbirth are epidural and spinal anesthesia.

a. Epidural anesthesia: A catheter is inserted into the lower back, near the spinal cord, to deliver a continuous infusion of local anesthetic and sometimes opioids. This numbs the lower half of the body, reducing the pain of contractions and allowing for a more comfortable delivery. Epidural anesthesia can also be used for cesarean sections.

b. Spinal anesthesia: A single injection of local anesthetic is given into the spinal fluid, numbing the lower half of the body. This type of anesthesia is often used for cesarean sections and can also be used for vaginal deliveries in some cases.

3. Nitrous oxide: Also known as laughing gas, this colorless, odorless gas can be inhaled through a mask to help reduce anxiety and provide some pain relief during labor. It is not commonly used in the United States but is more popular in other countries.

When choosing an obstetrical analgesia method, it's essential to consider the potential benefits and risks for both the mother and the baby. Factors such as the mother's health, the progression of labor, and personal preferences should all be taken into account when making this decision. It is crucial to discuss these options with a healthcare provider to determine the most appropriate choice for each individual situation.

Patient-controlled analgesia (PCA) is a method of pain management that allows patients to self-administer doses of analgesic medication through a controlled pump system. With PCA, the patient can press a button to deliver a predetermined dose of pain medication, usually an opioid, directly into their intravenous (IV) line.

The dosage and frequency of the medication are set by the healthcare provider based on the patient's individual needs and medical condition. The PCA pump is designed to prevent overinfusion by limiting the amount of medication that can be delivered within a specific time frame.

PCA provides several benefits, including improved pain control, increased patient satisfaction, and reduced sedation compared to traditional methods of opioid administration. It also allows patients to take an active role in managing their pain and provides them with a sense of control during their hospital stay. However, it is essential to monitor patients closely while using PCA to ensure safe and effective use.

Analgesics, opioid are a class of drugs used for the treatment of pain. They work by binding to specific receptors in the brain and spinal cord, blocking the transmission of pain signals to the brain. Opioids can be synthetic or natural, and include drugs such as morphine, codeine, oxycodone, hydrocodone, hydromorphone, fentanyl, and methadone. They are often used for moderate to severe pain, such as that resulting from injury, surgery, or chronic conditions like cancer. However, opioids can also produce euphoria, physical dependence, and addiction, so they are tightly regulated and carry a risk of misuse.

Postoperative pain is defined as the pain or discomfort experienced by patients following a surgical procedure. It can vary in intensity and duration depending on the type of surgery performed, individual pain tolerance, and other factors. The pain may be caused by tissue trauma, inflammation, or nerve damage resulting from the surgical intervention. Proper assessment and management of postoperative pain is essential to promote recovery, prevent complications, and improve patient satisfaction.

Morphine is a potent opioid analgesic (pain reliever) derived from the opium poppy. It works by binding to opioid receptors in the brain and spinal cord, blocking the transmission of pain signals and reducing the perception of pain. Morphine is used to treat moderate to severe pain, including pain associated with cancer, myocardial infarction, and other conditions. It can also be used as a sedative and cough suppressant.

Morphine has a high potential for abuse and dependence, and its use should be closely monitored by healthcare professionals. Common side effects of morphine include drowsiness, respiratory depression, constipation, nausea, and vomiting. Overdose can result in respiratory failure, coma, and death.

Pain measurement, in a medical context, refers to the quantification or evaluation of the intensity and/or unpleasantness of a patient's subjective pain experience. This is typically accomplished through the use of standardized self-report measures such as numerical rating scales (NRS), visual analog scales (VAS), or categorical scales (mild, moderate, severe). In some cases, physiological measures like heart rate, blood pressure, and facial expressions may also be used to supplement self-reported pain ratings. The goal of pain measurement is to help healthcare providers better understand the nature and severity of a patient's pain in order to develop an effective treatment plan.

Bupivacaine is a long-acting local anesthetic drug, which is used to cause numbness or loss of feeling in a specific area of the body during certain medical procedures such as surgery, dental work, or childbirth. It works by blocking the nerves that transmit pain signals to the brain.

Bupivacaine is available as a solution for injection and is usually administered directly into the tissue surrounding the nerve to be blocked (nerve block) or into the spinal fluid (epidural). The onset of action of bupivacaine is relatively slow, but its duration of action is long, making it suitable for procedures that require prolonged pain relief.

Like all local anesthetics, bupivacaine carries a risk of side effects such as allergic reactions, nerve damage, and systemic toxicity if accidentally injected into a blood vessel or given in excessive doses. It should be used with caution in patients with certain medical conditions, including heart disease, liver disease, and neurological disorders.

Local anesthetics are a type of medication that is used to block the sensation of pain in a specific area of the body. They work by temporarily numbing the nerves in that area, preventing them from transmitting pain signals to the brain. Local anesthetics can be administered through various routes, including topical application (such as creams or gels), injection (such as into the skin or tissues), or regional nerve blocks (such as epidural or spinal anesthesia).

Some common examples of local anesthetics include lidocaine, prilocaine, bupivacaine, and ropivacaine. These medications can be used for a variety of medical procedures, ranging from minor surgeries (such as dental work or skin biopsies) to more major surgeries (such as joint replacements or hernia repairs).

Local anesthetics are generally considered safe when used appropriately, but they can have side effects and potential complications. These may include allergic reactions, toxicity (if too much is administered), and nerve damage (if the medication is injected into a nerve). It's important to follow your healthcare provider's instructions carefully when using local anesthetics, and to report any unusual symptoms or side effects promptly.

Acupuncture analgesia is a form of pain relief that involves the stimulation of specific points on the body, called acupoints, using thin needles. This technique is based on traditional Chinese medicine (TCM) principles, which suggest that energy, or "qi," flows through the body along pathways called meridians. According to TCM, blockages or imbalances in this flow of qi can lead to illness or pain. By inserting needles at specific acupoints, acupuncture is thought to help restore the balance and flow of qi, thereby alleviating pain and promoting healing.

In modern medical terms, acupuncture analgesia is believed to work by stimulating the nervous system and triggering the release of natural painkillers called endorphins. The needles may also cause localized changes in blood flow and inflammation, which can help reduce pain and promote healing in the affected area.

Acupuncture has been shown to be effective for a variety of pain conditions, including osteoarthritis, migraines, and chronic low back pain. However, it is important to note that acupuncture should be performed by a qualified practitioner and may not be suitable for everyone. As with any medical treatment, there are potential risks and side effects associated with acupuncture, including infection, bruising, and bleeding. It is always best to consult with a healthcare provider before starting any new treatment.

Fentanyl is a potent synthetic opioid analgesic, which is similar to morphine but is 50 to 100 times more potent. It is a schedule II prescription drug, typically used to treat patients with severe pain or to manage pain after surgery. It works by binding to the body's opioid receptors, which are found in the brain, spinal cord, and other areas of the body.

Fentanyl can be administered in several forms, including transdermal patches, lozenges, injectable solutions, and tablets that dissolve in the mouth. Illegally manufactured and distributed fentanyl has also become a major public health concern, as it is often mixed with other drugs such as heroin, cocaine, and counterfeit pills, leading to an increase in overdose deaths.

Like all opioids, fentanyl carries a risk of dependence, addiction, and overdose, especially when used outside of medical supervision or in combination with other central nervous system depressants such as alcohol or benzodiazepines. It is important to use fentanyl only as directed by a healthcare provider and to be aware of the potential risks associated with its use.

Analgesics are a class of drugs that are used to relieve pain. They work by blocking the transmission of pain signals in the nervous system, allowing individuals to manage their pain levels more effectively. There are many different types of analgesics available, including both prescription and over-the-counter options. Some common examples include acetaminophen (Tylenol), ibuprofen (Advil or Motrin), and opioids such as morphine or oxycodone.

The choice of analgesic will depend on several factors, including the type and severity of pain being experienced, any underlying medical conditions, potential drug interactions, and individual patient preferences. It is important to use these medications as directed by a healthcare provider, as misuse or overuse can lead to serious side effects and potential addiction.

In addition to their pain-relieving properties, some analgesics may also have additional benefits such as reducing inflammation (like in the case of nonsteroidal anti-inflammatory drugs or NSAIDs) or causing sedation (as with certain opioids). However, it is essential to weigh these potential benefits against the risks and side effects associated with each medication.

When used appropriately, analgesics can significantly improve a person's quality of life by helping them manage their pain effectively and allowing them to engage in daily activities more comfortably.

Epidural anesthesia is a type of regional anesthesia that involves the injection of local anesthetic medication into the epidural space in the spine, which is the space surrounding the dura mater, a membrane that covers the spinal cord. The injection is typically administered through a catheter placed in the lower back using a needle.

The local anesthetic drug blocks nerve impulses from the affected area, numbing it and relieving pain. Epidural anesthesia can be used for various surgical procedures, such as cesarean sections, knee or hip replacements, and hernia repairs. It is also commonly used during childbirth to provide pain relief during labor and delivery.

The effects of epidural anesthesia can vary depending on the dose and type of medication used, as well as the individual's response to the drug. The anesthetic may take several minutes to start working, and its duration of action can range from a few hours to a day or more. Epidural anesthesia is generally considered safe when administered by trained medical professionals, but like any medical procedure, it carries some risks, including infection, bleeding, nerve damage, and respiratory depression.

Meperidine is a synthetic opioid analgesic (pain reliever) that works by binding to opioid receptors in the brain and spinal cord, blocking the transmission of pain signals. It is also known by its brand name Demerol and is used to treat moderate to severe pain. Meperidine has a rapid onset of action and its effects typically last for 2-4 hours.

Meperidine can cause various side effects such as dizziness, sedation, nausea, vomiting, sweating, and respiratory depression (slowed breathing). It also has a risk of abuse and physical dependence, so it is classified as a Schedule II controlled substance in the United States.

Meperidine should be used with caution and under the supervision of a healthcare provider due to its potential for serious side effects and addiction. It may not be suitable for people with certain medical conditions or those who are taking other medications that can interact with meperidine.

Labor pain is the physiological discomfort and pain experienced by women during childbirth, typically beginning in the lower back and radiating to the abdomen as contractions become more intense and frequent. It's primarily caused by the contraction of uterine muscles, pressure on the cervix, and stretching of the vaginal tissues during labor and delivery.

The pain can vary greatly among individuals, ranging from mild to severe, and it may be influenced by factors such as fear, anxiety, cultural expectations, and previous childbirth experiences. Various methods, including pharmacological interventions (such as epidural anesthesia), non-pharmacological techniques (such as breathing exercises, relaxation techniques, and water immersion), and alternative therapies (such as acupuncture and massage) can be used to manage labor pain.

Sufentanil is a potent, synthetic opioid analgesic that is approximately 5-10 times more potent than fentanyl and 1000 times more potent than morphine. It is primarily used for the treatment of moderate to severe pain in surgical settings, as an adjunct to anesthesia, or for obstetrical analgesia during labor and delivery.

Sufentanil works by binding to opioid receptors in the brain and spinal cord, which inhibits the transmission of pain signals to the brain. It has a rapid onset of action and a short duration of effect, making it useful for procedures that require intense analgesia for brief periods.

Like other opioids, sufentanil can cause respiratory depression, sedation, nausea, vomiting, and constipation. It should be used with caution in patients with compromised respiratory function or those who are taking other central nervous system depressants.

Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It is a complex phenomenon that can result from various stimuli, such as thermal, mechanical, or chemical irritation, and it can be acute or chronic. The perception of pain involves the activation of specialized nerve cells called nociceptors, which transmit signals to the brain via the spinal cord. These signals are then processed in different regions of the brain, leading to the conscious experience of pain. It's important to note that pain is a highly individual and subjective experience, and its perception can vary widely among individuals.

A nerve block is a medical procedure in which an anesthetic or neurolytic agent is injected near a specific nerve or bundle of nerves to block the transmission of pain signals from that area to the brain. This technique can be used for both diagnostic and therapeutic purposes, such as identifying the source of pain, providing temporary or prolonged relief, or facilitating surgical procedures in the affected region.

The injection typically contains a local anesthetic like lidocaine or bupivacaine, which numbs the nerve, preventing it from transmitting pain signals. In some cases, steroids may also be added to reduce inflammation and provide longer-lasting relief. Depending on the type of nerve block and its intended use, the injection might be administered close to the spine (neuraxial blocks), at peripheral nerves (peripheral nerve blocks), or around the sympathetic nervous system (sympathetic nerve blocks).

While nerve blocks are generally safe, they can have side effects such as infection, bleeding, nerve damage, or in rare cases, systemic toxicity from the anesthetic agent. It is essential to consult with a qualified medical professional before undergoing this procedure to ensure proper evaluation, technique, and post-procedure care.

Spinal injections, also known as epidural injections or intrathecal injections, are medical procedures involving the injection of medications directly into the spinal canal. The medication is usually delivered into the space surrounding the spinal cord (the epidural space) or into the cerebrospinal fluid that surrounds and protects the spinal cord (the subarachnoid space).

The medications used in spinal injections can include local anesthetics, steroids, opioids, or a combination of these. The purpose of spinal injections is to provide diagnostic information, therapeutic relief, or both. They are commonly used to treat various conditions affecting the spine, such as radicular pain (pain that radiates down the arms or legs), disc herniation, spinal stenosis, and degenerative disc disease.

Spinal injections can be administered using different techniques, including fluoroscopy-guided injections, computed tomography (CT) scan-guided injections, or with the help of a nerve stimulator. These techniques ensure accurate placement of the medication and minimize the risk of complications.

It is essential to consult a healthcare professional for specific information regarding spinal injections and their potential benefits and risks.

'Labor, Obstetric' refers to the physiological process that occurs during childbirth, leading to the expulsion of the fetus from the uterus. It is divided into three stages:

1. The first stage begins with the onset of regular contractions and cervical dilation and effacement (thinning and shortening) until full dilation is reached (approximately 10 cm). This stage can last from hours to days, particularly in nulliparous women (those who have not given birth before).
2. The second stage starts with complete cervical dilation and ends with the delivery of the baby. During this stage, the mother experiences strong contractions that help push the fetus down the birth canal. This stage typically lasts from 20 minutes to two hours but can take longer in some cases.
3. The third stage involves the delivery of the placenta (afterbirth) and membranes, which usually occurs within 15-30 minutes after the baby's birth. However, it can sometimes take up to an hour for the placenta to be expelled completely.

Obstetric labor is a complex process that requires careful monitoring and management by healthcare professionals to ensure the safety and well-being of both the mother and the baby.

Obstetrical anesthesia refers to the use of anesthetic techniques and medications during childbirth or obstetrical procedures. The goal is to provide pain relief and comfort to the birthing person while ensuring the safety of both the mother and the baby. There are different types of obstetrical anesthesia, including:

1. Local anesthesia: Injection of a local anesthetic agent to numb a specific area, such as the perineum (the area between the vagina and the anus) during childbirth.
2. Regional anesthesia: Numbing a larger region of the body using techniques like spinal or epidural anesthesia. These methods involve injecting local anesthetic agents near the spinal cord to block nerve impulses, providing pain relief in the lower half of the body.
3. General anesthesia: Using inhaled gases or intravenous medications to render the birthing person unconscious during cesarean sections (C-sections) or other surgical procedures related to childbirth.

The choice of anesthetic technique depends on various factors, including the type of delivery, the mother's medical history, and the preferences of both the mother and the healthcare team. Obstetrical anesthesia requires specialized training and expertise to ensure safe and effective pain management during labor and delivery.

An amide is a functional group or a compound that contains a carbonyl group (a double-bonded carbon atom) and a nitrogen atom. The nitrogen atom is connected to the carbonyl carbon atom by a single bond, and it also has a lone pair of electrons. Amides are commonly found in proteins and peptides, where they form amide bonds (also known as peptide bonds) between individual amino acids.

The general structure of an amide is R-CO-NHR', where R and R' can be alkyl or aryl groups. Amides can be classified into several types based on the nature of R and R' substituents:

* Primary amides: R-CO-NH2
* Secondary amides: R-CO-NHR'
* Tertiary amides: R-CO-NR''R'''

Amides have several important chemical properties. They are generally stable and resistant to hydrolysis under neutral or basic conditions, but they can be hydrolyzed under acidic conditions or with strong bases. Amides also exhibit a characteristic infrared absorption band around 1650 cm-1 due to the carbonyl stretching vibration.

In addition to their prevalence in proteins and peptides, amides are also found in many natural and synthetic compounds, including pharmaceuticals, dyes, and polymers. They have a wide range of applications in chemistry, biology, and materials science.

Spinal anesthesia is a type of regional anesthesia that involves injecting local anesthetic medication into the cerebrospinal fluid in the subarachnoid space, which is the space surrounding the spinal cord. This procedure is typically performed by introducing a needle into the lower back, between the vertebrae, to reach the subarachnoid space.

Once the local anesthetic is introduced into this space, it spreads to block nerve impulses from the corresponding levels of the spine, resulting in numbness and loss of sensation in specific areas of the body below the injection site. The extent and level of anesthesia depend on the amount and type of medication used, as well as the patient's individual response.

Spinal anesthesia is often used for surgeries involving the lower abdomen, pelvis, or lower extremities, such as cesarean sections, hernia repairs, hip replacements, and knee arthroscopies. It can also be utilized for procedures like epidural steroid injections to manage chronic pain conditions affecting the spine and lower limbs.

While spinal anesthesia provides effective pain relief during and after surgery, it may cause side effects such as low blood pressure, headache, or difficulty urinating. These potential complications should be discussed with the healthcare provider before deciding on this type of anesthesia.

Tramadol is a centrally acting synthetic opioid analgesic, chemically unrelated to other opioids but with actions similar to those of morphine. It is used to manage moderate to moderately severe pain and is available in immediate-release and extended-release formulations. Tramadol has multiple mechanisms of action including binding to mu-opioid receptors, inhibiting the reuptake of norepinephrine and serotonin, and weakly inhibiting monoamine oxidase A and B. Common side effects include dizziness, headache, nausea, vomiting, and somnolence. Respiratory depression is less frequent compared to other opioids, but caution should still be exercised in patients at risk for respiratory compromise. Tramadol has a lower potential for abuse than traditional opioids, but it can still produce physical dependence and withdrawal symptoms upon discontinuation.

The double-blind method is a study design commonly used in research, including clinical trials, to minimize bias and ensure the objectivity of results. In this approach, both the participants and the researchers are unaware of which group the participants are assigned to, whether it be the experimental group or the control group. This means that neither the participants nor the researchers know who is receiving a particular treatment or placebo, thus reducing the potential for bias in the evaluation of outcomes. The assignment of participants to groups is typically done by a third party not involved in the study, and the codes are only revealed after all data have been collected and analyzed.

Analgesics, non-narcotic are a class of medications used to relieve pain that do not contain narcotics or opioids. They work by blocking the transmission of pain signals in the nervous system or by reducing inflammation and swelling. Examples of non-narcotic analgesics include acetaminophen (Tylenol), ibuprofen (Advil, Motrin), naproxen (Aleve), and aspirin. These medications are often used to treat mild to moderate pain, such as headaches, menstrual cramps, muscle aches, and arthritis symptoms. They can be obtained over-the-counter or by prescription, depending on the dosage and formulation. It is important to follow the recommended dosages and usage instructions carefully to avoid adverse effects.

Naloxone is a medication used to reverse the effects of opioids, both illicit and prescription. It works by blocking the action of opioids on the brain and restoring breathing in cases where opioids have caused depressed respirations. Common brand names for naloxone include Narcan and Evzio.

Naloxone is an opioid antagonist, meaning that it binds to opioid receptors in the body without activating them, effectively blocking the effects of opioids already present at these sites. It has no effect in people who have not taken opioids and does not reverse the effects of other sedatives or substances.

Naloxone can be administered via intranasal, intramuscular, intravenous, or subcutaneous routes. The onset of action varies depending on the route of administration but generally ranges from 1 to 5 minutes when given intravenously and up to 10-15 minutes with other methods.

The duration of naloxone's effects is usually shorter than that of most opioids, so multiple doses or a continuous infusion may be necessary in severe cases to maintain reversal of opioid toxicity. Naloxone has been used successfully in emergency situations to treat opioid overdoses and has saved many lives.

It is important to note that naloxone does not reverse the effects of other substances or address the underlying causes of addiction, so it should be used as part of a comprehensive treatment plan for individuals struggling with opioid use disorders.

A Cesarean section, often referred to as a C-section, is a surgical procedure used to deliver a baby. It involves making an incision through the mother's abdomen and uterus to remove the baby. This procedure may be necessary when a vaginal delivery would put the mother or the baby at risk.

There are several reasons why a C-section might be recommended, including:

* The baby is in a breech position (feet first) or a transverse position (sideways) and cannot be turned to a normal head-down position.
* The baby is too large to safely pass through the mother's birth canal.
* The mother has a medical condition, such as heart disease or high blood pressure, that could make vaginal delivery risky.
* The mother has an infection, such as HIV or herpes, that could be passed to the baby during a vaginal delivery.
* The labor is not progressing and there are concerns about the health of the mother or the baby.

C-sections are generally safe for both the mother and the baby, but like any surgery, they do carry some risks. These can include infection, bleeding, blood clots, and injury to nearby organs. In addition, women who have a C-section are more likely to experience complications in future pregnancies, such as placenta previa or uterine rupture.

If you have questions about whether a C-section is necessary for your delivery, it's important to discuss your options with your healthcare provider.

Postoperative nausea and vomiting (PONV) are common complications following surgical procedures. It is defined as nausea, vomiting, or both that occurs within the first 24 hours after surgery. PONV can lead to dehydration, electrolyte imbalances, wound dehiscence, and impaired patient satisfaction. Risk factors for PONV include female gender, non-smoking status, history of motion sickness or PONV, use of opioids, and longer duration of surgery. Preventive measures and treatments include antiemetic medications, fluid therapy, and acupuncture or acupressure.

Pain threshold is a term used in medicine and research to describe the point at which a stimulus begins to be perceived as painful. It is an individual's subjective response and can vary from person to person based on factors such as their pain tolerance, mood, expectations, and cultural background.

The pain threshold is typically determined through a series of tests where gradually increasing levels of stimuli are applied until the individual reports feeling pain. This is often used in research settings to study pain perception and analgesic efficacy. However, it's important to note that the pain threshold should not be confused with pain tolerance, which refers to the maximum level of pain a person can endure.

Interpleural analgesia is a regional anesthetic technique that involves the instillation of local anesthetic medication into the pleural space, which is the potential space between the lungs and the inner surface of the chest wall. This procedure can help to block the transmission of pain signals from the thoracic region (chest) and is often used to manage postoperative pain following thoracic surgery or for the relief of chronic pain in conditions such as cancer involving the chest wall. The anesthetic medication produces a therapeutic concentration around the nerves that supply the affected area, thereby reducing the sensation of pain. It's important to note that this technique is not commonly used due to the availability and effectiveness of other analgesic methods.

Drug tolerance is a medical concept that refers to the decreased response to a drug following its repeated use, requiring higher doses to achieve the same effect. This occurs because the body adapts to the presence of the drug, leading to changes in the function or expression of targets that the drug acts upon, such as receptors or enzymes. Tolerance can develop to various types of drugs, including opioids, benzodiazepines, and alcohol, and it is often associated with physical dependence and addiction. It's important to note that tolerance is different from resistance, which refers to the ability of a pathogen to survive or grow in the presence of a drug, such as antibiotics.

Opioid mu receptors, also known as mu-opioid receptors (MORs), are a type of G protein-coupled receptor that binds to opioids, a class of chemicals that include both natural and synthetic painkillers. These receptors are found in the brain, spinal cord, and gastrointestinal tract, and play a key role in mediating the effects of opioid drugs such as morphine, heroin, and oxycodone.

MORs are involved in pain modulation, reward processing, respiratory depression, and physical dependence. Activation of MORs can lead to feelings of euphoria, decreased perception of pain, and slowed breathing. Prolonged activation of these receptors can also result in tolerance, where higher doses of the drug are required to achieve the same effect, and dependence, where withdrawal symptoms occur when the drug is discontinued.

MORs have three main subtypes: MOR-1, MOR-2, and MOR-3, with MOR-1 being the most widely studied and clinically relevant. Selective agonists for MOR-1, such as fentanyl and sufentanil, are commonly used in anesthesia and pain management. However, the abuse potential and risk of overdose associated with these drugs make them a significant public health concern.

General anesthesia is a state of controlled unconsciousness, induced by administering various medications, that eliminates awareness, movement, and pain sensation during medical procedures. It involves the use of a combination of intravenous and inhaled drugs to produce a reversible loss of consciousness, allowing patients to undergo surgical or diagnostic interventions safely and comfortably. The depth and duration of anesthesia are carefully monitored and adjusted throughout the procedure by an anesthesiologist or certified registered nurse anesthetist (CRNA) to ensure patient safety and optimize recovery. General anesthesia is typically used for more extensive surgical procedures, such as open-heart surgery, major orthopedic surgeries, and neurosurgery.

Conscious sedation, also known as procedural sedation and analgesia, is a minimally depressed level of consciousness that retains the patient's ability to maintain airway spontaneously and respond appropriately to physical stimulation and verbal commands. It is typically achieved through the administration of sedative and/or analgesic medications and is commonly used in medical procedures that do not require general anesthesia. The goal of conscious sedation is to provide a comfortable and anxiety-free experience for the patient while ensuring their safety throughout the procedure.

Ketorolac is a non-steroidal anti-inflammatory drug (NSAID) that is used to treat moderate to severe pain. It works by reducing the levels of prostaglandins, chemicals in the body that cause inflammation and trigger pain signals in the brain. By blocking the production of prostaglandins, ketorolac helps to reduce pain, swelling, and fever.

Ketorolac is available in several forms, including tablets, injection solutions, and suppositories. It is typically used for short-term pain relief, as it can increase the risk of serious side effects such as stomach ulcers, bleeding, and kidney problems with long-term use.

Like other NSAIDs, ketorolac may also increase the risk of heart attack and stroke, especially in people who already have cardiovascular disease or risk factors for it. It should be used with caution and only under the supervision of a healthcare provider.

The first stage of labor is the period of time when the cervix dilates (opens) and effaces (thins out). This stage is further divided into two phases: the latent phase and the active phase. During the latent phase, the cervix begins to dilate and may progress slowly or stop and start. Contractions are often mild and irregular during this time. The active phase is characterized by more intense and regular contractions that cause the cervix to dilate more rapidly, typically at a rate of 1 cm per hour in first-time mothers.

The first stage of labor ends when the cervix is fully dilated (10 cm) and effaced, which signals the transition to the second stage of labor. During this stage, the mother begins pushing efforts to deliver the baby. It's important to note that the duration of each phase and the overall length of the first stage of labor can vary widely among individuals.

Hydromorphone is a potent semi-synthetic opioid analgesic, which is chemically related to morphine but is approximately 8 times more potent. It is used for the relief of moderate to severe pain and is available in various forms such as tablets, extended-release tablets, solutions, and injectable formulations. Common brand names include Dilaudid and Exalgo. Hydromorphone works by binding to opioid receptors in the brain and spinal cord, reducing the perception of pain and decreasing the emotional response to pain. As with other opioids, hydromorphone carries a risk for dependence, addiction, and abuse.

Lidocaine is a type of local anesthetic that numbs painful areas and is used to prevent pain during certain medical procedures. It works by blocking the nerves that transmit pain signals to the brain. In addition to its use as an anesthetic, lidocaine can also be used to treat irregular heart rates and relieve itching caused by allergic reactions or skin conditions such as eczema.

Lidocaine is available in various forms, including creams, gels, ointments, sprays, solutions, and injectable preparations. It can be applied directly to the skin or mucous membranes, or it can be administered by injection into a muscle or vein. The specific dosage and method of administration will depend on the reason for its use and the individual patient's medical history and current health status.

Like all medications, lidocaine can have side effects, including allergic reactions, numbness that lasts too long, and in rare cases, heart problems or seizures. It is important to follow the instructions of a healthcare provider carefully when using lidocaine to minimize the risk of adverse effects.

Pain management is a branch of medicine that focuses on the diagnosis and treatment of pain and improvement in the quality of life of patients with chronic pain. The goal of pain management is to reduce pain levels, improve physical functioning, and help patients cope mentally and emotionally with their pain. This may involve the use of medications, interventional procedures, physical therapy, psychological therapy, or a combination of these approaches.

The definition of pain management can vary depending on the medical context, but it generally refers to a multidisciplinary approach that addresses the complex interactions between biological, psychological, and social factors that contribute to the experience of pain. Pain management specialists may include physicians, nurses, physical therapists, psychologists, and other healthcare professionals who work together to provide comprehensive care for patients with chronic pain.

Caudal anesthesia is a type of regional anesthesia that involves injecting a local anesthetic into the caudal canal, which is the lower end of the spinal canal where it meets the tailbone or coccyx. This region contains nerve roots that provide sensation to the perineum, buttocks, and lower extremities.

Caudal anesthesia is typically administered through a single injection into the caudal space using a needle inserted through the sacrococcygeal ligament, which is a tough band of tissue that connects the sacrum (the triangular bone at the base of the spine) to the coccyx. Once the needle is in place, the anesthetic solution is injected into the caudal space, where it spreads to surround and numb the nearby nerve roots.

This type of anesthesia is often used for surgeries or procedures involving the lower abdomen, pelvis, or lower extremities, such as hernia repairs, hemorrhoidectomies, or hip replacements. It can also be used to provide postoperative pain relief or to manage chronic pain conditions affecting the lower body.

As with any medical procedure, caudal anesthesia carries some risks and potential complications, including infection, bleeding, nerve damage, and accidental injection of the anesthetic into a blood vessel. However, these complications are rare when the procedure is performed by a trained and experienced anesthesiologist.

Clonidine is an medication that belongs to a class of drugs called centrally acting alpha-agonist hypotensives. It works by stimulating certain receptors in the brain and lowering the heart rate, which results in decreased blood pressure. Clonidine is commonly used to treat hypertension (high blood pressure), but it can also be used for other purposes such as managing withdrawal symptoms from opioids or alcohol, treating attention deficit hyperactivity disorder (ADHD), and preventing migraines. It can be taken orally in the form of tablets or transdermally through a patch applied to the skin. As with any medication, clonidine should be used under the guidance and supervision of a healthcare provider.

Anesthesia: This is a medically induced reversible state that causes loss of sensation, including pain, and may also involve loss of consciousness. Anesthesia can be categorized into two main types: general anesthesia and regional or local anesthesia. General anesthesia involves the administration of drugs that result in a loss of consciousness and lack of sensation throughout the entire body. Regional or local anesthesia, on the other hand, involves the injection of an anesthetic agent near a specific nerve or bundle of nerves to block pain signals from a particular region of the body while the patient remains conscious.

Analgesia: This refers to the reduction or elimination of pain without loss of consciousness. Analgesia can be achieved through various methods, including the administration of analgesic drugs such as opioids, non-opioid analgesics, and local anesthetics. Analgesia is often used to manage acute pain associated with surgical procedures, injuries, or medical conditions, as well as chronic pain resulting from long-term medical conditions such as arthritis or cancer.

**Ketamine** is a dissociative anesthetic medication primarily used for starting and maintaining anesthesia. It can lead to a state of altered perception, hallucinations, sedation, and memory loss. Ketamine is also used as a pain reliever in patients with chronic pain conditions and during certain medical procedures due to its strong analgesic properties.

It is available as a generic drug and is also sold under various brand names, such as Ketalar, Ketanest, and Ketamine HCl. It can be administered intravenously, intramuscularly, orally, or as a nasal spray.

In addition to its medical uses, ketamine has been increasingly used off-label for the treatment of mood disorders like depression, anxiety, and post-traumatic stress disorder (PTSD), owing to its rapid antidepressant effects. However, more research is needed to fully understand its long-term benefits and risks in these applications.

It's important to note that ketamine can be abused recreationally due to its dissociative and hallucinogenic effects, which may lead to addiction and severe psychological distress. Therefore, it should only be used under the supervision of a medical professional.

The femoral nerve is a major nerve in the thigh region of the human body. It originates from the lumbar plexus, specifically from the ventral rami (anterior divisions) of the second, third, and fourth lumbar nerves (L2-L4). The femoral nerve provides motor and sensory innervation to various muscles and areas in the lower limb.

Motor Innervation:
The femoral nerve is responsible for providing motor innervation to several muscles in the anterior compartment of the thigh, including:

1. Iliacus muscle
2. Psoas major muscle
3. Quadriceps femoris muscle (consisting of four heads: rectus femoris, vastus lateralis, vastus medialis, and vastus intermedius)

These muscles are involved in hip flexion, knee extension, and stabilization of the hip joint.

Sensory Innervation:
The sensory distribution of the femoral nerve includes:

1. Anterior and medial aspects of the thigh
2. Skin over the anterior aspect of the knee and lower leg (via the saphenous nerve, a branch of the femoral nerve)

The saphenous nerve provides sensation to the skin on the inner side of the leg and foot, as well as the medial malleolus (the bony bump on the inside of the ankle).

In summary, the femoral nerve is a crucial component of the lumbar plexus that controls motor functions in the anterior thigh muscles and provides sensory innervation to the anterior and medial aspects of the thigh and lower leg.

Opioid receptors are a type of G protein-coupled receptor (GPCR) found in the cell membranes of certain neurons in the central and peripheral nervous system. They bind to opioids, which are chemicals that can block pain signals and produce a sense of well-being. There are four main types of opioid receptors: mu, delta, kappa, and nociceptin. These receptors play a role in the regulation of pain, reward, addiction, and other physiological functions. Activation of opioid receptors can lead to both therapeutic effects (such as pain relief) and adverse effects (such as respiratory depression and constipation).

Pregnancy is a physiological state or condition where a fertilized egg (zygote) successfully implants and grows in the uterus of a woman, leading to the development of an embryo and finally a fetus. This process typically spans approximately 40 weeks, divided into three trimesters, and culminates in childbirth. Throughout this period, numerous hormonal and physical changes occur to support the growing offspring, including uterine enlargement, breast development, and various maternal adaptations to ensure the fetus's optimal growth and well-being.

I'm sorry for any confusion, but "Pirinitramide" doesn't seem to be a recognized term in medical literature or pharmacology. It's possible that there may be a spelling error or it could be a term specific to certain contexts or regions. If you have more information or if there's another term you'd like me to look up, please let me know!

Hypnotics and sedatives are classes of medications that have depressant effects on the central nervous system, leading to sedation (calming or inducing sleep), reduction in anxiety, and in some cases, decreased awareness or memory. These agents work by affecting the neurotransmitter GABA (gamma-aminobutyric acid) in the brain, which results in inhibitory effects on neuronal activity.

Hypnotics are primarily used for the treatment of insomnia and other sleep disorders, while sedatives are often prescribed to manage anxiety or to produce a calming effect before medical procedures. Some medications can function as both hypnotics and sedatives, depending on the dosage and specific formulation. Common examples of these medications include benzodiazepines (such as diazepam and lorazepam), non-benzodiazepine hypnotics (such as zolpidem and eszopiclone), barbiturates, and certain antihistamines.

It is essential to use these medications under the guidance of a healthcare professional, as they can have potential side effects, such as drowsiness, dizziness, confusion, and impaired coordination. Additionally, long-term use or high doses may lead to tolerance, dependence, and withdrawal symptoms upon discontinuation.

Butorphanol is a synthetic opioid analgesic (pain reliever) used to treat moderate to severe pain. It works by binding to the opiate receptors in the brain, which reduces the perception of pain. Butorphanol is available as an injectable solution and a nasal spray.

The medical definition of 'Butorphanol' is:

A synthetic opioid analgesic with agonist-antagonist properties. It is used in the management of moderate to severe pain, as a veterinary analgesic, and for obstetrical analgesia. Butorphanol has a high affinity for the kappa-opioid receptor, a lower affinity for the mu-opioid receptor, and little or no affinity for the delta-opioid receptor. Its actions at the mu-opioid receptor are antagonistic to those of morphine and other mu-opioid agonists, while its actions at the kappa-opioid receptor are similar to those of other opioids.

Butorphanol has a rapid onset of action and a relatively short duration of effect. It may cause respiratory depression, sedation, nausea, vomiting, and other side effects common to opioid analgesics. Butorphanol is classified as a Schedule IV controlled substance in the United States due to its potential for abuse and dependence.

Alfentanil is a synthetic opioid analgesic drug that is chemically related to fentanyl. It is used for the provision of sedation and pain relief, particularly in critical care settings and during surgical procedures.

The medical definition of Alfentanil is as follows:

Alfentanil is a potent, short-acting opioid analgesic with a rapid onset of action. It is approximately 10 times more potent than morphine and has a rapid clearance rate due to its short elimination half-life of 1-2 hours. Alfentanil is used for the induction and maintenance of anesthesia, as well as for sedation and pain relief in critically ill patients. It works by binding to opioid receptors in the brain and spinal cord, which inhibits the transmission of pain signals and produces analgesia, sedation, and respiratory depression.

Like all opioids, Alfentanil carries a risk of dependence, tolerance, and respiratory depression, and should be used with caution in patients with respiratory or cardiovascular disease. It is typically administered by healthcare professionals in a controlled setting due to its potency and potential for adverse effects.

Nalbuphine is a synthetic opioid analgesic, which means it is a medication used to treat pain. It works by binding to opioid receptors in the brain and spinal cord, reducing the perception of pain. Nalbuphine has both agonist and antagonist properties at different types of opioid receptors. Specifically, it acts as an agonist at kappa opioid receptors and as a partial antagonist at mu opioid receptors.

Nalbuphine is often used to manage moderate to severe pain, either alone or in combination with other medications. It can be administered through various routes, including intravenously, intramuscularly, or subcutaneously. Common side effects of nalbuphine include dizziness, sedation, sweating, and nausea.

It's important to note that opioids like nalbuphine can be habit-forming and should be used with caution under the guidance of a healthcare provider. Misuse or abuse of these medications can lead to serious health consequences, including addiction, overdose, and death.

Narcotic antagonists are a class of medications that block the effects of opioids, a type of narcotic pain reliever, by binding to opioid receptors in the brain and blocking the activation of these receptors by opioids. This results in the prevention or reversal of opioid-induced effects such as respiratory depression, sedation, and euphoria. Narcotic antagonists are used for a variety of medical purposes, including the treatment of opioid overdose, the management of opioid dependence, and the prevention of opioid-induced side effects in certain clinical situations. Examples of narcotic antagonists include naloxone, naltrexone, and methylnaltrexone.

Combined anesthetics refer to the use of two or more types of anesthetic agents together during a medical procedure to produce a desired level of sedation, amnesia, analgesia, and muscle relaxation. This approach can allow for lower doses of individual anesthetic drugs, which may reduce the risk of adverse effects associated with each drug. Common combinations include using a general anesthetic in combination with a regional or local anesthetic technique. The specific choice of combined anesthetics depends on various factors such as the type and duration of the procedure, patient characteristics, and the desired outcomes.

Conduction anesthesia is a type of local anesthesia in which an anesthetic agent is administered near a peripheral nerve to block the transmission of painful stimuli. It is called "conduction" anesthesia because it works by blocking the conduction of nerve impulses along the nerve fibers.

There are several types of conduction anesthesia, including:

1. Infiltration anesthesia: In this technique, the anesthetic agent is injected directly into the tissue where the surgical procedure will be performed. This type of anesthesia can be used for minor surgeries such as wound closure or repair of simple lacerations.
2. Nerve block anesthesia: In this technique, the anesthetic agent is injected near a specific nerve or bundle of nerves to block sensation in a larger area of the body. For example, a brachial plexus block can be used to numb the arm and hand for procedures such as shoulder surgery or fracture reduction.
3. Field block anesthesia: In this technique, the anesthetic agent is injected around the periphery of the surgical site to create a "field" of anesthesia that blocks sensation in the area. This type of anesthesia is often used for procedures such as hernia repair or circumcision.

Conduction anesthesia has several advantages over general anesthesia, including reduced risk of complications, faster recovery time, and lower cost. However, it may not be appropriate for all types of surgical procedures or patients, and its effectiveness can vary depending on the skill of the practitioner and the individual patient's response to the anesthetic agent.

Thoracotomy is a surgical procedure that involves making an incision on the chest wall to gain access to the thoracic cavity, which contains the lungs, heart, esophagus, trachea, and other vital organs. The incision can be made on the side (lateral thoracotomy), back (posterolateral thoracotomy), or front (median sternotomy) of the chest wall, depending on the specific surgical indication.

Thoracotomy is performed for various indications, including lung biopsy, lung resection, esophagectomy, heart surgery, and mediastinal mass removal. The procedure allows the surgeon to directly visualize and access the organs within the thoracic cavity, perform necessary procedures, and control bleeding if needed.

After the procedure, the incision is typically closed with sutures or staples, and a chest tube may be placed to drain any accumulated fluid or air from the pleural space around the lungs. The patient will require postoperative care and monitoring in a hospital setting until their condition stabilizes.

Opioid peptides are naturally occurring short chains of amino acids in the body that bind to opioid receptors in the brain, spinal cord, and gut, acting in a similar way to opiate drugs like morphine or heroin. They play crucial roles in pain regulation, reward systems, and addictive behaviors. Some examples of opioid peptides include endorphins, enkephalins, and dynorphins. These substances are released in response to stress, physical exertion, or injury and help modulate the perception of pain and produce feelings of pleasure or euphoria.

Electroacupuncture is a form of acupuncture where a small electric current is passed between pairs of acupuncture needles. This technique is used to stimulate the acupoints more strongly and consistently than with manual acupuncture. The intensity of the electrical impulses can be adjusted depending on the patient's comfort level and the desired therapeutic effect. Electroacupuncture is often used to treat conditions such as chronic pain, muscle spasms, and paralysis. It may also be used in the treatment of addiction, weight loss, and stroke rehabilitation.

Mepivacaine is a local anesthetic drug, which is used to cause numbness or loss of feeling before and during surgical procedures. It works by blocking the nerve signals in your body. Mepivacaine has a faster onset of action compared to bupivacaine but has a shorter duration of action. It can be used for infiltration, peripheral nerve block, and epidural anesthesia.

The medical definition of Mepivacaine is:

A amide-type local anesthetic with fast onset and moderate duration of action. Its molar potency is similar to that of procaine, but its duration of action is approximately 50% longer. It has been used for infiltration anesthesia, peripheral nerve block, and epidural anesthesia. Mepivacaine is metabolized in the liver by hydrolysis.

It's important to note that mepivacaine, like any other medication, can have side effects and should be used under the supervision of a healthcare professional.

Pruritus is a medical term derived from Latin, in which "prurire" means "to itch." It refers to an unpleasant sensation on the skin that provokes the desire or reflex to scratch. This can be caused by various factors, such as skin conditions (e.g., dryness, eczema, psoriasis), systemic diseases (e.g., liver disease, kidney failure), nerve disorders, psychological conditions, or reactions to certain medications.

Pruritus can significantly affect a person's quality of life, leading to sleep disturbances, anxiety, and depression. Proper identification and management of the underlying cause are essential for effective treatment.

Ketoprofen is a non-steroidal anti-inflammatory drug (NSAID) that is commonly used to treat pain, fever, and inflammation in the body. It works by inhibiting the production of prostaglandins, which are hormone-like substances that cause pain and inflammation in the body.

Ketoprofen has analgesic, anti-inflammatory, and antipyretic properties, making it a useful medication for managing various conditions such as arthritis, menstrual cramps, muscle pain, dental pain, and migraines. It is available in various forms, including oral capsules, tablets, suppositories, and topical creams or gels.

Like other NSAIDs, ketoprofen can cause side effects such as stomach ulcers, bleeding, and kidney damage if used in high doses or for extended periods. It is essential to follow the recommended dosage and consult with a healthcare provider before using this medication.

An adjuvant in anesthesia refers to a substance or drug that is added to an anesthetic medication to enhance its effects, make it last longer, or improve the overall quality of anesthesia. Adjuvants do not produce analgesia or anesthesia on their own but work synergistically with other anesthetics to achieve better clinical outcomes.

There are several types of adjuvants used in anesthesia, including:

1. Opioids: These are commonly used adjuvants that enhance the analgesic effect of anesthetic drugs. Examples include fentanyl, sufentanil, and remifentanil.
2. Alpha-2 agonists: Drugs like clonidine and dexmedetomidine are used as adjuvants to provide sedation, analgesia, and anxiolysis. They also help reduce the requirement for other anesthetic drugs, thus minimizing side effects.
3. Ketamine: This NMDA receptor antagonist is used as an adjuvant to provide analgesia and amnesia. It can be used in subanesthetic doses to improve the quality of analgesia during general anesthesia or as a sole anesthetic for procedural sedation.
4. Local anesthetics: When used as an adjuvant, local anesthetics can prolong the duration of postoperative analgesia and reduce the requirement for opioids. Examples include bupivacaine, ropivacaine, and lidocaine.
5. Neostigmine: This cholinesterase inhibitor is used as an adjuvant to reverse the neuromuscular blockade produced by non-depolarizing muscle relaxants at the end of surgery.
6. Dexamethasone: A corticosteroid used as an adjuvant to reduce postoperative nausea and vomiting, inflammation, and pain.
7. Magnesium sulfate: This non-competitive NMDA receptor antagonist is used as an adjuvant to provide analgesia, reduce opioid consumption, and provide neuroprotection in certain surgical settings.

The choice of adjuvants depends on the type of surgery, patient factors, and the desired clinical effects.

The placebo effect is a psychological or psychophysiological phenomenon in which a person's symptoms improve following a treatment but this improvement is not attributable to the properties of the treatment itself. Instead, it is believed to be due to the mind's belief in the effectiveness of the treatment, often influenced by positive expectations and the ritualistic aspects of the therapy itself.

Placebos are often used in clinical trials as a control group to compare against the actual treatment. The placebo effect can make it challenging to determine whether an observed improvement is truly due to the treatment or other factors.

Morphine derivatives are substances that are synthesized from or structurally similar to morphine, a natural opiate alkaloid found in the opium poppy. These compounds share many of the same pharmacological properties as morphine and are often used for their analgesic (pain-relieving), sedative, and anxiolytic (anxiety-reducing) effects.

Examples of morphine derivatives include:

1. Hydrocodone: A semi-synthetic opioid that is often combined with acetaminophen for the treatment of moderate to severe pain.
2. Oxycodone: A synthetic opioid that is used for the management of moderate to severe pain, either alone or in combination with other medications.
3. Hydromorphone: A potent semi-synthetic opioid that is used for the treatment of severe pain, typically in a hospital setting.
4. Oxymorphone: A synthetic opioid that is similar to hydromorphone in its potency and use for managing severe pain.
5. Codeine: A naturally occurring opiate alkaloid that is less potent than morphine but still has analgesic, cough suppressant, and antidiarrheal properties. It is often combined with other medications for various therapeutic purposes.
6. Fentanyl: A synthetic opioid that is significantly more potent than morphine and is used for the management of severe pain, typically in a hospital or clinical setting.

It's important to note that while these derivatives can be beneficial for managing pain and other symptoms, they also carry a risk of dependence, addiction, and potentially life-threatening side effects such as respiratory depression. As a result, their use should be closely monitored by healthcare professionals and prescribed cautiously.

Hyperalgesia is a medical term that describes an increased sensitivity to pain. It occurs when the nervous system, specifically the nociceptors (pain receptors), become excessively sensitive to stimuli. This means that a person experiences pain from a stimulus that normally wouldn't cause pain or experiences pain that is more intense than usual. Hyperalgesia can be a result of various conditions such as nerve damage, inflammation, or certain medications. It's an important symptom to monitor in patients with chronic pain conditions, as it may indicate the development of tolerance or addiction to pain medication.

Prospective studies, also known as longitudinal studies, are a type of cohort study in which data is collected forward in time, following a group of individuals who share a common characteristic or exposure over a period of time. The researchers clearly define the study population and exposure of interest at the beginning of the study and follow up with the participants to determine the outcomes that develop over time. This type of study design allows for the investigation of causal relationships between exposures and outcomes, as well as the identification of risk factors and the estimation of disease incidence rates. Prospective studies are particularly useful in epidemiology and medical research when studying diseases with long latency periods or rare outcomes.

Local anesthesia is a type of anesthesia that numbs a specific area of the body, blocking pain signals from that particular region while allowing the person to remain conscious and alert. It is typically achieved through the injection or application of a local anesthetic drug, which works by temporarily inhibiting the function of nerve fibers carrying pain sensations. Common examples of local anesthetics include lidocaine, prilocaine, and bupivacaine.

Local anesthesia is commonly used for minor surgical procedures, dental work, or other medical interventions where only a small area needs to be numbed. It can also be employed as part of a combined anesthetic technique, such as in conjunction with sedation or regional anesthesia, to provide additional pain relief and increase patient comfort during more extensive surgeries.

The duration of local anesthesia varies depending on the type and dosage of the anesthetic agent used; some last for just a few hours, while others may provide numbness for up to several days. Overall, local anesthesia is considered a safe and effective method for managing pain during various medical procedures.

The periaqueductal gray (PAG) is a region in the midbrain, surrounding the cerebral aqueduct (a narrow channel connecting the third and fourth ventricles within the brain). It is a column of neurons that plays a crucial role in the modulation of pain perception, cardiorespiratory regulation, and defensive behaviors. The PAG is involved in the descending pain modulatory system, where it receives input from various emotional and cognitive areas and sends output to the rostral ventromedial medulla, which in turn regulates nociceptive processing at the spinal cord level. Additionally, the PAG is implicated in the regulation of fear, anxiety, and stress responses, as well as sexual behavior and reward processing.

Nitrous oxide, also known as laughing gas, is a colorless and non-flammable gas with a slightly sweet odor and taste. In medicine, it's commonly used for its anesthetic and pain reducing effects. It is often used in dental procedures, surgery, and childbirth to help reduce anxiety and provide mild sedation. Nitrous oxide works by binding to the hemoglobin in red blood cells, which reduces the oxygen-carrying capacity of the blood, but this effect is usually not significant at the low concentrations used for analgesia and anxiolysis. It's also considered relatively safe when administered by a trained medical professional because it does not cause depression of the respiratory system or cardiovascular function.

Pentazocine is a synthetic opioid analgesic, chemically unrelated to other opiates or opioids. It acts as an agonist at the kappa-opioid receptor and as an antagonist at the mu-opioid receptor, which means it can produce pain relief but block the effects of full agonists such as heroin or morphine. Pentazocine is used for the management of moderate to severe pain and is available in oral, intramuscular, and intravenous formulations. Common side effects include dizziness, lightheadedness, sedation, nausea, and vomiting.

Postoperative care refers to the comprehensive medical treatment and nursing attention provided to a patient following a surgical procedure. The goal of postoperative care is to facilitate the patient's recovery, prevent complications, manage pain, ensure proper healing of the incision site, and maintain overall health and well-being until the patient can resume their normal activities.

This type of care includes monitoring vital signs, managing pain through medication or other techniques, ensuring adequate hydration and nutrition, helping the patient with breathing exercises to prevent lung complications, encouraging mobility to prevent blood clots, monitoring for signs of infection or other complications, administering prescribed medications, providing wound care, and educating the patient about postoperative care instructions.

The duration of postoperative care can vary depending on the type and complexity of the surgical procedure, as well as the individual patient's needs and overall health status. It may be provided in a hospital setting, an outpatient surgery center, or in the patient's home, depending on the level of care required.

Dexmedetomidine is a medication that belongs to a class of drugs called alpha-2 adrenergic agonists. It is used for sedation and analgesia (pain relief) in critically ill patients, as well as for procedural sedation in adults and children. Dexmedetomidine works by mimicking the effects of natural chemicals in the body that help to regulate sleep, wakefulness, and pain perception.

The medical definition of dexmedetomidine is: "A selective alpha-2 adrenergic agonist used for sedation and analgesia in critically ill patients, as well as for procedural sedation in adults and children. Dexmedetomidine has sedative, anxiolytic, analgesic, and sympatholytic properties, and its effects are mediated by activation of alpha-2 adrenergic receptors in the central nervous system."

It is important to note that dexmedetomidine should only be administered under the close supervision of a healthcare professional, as it can have significant effects on heart rate, blood pressure, and respiratory function.

Ambulatory surgical procedures, also known as outpatient or same-day surgery, refer to medical operations that do not require an overnight hospital stay. These procedures are typically performed in a specialized ambulatory surgery center (ASC) or in a hospital-based outpatient department. Patients undergoing ambulatory surgical procedures receive anesthesia, undergo the operation, and recover enough to be discharged home on the same day of the procedure.

Examples of common ambulatory surgical procedures include:

1. Arthroscopy (joint scope examination and repair)
2. Cataract surgery
3. Colonoscopy and upper endoscopy
4. Dental surgery, such as wisdom tooth extraction
5. Gallbladder removal (cholecystectomy)
6. Hernia repair
7. Hysteroscopy (examination of the uterus)
8. Minor skin procedures, like biopsies and lesion removals
9. Orthopedic procedures, such as carpal tunnel release or joint injections
10. Pain management procedures, including epidural steroid injections and nerve blocks
11. Podiatric (foot and ankle) surgery
12. Tonsillectomy and adenoidectomy

Advancements in medical technology, minimally invasive surgical techniques, and improved anesthesia methods have contributed to the growth of ambulatory surgical procedures, offering patients a more convenient and cost-effective alternative to traditional inpatient surgeries.

A hysterectomy is a surgical procedure that involves the removal of the uterus (womb). Depending on the specific medical condition and necessity, a hysterectomy may also include the removal of the ovaries, fallopian tubes, and surrounding tissues. There are different types of hysterectomies, including:

1. Total hysterectomy: The uterus and cervix are removed.
2. Supracervical (or subtotal) hysterectomy: Only the upper part of the uterus is removed, leaving the cervix intact.
3. Radical hysterectomy: This procedure involves removing the uterus, cervix, surrounding tissues, and the upper part of the vagina. It is typically performed in cases of cervical cancer.
4. Oophorectomy: The removal of one or both ovaries can be performed along with a hysterectomy depending on the patient's medical condition and age.
5. Salpingectomy: The removal of one or both fallopian tubes can also be performed along with a hysterectomy if needed.

The reasons for performing a hysterectomy may include but are not limited to: uterine fibroids, heavy menstrual bleeding, endometriosis, adenomyosis, pelvic prolapse, cervical or uterine cancer, and chronic pelvic pain. The choice of the type of hysterectomy depends on the patient's medical condition, age, and personal preferences.

Piperidines are not a medical term per se, but they are a class of organic compounds that have important applications in the pharmaceutical industry. Medically relevant piperidines include various drugs such as some antihistamines, antidepressants, and muscle relaxants.

A piperidine is a heterocyclic amine with a six-membered ring containing five carbon atoms and one nitrogen atom. The structure can be described as a cyclic secondary amine. Piperidines are found in some natural alkaloids, such as those derived from the pepper plant (Piper nigrum), which gives piperidines their name.

In a medical context, it is more common to encounter specific drugs that belong to the class of piperidines rather than the term itself.

A dose-response relationship in the context of drugs refers to the changes in the effects or symptoms that occur as the dose of a drug is increased or decreased. Generally, as the dose of a drug is increased, the severity or intensity of its effects also increases. Conversely, as the dose is decreased, the effects of the drug become less severe or may disappear altogether.

The dose-response relationship is an important concept in pharmacology and toxicology because it helps to establish the safe and effective dosage range for a drug. By understanding how changes in the dose of a drug affect its therapeutic and adverse effects, healthcare providers can optimize treatment plans for their patients while minimizing the risk of harm.

The dose-response relationship is typically depicted as a curve that shows the relationship between the dose of a drug and its effect. The shape of the curve may vary depending on the drug and the specific effect being measured. Some drugs may have a steep dose-response curve, meaning that small changes in the dose can result in large differences in the effect. Other drugs may have a more gradual dose-response curve, where larger changes in the dose are needed to produce significant effects.

In addition to helping establish safe and effective dosages, the dose-response relationship is also used to evaluate the potential therapeutic benefits and risks of new drugs during clinical trials. By systematically testing different doses of a drug in controlled studies, researchers can identify the optimal dosage range for the drug and assess its safety and efficacy.

The brachial plexus is a network of nerves that originates from the spinal cord in the neck region and supplies motor and sensory innervation to the upper limb. It is formed by the ventral rami (branches) of the lower four cervical nerves (C5-C8) and the first thoracic nerve (T1). In some cases, contributions from C4 and T2 may also be included.

The brachial plexus nerves exit the intervertebral foramen, pass through the neck, and travel down the upper chest before branching out to form major peripheral nerves of the upper limb. These include the axillary, radial, musculocutaneous, median, and ulnar nerves, which further innervate specific muscles and sensory areas in the arm, forearm, and hand.

Damage to the brachial plexus can result in various neurological deficits, such as weakness or paralysis of the upper limb, numbness, or loss of sensation in the affected area, depending on the severity and location of the injury.

In medicine, "intractable pain" is a term used to describe pain that is difficult to manage, control or relieve with standard treatments. It's a type of chronic pain that continues for an extended period, often months or even years, and does not respond to conventional therapies such as medications, physical therapy, or surgery. Intractable pain can significantly affect a person's quality of life, causing emotional distress, sleep disturbances, and reduced mobility. It is essential to distinguish intractable pain from acute pain, which is typically sharp and short-lived, resulting from tissue damage or inflammation.

Intractable pain may be classified as:

1. Refractory pain: Pain that persists despite optimal treatment with various modalities, including medications, interventions, and multidisciplinary care.
2. Incurable pain: Pain caused by a progressive or incurable disease, such as cancer, for which no curative treatment is available.
3. Functional pain: Pain without an identifiable organic cause that does not respond to standard treatments.

Managing intractable pain often requires a multidisciplinary approach involving healthcare professionals from various fields, including pain specialists, neurologists, psychiatrists, psychologists, and physical therapists. Treatment options may include:

1. Adjuvant medications: Medications that are not primarily analgesics but have been found to help with pain relief, such as antidepressants, anticonvulsants, and muscle relaxants.
2. Interventional procedures: Minimally invasive techniques like nerve blocks, spinal cord stimulation, or intrathecal drug delivery systems that target specific nerves or areas of the body to reduce pain signals.
3. Psychological interventions: Techniques such as cognitive-behavioral therapy (CBT), mindfulness meditation, and relaxation training can help patients cope with chronic pain and improve their overall well-being.
4. Physical therapy and rehabilitation: Exercise programs, massage, acupuncture, and other physical therapies may provide relief for some types of intractable pain.
5. Complementary and alternative medicine (CAM): Techniques like yoga, tai chi, hypnosis, or biofeedback can be helpful in managing chronic pain.
6. Lifestyle modifications: Dietary changes, stress management, and quitting smoking may also contribute to improved pain management.

Oxycodone is a semi-synthetic opioid analgesic, which means it's a painkiller that's synthesized from thebaine, an alkaloid found in the poppy plant. It's a strong pain reliever used to treat moderate to severe pain and is often prescribed for around-the-clock treatment of chronic pain. Oxycodone can be found in various forms, such as immediate-release tablets, extended-release tablets, capsules, and solutions.

Common brand names for oxycodone include OxyContin (extended-release), Percocet (oxycodone + acetaminophen), and Roxicodone (immediate-release). As an opioid, oxycodone works by binding to specific receptors in the brain, spinal cord, and gut, reducing the perception of pain and decreasing the emotional response to pain.

However, it's important to note that oxycodone has a high potential for abuse and addiction due to its euphoric effects. Misuse or prolonged use can lead to physical dependence, tolerance, and withdrawal symptoms upon discontinuation. Therefore, it should be taken exactly as prescribed by a healthcare professional and used with caution.

Pain perception refers to the neural and psychological processes involved in receiving, interpreting, and responding to painful stimuli. It is the subjective experience of pain, which can vary greatly among individuals due to factors such as genetics, mood, expectations, and past experiences. The perception of pain involves complex interactions between the peripheral nervous system (which detects and transmits information about tissue damage or potential harm), the spinal cord (where this information is processed and integrated with other sensory inputs), and the brain (where the final interpretation and emotional response to pain occurs).

Epidural injection is a medical procedure where a medication is injected into the epidural space of the spine. The epidural space is the area between the outer covering of the spinal cord (dura mater) and the vertebral column. This procedure is typically used to provide analgesia (pain relief) or anesthesia for surgical procedures, labor and delivery, or chronic pain management.

The injection usually contains a local anesthetic and/or a steroid medication, which can help reduce inflammation and swelling in the affected area. The medication is delivered through a thin needle that is inserted into the epidural space using the guidance of fluoroscopy or computed tomography (CT) scans.

Epidural injections are commonly used to treat various types of pain, including lower back pain, leg pain (sciatica), and neck pain. They can also be used to diagnose the source of pain by injecting a local anesthetic to numb the area and determine if it is the cause of the pain.

While epidural injections are generally safe, they do carry some risks, such as infection, bleeding, nerve damage, or allergic reactions to the medication. It's important to discuss these risks with your healthcare provider before undergoing the procedure.

Acetaminophen is a medication used to relieve pain and reduce fever. It is a commonly used over-the-counter drug and is also available in prescription-strength formulations. Acetaminophen works by inhibiting the production of prostaglandins, chemicals in the body that cause inflammation and trigger pain signals.

Acetaminophen is available in many different forms, including tablets, capsules, liquids, and suppositories. It is often found in combination with other medications, such as cough and cold products, sleep aids, and opioid pain relievers.

While acetaminophen is generally considered safe when used as directed, it can cause serious liver damage or even death if taken in excessive amounts. It is important to follow the dosing instructions carefully and avoid taking more than the recommended dose, especially if you are also taking other medications that contain acetaminophen.

If you have any questions about using acetaminophen or are concerned about potential side effects, it is always best to consult with a healthcare professional.

Intravenous anesthesia, also known as IV anesthesia, is a type of anesthesia that involves the administration of one or more drugs into a patient's vein to achieve a state of unconsciousness and analgesia (pain relief) during medical procedures. The drugs used in intravenous anesthesia can include sedatives, hypnotics, analgesics, and muscle relaxants, which are carefully selected and dosed based on the patient's medical history, physical status, and the type and duration of the procedure.

The administration of IV anesthesia is typically performed by a trained anesthesiologist or nurse anesthetist, who monitors the patient's vital signs and adjusts the dosage of the drugs as needed to ensure the patient's safety and comfort throughout the procedure. The onset of action for IV anesthesia is relatively rapid, usually within minutes, and the depth and duration of anesthesia can be easily titrated to meet the needs of the individual patient.

Compared to general anesthesia, which involves the administration of inhaled gases or vapors to achieve a state of unconsciousness, intravenous anesthesia is associated with fewer adverse effects on respiratory and cardiovascular function, and may be preferred for certain types of procedures or patients. However, like all forms of anesthesia, IV anesthesia carries risks and potential complications, including allergic reactions, infection, bleeding, and respiratory depression, and requires careful monitoring and management by trained medical professionals.

Dissociative anesthetics are a class of drugs that produce a state of altered consciousness, characterized by a sense of detachment or dissociation from the environment and oneself. These drugs work by disrupting the normal communication between the brain's thalamus and cortex, which can lead to changes in perception, thinking, and emotion.

Some examples of dissociative anesthetics include ketamine, phencyclidine (PCP), and dextromethorphan (DXM). These drugs can produce a range of effects, including sedation, analgesia, amnesia, and hallucinations. At high doses, they can cause profound dissociative states, in which individuals may feel as though they are outside their own bodies or that the world around them is not real.

Dissociative anesthetics are used medically for a variety of purposes, including as general anesthetics during surgery, as sedatives for diagnostic procedures, and as treatments for chronic pain and depression. However, they also have a high potential for abuse and can produce significant negative health effects when taken recreationally.

Prilocaine is an amide local anesthetic that is often used in topical, injectable, and regional anesthesia. It is commonly combined with lidocaine to reduce the risk of methhemoglobinemia, a rare but potentially serious side effect that can occur with prilocaine use.

Prilocaine works by blocking sodium channels in nerve cell membranes, which prevents the transmission of nerve impulses and results in local anesthesia. It has a rapid onset of action and a relatively short duration of effect.

In addition to its use as a local anesthetic, prilocaine is also used in some dental procedures and for the treatment of premature ejaculation. As with any medication, prilocaine can have side effects, including allergic reactions, numbness, tingling, and pain at the injection site. It should be used with caution in patients with certain medical conditions, such as heart disease, liver or kidney dysfunction, and in pregnant or breastfeeding women.

Nociceptors are specialized peripheral sensory neurons that detect and transmit signals indicating potentially harmful stimuli in the form of pain. They are activated by various noxious stimuli such as extreme temperatures, intense pressure, or chemical irritants. Once activated, nociceptors transmit these signals to the central nervous system (spinal cord and brain) where they are interpreted as painful sensations, leading to protective responses like withdrawing from the harmful stimulus or seeking medical attention. Nociceptors play a crucial role in our perception of pain and help protect the body from further harm.

"Delivery, Obstetric" is a medical term that refers to the process of giving birth to a baby. It involves the passage of the fetus through the mother's vagina or via Caesarean section (C-section), which is a surgical procedure.

The obstetric delivery process typically includes three stages:

1. The first stage begins with the onset of labor and ends when the cervix is fully dilated.
2. The second stage starts with full dilation of the cervix and ends with the birth of the baby.
3. The third stage involves the delivery of the placenta, which is the organ that provides oxygen and nutrients to the developing fetus during pregnancy.

Obstetric delivery requires careful monitoring and management by healthcare professionals to ensure the safety and well-being of both the mother and the baby. Various interventions and techniques may be used during the delivery process to facilitate a safe and successful outcome, including the use of medications, assisted delivery with forceps or vacuum extraction, and C-section.

Obstetric labor complications refer to any physical or physiological difficulties that arise during the process of childbirth (labor) and can pose risks to the health of the mother, baby, or both. These complications may result from various factors such as pre-existing medical conditions, fetal distress, prolonged labor, abnormal positioning of the fetus, or issues related to the size or weight of the baby.

Some examples of obstetric labor complications include:

1. Fetal distress: This occurs when the fetus is not receiving adequate oxygen supply or is in danger during labor. It can be caused by various factors such as umbilical cord compression, placental abruption, or maternal anemia.
2. Prolonged labor: When labor lasts for more than 20 hours in first-time mothers or more than 14 hours in subsequent pregnancies, it is considered prolonged labor. This can lead to fatigue, infection, and other complications for both the mother and baby.
3. Abnormal positioning of the fetus: Normally, the fetus should be positioned head-down (vertex) before delivery. However, if the fetus is in a breech or transverse position, it can lead to difficult labor and increased risk of complications during delivery.
4. Shoulder dystocia: This occurs when the baby's shoulders get stuck behind the mother's pubic bone during delivery, making it challenging to deliver the baby. It can cause injuries to both the mother and the baby.
5. Placental abruption: This is a serious complication where the placenta separates from the uterus before delivery, leading to bleeding and potential oxygen deprivation for the fetus.
6. Uterine rupture: A rare but life-threatening complication where the uterus tears during labor, causing severe bleeding and potentially endangering both the mother and baby's lives.
7. Preeclampsia/eclampsia: This is a pregnancy-related hypertensive disorder that can lead to complications such as seizures, organ failure, or even maternal death if left untreated.
8. Postpartum hemorrhage: Excessive bleeding after delivery can be life-threatening and requires immediate medical attention.
9. Infections: Maternal infections during pregnancy or childbirth can lead to complications for both the mother and baby, including preterm labor, low birth weight, and even fetal death.
10. Anesthesia complications: Adverse reactions to anesthesia during delivery can cause respiratory depression, allergic reactions, or other complications that may endanger the mother's life.

Neostigmine is a medication that belongs to a class of drugs called cholinesterase inhibitors. It works by blocking the breakdown of acetylcholine, a neurotransmitter in the body, leading to an increase in its levels at the neuromuscular junction. This helps to improve muscle strength and tone by enhancing the transmission of nerve impulses to muscles.

Neostigmine is primarily used in the treatment of myasthenia gravis, a neurological disorder characterized by muscle weakness and fatigue. It can also be used to reverse the effects of non-depolarizing muscle relaxants administered during surgery. Additionally, neostigmine may be used to diagnose and manage certain conditions that cause decreased gut motility or urinary retention.

It is important to note that neostigmine should be used under the close supervision of a healthcare professional due to its potential side effects, which can include nausea, vomiting, diarrhea, increased salivation, sweating, and muscle cramps. In some cases, it may also cause respiratory distress or cardiac arrhythmias.

Nociceptive pain is a type of pain that results from the activation of nociceptors, which are specialized sensory receptors located in various tissues throughout the body. These receptors detect potentially harmful stimuli such as extreme temperatures, pressure, or chemical irritants and transmit signals to the brain, which interprets them as painful sensations.

Nociceptive pain can be further classified into two categories:

1. Somatic nociceptive pain: This type of pain arises from the activation of nociceptors in the skin, muscles, bones, and joints. It is often described as sharp, aching, or throbbing and may be localized to a specific area of the body.
2. Visceral nociceptive pain: This type of pain arises from the activation of nociceptors in the internal organs, such as the lungs, heart, and digestive system. It is often described as deep, cramping, or aching and may be more diffuse and difficult to localize.

Examples of conditions that can cause nociceptive pain include injuries, arthritis, cancer, and infections. Effective management of nociceptive pain typically involves a multimodal approach that includes pharmacologic interventions, such as non-opioid analgesics, opioids, and adjuvant medications, as well as non-pharmacologic therapies, such as physical therapy, acupuncture, and cognitive-behavioral therapy.

Intravenous injections are a type of medical procedure where medication or fluids are administered directly into a vein using a needle and syringe. This route of administration is also known as an IV injection. The solution injected enters the patient's bloodstream immediately, allowing for rapid absorption and onset of action. Intravenous injections are commonly used to provide quick relief from symptoms, deliver medications that are not easily absorbed by other routes, or administer fluids and electrolytes in cases of dehydration or severe illness. It is important that intravenous injections are performed using aseptic technique to minimize the risk of infection.

Obstetrical extraction refers to a medical procedure in obstetrics, where a fetus or a dead fetus is removed from the uterus through surgical means. This is typically performed when a vaginal delivery is not possible or safe due to various reasons such as obstructed labor, maternal or fetal distress, or prolonged pregnancy. The procedure may involve dilation and evacuation (D&E) or instrumental delivery using forceps or vacuum extractor. It is usually done under anesthesia in a hospital setting.

Dipyrone is a medication that belongs to the class of drugs known as non-opioid analgesics. It is primarily used for its analgesic and antipyretic effects, which means it helps to relieve pain and reduce fever. Dipyrone works by inhibiting the production of prostaglandins, chemicals in the body that cause inflammation and sensitivity to pain.

Dipyrone is available in various forms, including tablets, suppositories, and intravenous solutions. It is commonly used to treat mild to moderate pain, such as headaches, menstrual cramps, and muscle aches. However, it is important to note that dipyrone has been banned in several countries, including the United States, due to its potential to cause agranulocytosis, a serious blood disorder that can lead to infection and other complications.

The medical definition of dipyrone is as follows:

Dipyrone (INN, BAN, USAN), also known as metamizole or novaminsulfon, is a non-opioid analgesic, antipyretic, and anti-inflammatory drug. It is used for the treatment of mild to moderate pain, fever, and inflammation. Dipyrone works by inhibiting the activity of cyclooxygenase (COX) enzymes, which are involved in the production of prostaglandins, chemicals that contribute to pain, fever, and inflammation. However, due to its potential to cause agranulocytosis, a serious blood disorder, dipyrone has been banned in several countries, including the United States.

Non-steroidal anti-inflammatory agents (NSAIDs) are a class of medications that reduce pain, inflammation, and fever. They work by inhibiting the activity of cyclooxygenase (COX) enzymes, which are involved in the production of prostaglandins, chemicals that contribute to inflammation and cause blood vessels to dilate and become more permeable, leading to symptoms such as pain, redness, warmth, and swelling.

NSAIDs are commonly used to treat a variety of conditions, including arthritis, muscle strains and sprains, menstrual cramps, headaches, and fever. Some examples of NSAIDs include aspirin, ibuprofen, naproxen, and celecoxib.

While NSAIDs are generally safe and effective when used as directed, they can have side effects, particularly when taken in large doses or for long periods of time. Common side effects include stomach ulcers, gastrointestinal bleeding, and increased risk of heart attack and stroke. It is important to follow the recommended dosage and consult with a healthcare provider if you have any concerns about using NSAIDs.

The spinal cord is a major part of the nervous system, extending from the brainstem and continuing down to the lower back. It is a slender, tubular bundle of nerve fibers (axons) and support cells (glial cells) that carries signals between the brain and the rest of the body. The spinal cord primarily serves as a conduit for motor information, which travels from the brain to the muscles, and sensory information, which travels from the body to the brain. It also contains neurons that can independently process and respond to information within the spinal cord without direct input from the brain.

The spinal cord is protected by the bony vertebral column (spine) and is divided into 31 segments: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal. Each segment corresponds to a specific region of the body and gives rise to pairs of spinal nerves that exit through the intervertebral foramina at each level.

The spinal cord is responsible for several vital functions, including:

1. Reflexes: Simple reflex actions, such as the withdrawal reflex when touching a hot surface, are mediated by the spinal cord without involving the brain.
2. Muscle control: The spinal cord carries motor signals from the brain to the muscles, enabling voluntary movement and muscle tone regulation.
3. Sensory perception: The spinal cord transmits sensory information, such as touch, temperature, pain, and vibration, from the body to the brain for processing and awareness.
4. Autonomic functions: The sympathetic and parasympathetic divisions of the autonomic nervous system originate in the thoracolumbar and sacral regions of the spinal cord, respectively, controlling involuntary physiological responses like heart rate, blood pressure, digestion, and respiration.

Damage to the spinal cord can result in various degrees of paralysis or loss of sensation below the level of injury, depending on the severity and location of the damage.

A "Drug Administration Schedule" refers to the plan for when and how a medication should be given to a patient. It includes details such as the dose, frequency (how often it should be taken), route (how it should be administered, such as orally, intravenously, etc.), and duration (how long it should be taken) of the medication. This schedule is often created and prescribed by healthcare professionals, such as doctors or pharmacists, to ensure that the medication is taken safely and effectively. It may also include instructions for missed doses or changes in the dosage.

The subarachnoid space is the area between the arachnoid mater and pia mater, which are two of the three membranes covering the brain and spinal cord (the third one being the dura mater). This space is filled with cerebrospinal fluid (CSF), which provides protection and cushioning to the central nervous system. The subarachnoid space also contains blood vessels that supply the brain and spinal cord with oxygen and nutrients. It's important to note that subarachnoid hemorrhage, a type of stroke, can occur when there is bleeding into this space.

Narcotics, in a medical context, are substances that induce sleep, relieve pain, and suppress cough. They are often used for anesthesia during surgical procedures. Narcotics are derived from opium or its synthetic substitutes and include drugs such as morphine, codeine, fentanyl, oxycodone, and hydrocodone. These drugs bind to specific receptors in the brain and spinal cord, reducing the perception of pain and producing a sense of well-being. However, narcotics can also produce physical dependence and addiction, and their long-term use can lead to tolerance, meaning that higher doses are required to achieve the same effect. Narcotics are classified as controlled substances due to their potential for abuse and are subject to strict regulations.

Intra-articular injections refer to the administration of medication directly into a joint space. This route of administration is used for treating various joint conditions such as inflammation, pain, and arthritis. Commonly injected medications include corticosteroids, local anesthetics, and viscosupplementation agents. The procedure is usually performed using imaging guidance, like ultrasound or fluoroscopy, to ensure accurate placement of the medication within the joint.

Codeine is a opiate analgesic, commonly used for its pain-relieving and cough suppressant properties. It is typically prescribed for mild to moderately severe pain, and is also found in some over-the-counter cold and cough medications. Codeine works by binding to opioid receptors in the brain and spinal cord, which helps to reduce the perception of pain. Like other opiates, codeine can produce side effects such as drowsiness, constipation, and respiratory depression, and it carries a risk of dependence and addiction with long-term use. It is important to follow your healthcare provider's instructions carefully when taking codeine, and to inform them of any other medications you are taking, as well as any medical conditions you may have.

Nefopam is a non-narcotic, centrally acting analgesic used to treat moderate to severe pain. It is a non-opioid agent that works by inhibiting the reuptake of serotonin, norepinephrine, and dopamine in the central nervous system, thereby enhancing their pain inhibitory effects. Nefopam may also have some anti-inflammatory activity. It is available as an oral preparation and is often used in combination with other analgesics for more effective pain relief. Side effects of nefopam include nausea, dizziness, dry mouth, and sweating.

Patient satisfaction is a concept in healthcare quality measurement that reflects the patient's perspective and evaluates their experience with the healthcare services they have received. It is a multidimensional construct that includes various aspects such as interpersonal mannerisms of healthcare providers, technical competence, accessibility, timeliness, comfort, and communication.

Patient satisfaction is typically measured through standardized surveys or questionnaires that ask patients to rate their experiences on various aspects of care. The results are often used to assess the quality of care provided by healthcare organizations, identify areas for improvement, and inform policy decisions. However, it's important to note that patient satisfaction is just one aspect of healthcare quality and should be considered alongside other measures such as clinical outcomes and patient safety.

Intravenous (IV) infusion is a medical procedure in which liquids, such as medications, nutrients, or fluids, are delivered directly into a patient's vein through a needle or a catheter. This route of administration allows for rapid absorption and distribution of the infused substance throughout the body. IV infusions can be used for various purposes, including resuscitation, hydration, nutrition support, medication delivery, and blood product transfusion. The rate and volume of the infusion are carefully controlled to ensure patient safety and efficacy of treatment.

Buprenorphine is a partial opioid agonist medication used to treat opioid use disorder. It has a lower risk of respiratory depression and other adverse effects compared to full opioid agonists like methadone, making it a safer option for some individuals. Buprenorphine works by binding to the same receptors in the brain as other opioids but with weaker effects, helping to reduce cravings and withdrawal symptoms. It is available in several forms, including tablets, films, and implants.

In addition to its use in treating opioid use disorder, buprenorphine may also be used to treat pain, although this use is less common due to the risk of addiction and dependence. When used for pain management, it is typically prescribed at lower doses than those used for opioid use disorder treatment.

It's important to note that while buprenorphine has a lower potential for abuse and overdose than full opioid agonists, it still carries some risks and should be taken under the close supervision of a healthcare provider.

Perioperative care is a multidisciplinary approach to the management of patients before, during, and after surgery with the goal of optimizing outcomes and minimizing complications. It encompasses various aspects such as preoperative evaluation and preparation, intraoperative monitoring and management, and postoperative recovery and rehabilitation. The perioperative period begins when a decision is made to pursue surgical intervention and ends when the patient has fully recovered from the procedure. This care is typically provided by a team of healthcare professionals including anesthesiologists, surgeons, nurses, physical therapists, and other specialists as needed.

Heroin is a highly addictive drug that is processed from morphine, a naturally occurring substance extracted from the seed pod of the Asian opium poppy plant. It is a "downer" or depressant that affects the brain's pleasure systems and interferes with the brain's ability to perceive pain.

Heroin can be injected, smoked, or snorted. It is sold as a white or brownish powder or as a black, sticky substance known as "black tar heroin." Regardless of how it is taken, heroin enters the brain rapidly and is highly addictive.

The use of heroin can lead to serious health problems, including fatal overdose, spontaneous abortion, and infectious diseases like HIV and hepatitis. Long-term use of heroin can lead to physical dependence and addiction, a chronic disease that can be difficult to treat.

The Apgar score is a quick assessment of the physical condition of a newborn infant, assessed by measuring heart rate, respiratory effort, muscle tone, reflex irritability, and skin color. It is named after Virginia Apgar, an American anesthesiologist who developed it in 1952. The score is usually given at one minute and five minutes after birth, with a possible range of 0 to 10. Scores of 7 and above are considered normal, while scores of 4-6 indicate moderate distress, and scores below 4 indicate severe distress. The Apgar score can provide important information for making decisions about the need for resuscitation or other medical interventions after birth.

Preanesthetic medication, also known as premedication, refers to the administration of medications before anesthesia to help prepare the patient for the upcoming procedure. These medications can serve various purposes, such as:

1. Anxiolysis: Reducing anxiety and promoting relaxation in patients before surgery.
2. Amnesia: Causing temporary memory loss to help patients forget the events leading up to the surgery.
3. Analgesia: Providing pain relief to minimize discomfort during and after the procedure.
4. Antisialagogue: Decreasing saliva production to reduce the risk of aspiration during intubation.
5. Bronchodilation: Relaxing bronchial smooth muscles, which can help improve respiratory function in patients with obstructive lung diseases.
6. Antiemetic: Preventing or reducing the likelihood of postoperative nausea and vomiting.
7. Sedation: Inducing a state of calmness and drowsiness to facilitate a smooth induction of anesthesia.

Common preanesthetic medications include benzodiazepines (e.g., midazolam), opioids (e.g., fentanyl), anticholinergics (e.g., glycopyrrolate), and H1-antihistamines (e.g., diphenhydramine). The choice of preanesthetic medication depends on the patient's medical history, comorbidities, and the type of anesthesia to be administered.

"Administration, Rectal" is a medical term that refers to the process of administering medication or other substances through the rectum. This route of administration is also known as "rectal suppository" or "suppository administration."

In this method, a solid dosage form called a suppository is inserted into the rectum using fingers or a special applicator. Once inside, the suppository melts or dissolves due to the body's temperature and releases the active drug or substance, which then gets absorbed into the bloodstream through the walls of the rectum.

Rectal administration is an alternative route of administration for people who have difficulty swallowing pills or liquids, or when rapid absorption of the medication is necessary. It can also be used to administer medications that are not well absorbed through other routes, such as the gastrointestinal tract. However, it may take longer for the medication to reach the bloodstream compared to intravenous (IV) administration.

Common examples of rectally administered medications include laxatives, antidiarrheal agents, analgesics, and some forms of hormonal therapy. It is important to follow the instructions provided by a healthcare professional when administering medication rectally, as improper administration can reduce the effectiveness of the medication or cause irritation or discomfort.

Sprague-Dawley rats are a strain of albino laboratory rats that are widely used in scientific research. They were first developed by researchers H.H. Sprague and R.C. Dawley in the early 20th century, and have since become one of the most commonly used rat strains in biomedical research due to their relatively large size, ease of handling, and consistent genetic background.

Sprague-Dawley rats are outbred, which means that they are genetically diverse and do not suffer from the same limitations as inbred strains, which can have reduced fertility and increased susceptibility to certain diseases. They are also characterized by their docile nature and low levels of aggression, making them easier to handle and study than some other rat strains.

These rats are used in a wide variety of research areas, including toxicology, pharmacology, nutrition, cancer, and behavioral studies. Because they are genetically diverse, Sprague-Dawley rats can be used to model a range of human diseases and conditions, making them an important tool in the development of new drugs and therapies.

Opium is defined as the dried latex obtained from incisions made in the unripe seedpods of the opium poppy (Papaver somniferum). It contains a number of alkaloids, including morphine, codeine, and thebaine. Opium has been used for its pain-relieving, euphoric, and sedative effects since ancient times. However, its use is highly regulated due to the risk of addiction and other serious side effects.

The anesthesia recovery period, also known as the post-anesthetic care unit (PACU) or recovery room stay, is the time immediately following anesthesia and surgery during which a patient's vital signs are closely monitored as they emerge from the effects of anesthesia.

During this period, the patient is typically observed for adequate ventilation, oxygenation, circulation, level of consciousness, pain control, and any potential complications. The length of stay in the recovery room can vary depending on the type of surgery, the anesthetic used, and the individual patient's needs.

The anesthesia recovery period is a critical time for ensuring patient safety and comfort as they transition from the surgical setting to full recovery. Nurses and other healthcare providers in the recovery room are specially trained to monitor and manage patients during this vulnerable period.

Opioid receptors, also known as opiate receptors, are a type of G protein-coupled receptor found in the nervous system and other tissues. They are activated by endogenous opioid peptides, as well as exogenous opiates and opioids. There are several subtypes of opioid receptors, including mu, delta, and kappa.

Kappa opioid receptors (KORs) are a subtype of opioid receptor that are widely distributed throughout the body, including in the brain, spinal cord, and gastrointestinal tract. They are activated by endogenous opioid peptides such as dynorphins, as well as by synthetic and semi-synthetic opioids such as salvinorin A and U-69593.

KORs play a role in the modulation of pain, mood, and addictive behaviors. Activation of KORs has been shown to produce analgesic effects, but can also cause dysphoria, sedation, and hallucinations. KOR agonists have potential therapeutic uses for the treatment of pain, addiction, and other disorders, but their use is limited by their side effects.

It's important to note that opioid receptors and their ligands (drugs or endogenous substances that bind to them) are complex systems with many different actions and effects in the body. The specific effects of KOR activation depend on a variety of factors, including the location and density of the receptors, the presence of other receptors and signaling pathways, and the dose and duration of exposure to the ligand.

Opioid delta receptors, also known as delta opioid receptors (DORs), are a type of G protein-coupled receptor found in the nervous system and other tissues throughout the body. They belong to the opioid receptor family, which includes mu, delta, and kappa receptors. These receptors play an essential role in pain modulation, reward processing, and addictive behaviors.

Delta opioid receptors are activated by endogenous opioid peptides such as enkephalins and exogenous opioids like synthetic drugs. Once activated, they trigger a series of intracellular signaling events that can lead to inhibition of neuronal excitability, reduced neurotransmitter release, and ultimately, pain relief.

Delta opioid receptors have also been implicated in various physiological processes, including immune function, respiratory regulation, and gastrointestinal motility. However, their clinical use as therapeutic targets has been limited due to the development of tolerance and potential adverse effects such as sedation and respiratory depression.

In summary, delta opioid receptors are a type of opioid receptor that plays an essential role in pain modulation and other physiological processes. They are activated by endogenous and exogenous opioids and trigger intracellular signaling events leading to various effects, including pain relief. However, their clinical use as therapeutic targets is limited due to potential adverse effects.

Thiazines are a class of organic compounds that contain a heterocyclic ring consisting of nitrogen, carbon, and sulfur atoms. In the context of pharmaceuticals, thiazine rings are often found in various drugs, including some antipsychotic medications such as chlorpromazine and thioridazine. These drugs function by blocking dopamine receptors in the brain, helping to manage symptoms associated with certain mental health conditions like schizophrenia.

It is important to note that 'thiazines' are not a medical term per se but rather a chemical classification of compounds. The medical relevance lies in the therapeutic application of specific drugs that have thiazine rings within their structures.

An infusion pump is a medical device used to deliver fluids, such as medications, nutrients, or supplements, into a patient's body in a controlled and precise manner. These pumps can be programmed to deliver specific amounts of fluid over set periods, allowing for accurate and consistent administration. They are often used in hospitals, clinics, and home care settings to administer various types of therapies, including pain management, chemotherapy, antibiotic treatment, and parenteral nutrition.

Infusion pumps come in different sizes and configurations, with some being portable and battery-operated for use outside of a medical facility. They typically consist of a reservoir for the fluid, a pumping mechanism to move the fluid through tubing and into the patient's body, and a control system that allows healthcare professionals to program the desired flow rate and volume. Some advanced infusion pumps also include safety features such as alarms to alert healthcare providers if there are any issues with the pump's operation or if the patient's condition changes unexpectedly.

Beta-endorphins are naturally occurring opioid peptides that are produced in the brain and other parts of the body. They are synthesized from a larger precursor protein called proopiomelanocortin (POMC) and consist of 31 amino acids. Beta-endorphins have potent analgesic effects, which means they can reduce the perception of pain. They also play a role in regulating mood, emotions, and various physiological processes such as immune function and hormonal regulation.

Beta-endorphins bind to opioid receptors in the brain and other tissues, leading to a range of effects including pain relief, sedation, euphoria, and reduced anxiety. They are released in response to stress, physical activity, and certain physiological conditions such as pregnancy and lactation. Beta-endorphins have been studied for their potential therapeutic uses in the treatment of pain, addiction, and mood disorders. However, more research is needed to fully understand their mechanisms of action and potential side effects.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

The abdomen refers to the portion of the body that lies between the thorax (chest) and the pelvis. It is a musculo-fascial cavity containing the digestive, urinary, and reproductive organs. The abdominal cavity is divided into several regions and quadrants for medical description and examination purposes. These include the upper and lower abdomen, as well as nine quadrants formed by the intersection of the midline and a horizontal line drawn at the level of the umbilicus (navel).

The major organs located within the abdominal cavity include:

1. Stomach - muscular organ responsible for initial digestion of food
2. Small intestine - long, coiled tube where most nutrient absorption occurs
3. Large intestine - consists of the colon and rectum; absorbs water and stores waste products
4. Liver - largest internal organ, involved in protein synthesis, detoxification, and metabolism
5. Pancreas - secretes digestive enzymes and hormones such as insulin
6. Spleen - filters blood and removes old red blood cells
7. Kidneys - pair of organs responsible for filtering waste products from the blood and producing urine
8. Adrenal glands - sit atop each kidney, produce hormones that regulate metabolism, immune response, and stress response

The abdomen is an essential part of the human body, playing a crucial role in digestion, absorption, and elimination of food and waste materials, as well as various metabolic processes.

In the field of medicine, "time factors" refer to the duration of symptoms or time elapsed since the onset of a medical condition, which can have significant implications for diagnosis and treatment. Understanding time factors is crucial in determining the progression of a disease, evaluating the effectiveness of treatments, and making critical decisions regarding patient care.

For example, in stroke management, "time is brain," meaning that rapid intervention within a specific time frame (usually within 4.5 hours) is essential to administering tissue plasminogen activator (tPA), a clot-busting drug that can minimize brain damage and improve patient outcomes. Similarly, in trauma care, the "golden hour" concept emphasizes the importance of providing definitive care within the first 60 minutes after injury to increase survival rates and reduce morbidity.

Time factors also play a role in monitoring the progression of chronic conditions like diabetes or heart disease, where regular follow-ups and assessments help determine appropriate treatment adjustments and prevent complications. In infectious diseases, time factors are crucial for initiating antibiotic therapy and identifying potential outbreaks to control their spread.

Overall, "time factors" encompass the significance of recognizing and acting promptly in various medical scenarios to optimize patient outcomes and provide effective care.

"Intramuscular injections" refer to a medical procedure where a medication or vaccine is administered directly into the muscle tissue. This is typically done using a hypodermic needle and syringe, and the injection is usually given into one of the large muscles in the body, such as the deltoid (shoulder), vastus lateralis (thigh), or ventrogluteal (buttock) muscles.

Intramuscular injections are used for a variety of reasons, including to deliver medications that need to be absorbed slowly over time, to bypass stomach acid and improve absorption, or to ensure that the medication reaches the bloodstream quickly and directly. Common examples of medications delivered via intramuscular injection include certain vaccines, antibiotics, and pain relievers.

It is important to follow proper technique when administering intramuscular injections to minimize pain and reduce the risk of complications such as infection or injury to surrounding tissues. Proper site selection, needle length and gauge, and injection technique are all critical factors in ensuring a safe and effective intramuscular injection.

Dihydromorphine is a semi-synthetic opioid agonist that is derived from morphine, which is a natural opiate alkaloid found in the poppy plant (Papaver somniferum). It is a potent analgesic drug used to treat moderate to severe pain. Dihydromorphine works by binding to and activating the mu-opioid receptors in the brain and spinal cord, which inhibits the transmission of pain signals and produces a subjective feeling of euphoria or pleasure.

Dihydromorphine is similar in structure and effects to other opioids such as heroin, oxycodone, and hydromorphone. It has a rapid onset of action and can produce strong analgesic effects, but it also carries a high risk of dependence, addiction, and respiratory depression, which can be fatal if not treated promptly.

Dihydromorphine is available in various forms, including tablets, injectable solutions, and suppositories. It is primarily used in Europe and Asia for the treatment of pain, although it has been largely replaced by other opioids such as morphine and fentanyl in many countries due to its higher abuse potential and narrower therapeutic index.

Adrenergic alpha-agonists are a type of medication that binds to and activates adrenergic alpha receptors, which are found in the nervous system and other tissues throughout the body. These receptors are activated naturally by chemicals called catecholamines, such as norepinephrine and epinephrine (also known as adrenaline), that are released in response to stress or excitement.

When adrenergic alpha-agonists bind to these receptors, they mimic the effects of catecholamines and cause various physiological responses, such as vasoconstriction (constriction of blood vessels), increased heart rate and force of heart contractions, and relaxation of smooth muscle in the airways.

Adrenergic alpha-agonists are used to treat a variety of medical conditions, including hypertension (high blood pressure), glaucoma, nasal congestion, and attention deficit hyperactivity disorder (ADHD). Examples of adrenergic alpha-agonists include phenylephrine, clonidine, and guanfacine.

It's important to note that adrenergic alpha-agonists can have both beneficial and harmful effects, depending on the specific medication, dosage, and individual patient factors. Therefore, they should only be used under the guidance of a healthcare professional.

Nociception is the neural process of encoding and processing noxious stimuli, which can result in the perception of pain. It involves the activation of specialized nerve endings called nociceptors, located throughout the body, that detect potentially harmful stimuli such as extreme temperatures, intense pressure, or tissue damage caused by chemicals released during inflammation. Once activated, nociceptors transmit signals through sensory neurons to the spinal cord and then to the brain, where they are interpreted as painful experiences.

It is important to note that while nociception is necessary for pain perception, it does not always lead to conscious awareness of pain. Factors such as attention, emotion, and context can influence whether or not nociceptive signals are experienced as painful.

Naltrexone is a medication that is primarily used to manage alcohol dependence and opioid dependence. It works by blocking the effects of opioids and alcohol on the brain, reducing the euphoric feelings and cravings associated with their use. Naltrexone comes in the form of a tablet that is taken orally, and it has no potential for abuse or dependence.

Medically, naltrexone is classified as an opioid antagonist, which means that it binds to opioid receptors in the brain without activating them, thereby blocking the effects of opioids such as heroin, morphine, and oxycodone. It also reduces the rewarding effects of alcohol by blocking the release of endorphins, which are natural chemicals in the brain that produce feelings of pleasure.

Naltrexone is often used as part of a comprehensive treatment program for addiction, along with counseling, behavioral therapy, and support groups. It can help individuals maintain abstinence from opioids or alcohol by reducing cravings and preventing relapse. Naltrexone is generally safe and well-tolerated, but it may cause side effects such as nausea, headache, dizziness, and fatigue in some people.

It's important to note that naltrexone should only be used under the supervision of a healthcare provider, and it is not recommended for individuals who are currently taking opioids or who have recently stopped using them, as it can cause withdrawal symptoms. Additionally, naltrexone may interact with other medications, so it's important to inform your healthcare provider of all medications you are taking before starting naltrexone therapy.

A drug combination refers to the use of two or more drugs in combination for the treatment of a single medical condition or disease. The rationale behind using drug combinations is to achieve a therapeutic effect that is superior to that obtained with any single agent alone, through various mechanisms such as:

* Complementary modes of action: When different drugs target different aspects of the disease process, their combined effects may be greater than either drug used alone.
* Synergistic interactions: In some cases, the combination of two or more drugs can result in a greater-than-additive effect, where the total response is greater than the sum of the individual responses to each drug.
* Antagonism of adverse effects: Sometimes, the use of one drug can mitigate the side effects of another, allowing for higher doses or longer durations of therapy.

Examples of drug combinations include:

* Highly active antiretroviral therapy (HAART) for HIV infection, which typically involves a combination of three or more antiretroviral drugs to suppress viral replication and prevent the development of drug resistance.
* Chemotherapy regimens for cancer treatment, where combinations of cytotoxic agents are used to target different stages of the cell cycle and increase the likelihood of tumor cell death.
* Fixed-dose combination products, such as those used in the treatment of hypertension or type 2 diabetes, which combine two or more active ingredients into a single formulation for ease of administration and improved adherence to therapy.

However, it's important to note that drug combinations can also increase the risk of adverse effects, drug-drug interactions, and medication errors. Therefore, careful consideration should be given to the selection of appropriate drugs, dosing regimens, and monitoring parameters when using drug combinations in clinical practice.

Anesthesia is a medical term that refers to the loss of sensation or awareness, usually induced by the administration of various drugs. It is commonly used during surgical procedures to prevent pain and discomfort. There are several types of anesthesia, including:

1. General anesthesia: This type of anesthesia causes a complete loss of consciousness and is typically used for major surgeries.
2. Regional anesthesia: This type of anesthesia numbs a specific area of the body, such as an arm or leg, while the patient remains conscious.
3. Local anesthesia: This type of anesthesia numbs a small area of the body, such as a cut or wound, and is typically used for minor procedures.

Anesthesia can be administered through various routes, including injection, inhalation, or topical application. The choice of anesthesia depends on several factors, including the type and duration of the procedure, the patient's medical history, and their overall health. Anesthesiologists are medical professionals who specialize in administering anesthesia and monitoring patients during surgical procedures to ensure their safety and comfort.

Enkephalins are naturally occurring opioid peptides that bind to opiate receptors in the brain and other organs, producing pain-relieving and other effects. They are derived from the precursor protein proenkephalin and consist of two main types: Leu-enkephalin and Met-enkephalin. Enkephalins play a role in pain modulation, stress response, mood regulation, and addictive behaviors. They are also involved in the body's reward system and have been implicated in various physiological processes such as respiration, gastrointestinal motility, and hormone release.

Parenteral infusions refer to the administration of fluids or medications directly into a patient's vein or subcutaneous tissue using a needle or catheter. This route bypasses the gastrointestinal tract and allows for rapid absorption and onset of action. Parenteral infusions can be used to correct fluid and electrolyte imbalances, administer medications that cannot be given orally, provide nutritional support, and deliver blood products. Common types of parenteral infusions include intravenous (IV) drips, IV push, and subcutaneous infusions. It is important that parenteral infusions are administered using aseptic technique to reduce the risk of infection.

Endorphins are a type of neurotransmitter, which are chemicals that transmit signals in the nervous system and brain. The term "endorphin" comes from "endogenous morphine," reflecting the fact that these substances are produced naturally within the body and have effects similar to opiate drugs like morphine.

Endorphins are released in response to stress or pain, but they also occur naturally during exercise, excitement, laughter, love, and orgasm. They work by interacting with the opiate receptors in the brain to reduce the perception of pain and promote feelings of pleasure and well-being. Endorphins also play a role in regulating various physiological processes, including appetite, mood, and sleep.

In summary, endorphins are natural painkillers and mood elevators produced by the body in response to stress, pain, or enjoyable activities.

Propofol is a short-acting medication that is primarily used for the induction and maintenance of general anesthesia during procedures such as surgery. It belongs to a class of drugs called hypnotics or sedatives, which work by depressing the central nervous system to produce a calming effect. Propofol can also be used for sedation in mechanically ventilated patients in intensive care units and for procedural sedation in various diagnostic and therapeutic procedures outside the operating room.

The medical definition of Propofol is:
A rapid-onset, short-duration intravenous anesthetic agent that produces a hypnotic effect and is used for induction and maintenance of general anesthesia, sedation in mechanically ventilated patients, and procedural sedation. It acts by enhancing the inhibitory effects of gamma-aminobutyric acid (GABA) in the brain, leading to a decrease in neuronal activity and a reduction in consciousness. Propofol has a rapid clearance and distribution, allowing for quick recovery after discontinuation of its administration.

Intravenous anesthetics are a type of medication that is administered directly into a vein to cause a loss of consciousness and provide analgesia (pain relief) during medical procedures. They work by depressing the central nervous system, inhibiting nerve impulse transmission and ultimately preventing the patient from feeling pain or discomfort during surgery or other invasive procedures.

There are several different types of intravenous anesthetics, each with its own specific properties and uses. Some common examples include propofol, etomidate, ketamine, and barbiturates. These drugs may be used alone or in combination with other medications to provide a safe and effective level of anesthesia for the patient.

The choice of intravenous anesthetic depends on several factors, including the patient's medical history, the type and duration of the procedure, and the desired depth and duration of anesthesia. Anesthesiologists must carefully consider these factors when selecting an appropriate medication regimen for each individual patient.

While intravenous anesthetics are generally safe and effective, they can have side effects and risks, such as respiratory depression, hypotension, and allergic reactions. Anesthesia providers must closely monitor patients during and after the administration of these medications to ensure their safety and well-being.

Midazolam is a medication from the class of drugs known as benzodiazepines. It works by enhancing the effect of a neurotransmitter called gamma-aminobutyric acid (GABA), which has a calming effect on the brain and nervous system. Midazolam is often used for its sedative, hypnotic, anxiolytic, anticonvulsant, and muscle relaxant properties.

Medically, midazolam is used for various purposes, including:

1. Preoperative medication (sedation before surgery)
2. Procedural sedation (for minor surgical or diagnostic procedures)
3. Treatment of seizures (status epilepticus)
4. Sedation in critically ill patients
5. As an adjunct to anesthesia during surgeries
6. Treatment of alcohol withdrawal symptoms
7. To induce amnesia for certain medical or dental procedures

Midazolam is available in various forms, such as tablets, intravenous (IV) solutions, and intranasal sprays. It has a rapid onset of action and a short duration, making it suitable for brief, intermittent procedures. However, midazolam can cause side effects like drowsiness, confusion, respiratory depression, and memory impairment. Therefore, its use should be carefully monitored by healthcare professionals.

Morphinans are a class of organic compounds that share a common skeletal structure, which is based on the morphine molecule. The morphinan structure consists of a tetracyclic ring system made up of three six-membered benzene rings (A, C, and D) fused to a five-membered dihydrofuran ring (B).

Morphinans are important in medicinal chemistry because many opioid analgesics, such as morphine, hydromorphone, oxymorphone, and levorphanol, are derived from or structurally related to morphinans. These compounds exert their pharmacological effects by binding to opioid receptors in the brain and spinal cord, which are involved in pain perception, reward, and addictive behaviors.

It is worth noting that while all opiates (drugs derived from the opium poppy) are morphinans, not all morphinans are opiates. Some synthetic or semi-synthetic morphinans, such as fentanyl and methadone, do not have a natural origin but still share the same basic structure and pharmacological properties.

Gynecologic surgical procedures refer to the operations that are performed on the female reproductive system and related organs. These surgeries can be either minimally invasive or open procedures, depending on the condition and the patient's health status.

The indications for gynecologic surgical procedures may include but are not limited to:

1. Diagnosis and treatment of various benign and malignant conditions such as uterine fibroids, ovarian cysts, endometriosis, and cancers of the reproductive organs.
2. Management of abnormal uterine bleeding, pelvic pain, and infertility.
3. Treatment of ectopic pregnancies and miscarriages.
4. Pelvic organ prolapse repair.
5. Sterilization procedures such as tubal ligation.
6. Investigation and treatment of suspicious lesions or abnormal Pap smears.

Some common gynecologic surgical procedures include hysterectomy (removal of the uterus), oophorectomy (removal of the ovary), salpingectomy (removal of the fallopian tube), cystectomy (removal of a cyst), myomectomy (removal of fibroids while preserving the uterus), and endometrial ablation (destruction of the lining of the uterus).

Minimally invasive surgical techniques such as laparoscopy and hysteroscopy have gained popularity in recent years due to their advantages over traditional open surgeries, including smaller incisions, less postoperative pain, quicker recovery times, and reduced risk of complications.

'Animal behavior' refers to the actions or responses of animals to various stimuli, including their interactions with the environment and other individuals. It is the study of the actions of animals, whether they are instinctual, learned, or a combination of both. Animal behavior includes communication, mating, foraging, predator avoidance, and social organization, among other things. The scientific study of animal behavior is called ethology. This field seeks to understand the evolutionary basis for behaviors as well as their physiological and psychological mechanisms.

Dental anesthesia is a type of local or regional anesthesia that is specifically used in dental procedures to block the transmission of pain impulses from the teeth and surrounding tissues to the brain. The most common types of dental anesthesia include:

1. Local anesthesia: This involves the injection of a local anesthetic drug, such as lidocaine or prilocaine, into the gum tissue near the tooth that is being treated. This numbs the area and prevents the patient from feeling pain during the procedure.
2. Conscious sedation: This is a type of minimal sedation that is used to help patients relax during dental procedures. The patient remains conscious and can communicate with the dentist, but may not remember the details of the procedure. Common methods of conscious sedation include nitrous oxide (laughing gas) or oral sedatives.
3. Deep sedation or general anesthesia: This is rarely used in dental procedures, but may be necessary for patients who are extremely anxious or have special needs. It involves the administration of drugs that cause a state of unconsciousness and prevent the patient from feeling pain during the procedure.

Dental anesthesia is generally safe when administered by a qualified dentist or oral surgeon. However, as with any medical procedure, there are risks involved, including allergic reactions to the anesthetic drugs, nerve damage, and infection. Patients should discuss any concerns they have with their dentist before undergoing dental anesthesia.

Neuralgia is a type of pain that occurs along the pathway of a nerve, often caused by damage or irritation to the nerve. It is typically described as a sharp, stabbing, burning, or electric-shock like pain that can be severe and debilitating. Neuralgia can affect any nerve in the body, but it most commonly occurs in the facial area (trigeminal neuralgia) or in the nerves related to the spine (postherpetic neuralgia). The pain associated with neuralgia can be intermittent or constant and may be worsened by certain triggers such as touch, temperature changes, or movement. Treatment for neuralgia typically involves medications to manage pain, as well as other therapies such as nerve blocks, surgery, or lifestyle modifications.

A doula is not a medical professional, but rather a trained labor support person who provides emotional, physical, and informational support to women before, during, and after childbirth. The role of a doula is to help create a safe and comfortable environment for the birthing person, offer reassurance and encouragement, provide pain relief techniques such as massage or breathing exercises, and facilitate communication between the laboring person, their partner, and medical staff. Doulas can also provide support during pregnancy, postpartum, and with breastfeeding. While doulas do not provide medical care, their presence has been shown to improve birth outcomes, increase satisfaction with the childbirth experience, and reduce the need for medical interventions such as epidurals and cesarean sections.

The second stage of labor is the active phase of childbirth, during which the uterus continues to contract and the cervix fully dilates. This stage begins when the cervix is completely open (10 cm) and ends with the birth of the baby. During this stage, the mother typically experiences strong, regular contractions that help to push the baby down the birth canal.

The second stage of labor can be further divided into two phases: the latent phase and the pushing phase. The latent phase is the period between full dilation of the cervix and the beginning of active pushing. This phase can last anywhere from a few minutes to several hours, depending on various factors such as the position of the baby, the mother's exhaustion, and whether it is the mother's first baby or not.

The pushing phase is the period during which the mother actively pushes the baby out of the birth canal. This phase typically lasts between 20 minutes to an hour, although it can be longer in some cases. The healthcare provider will guide the mother through this process, instructing her when and how to push. Once the baby's head emerges, the healthcare provider will continue to support the delivery of the baby's shoulders and body.

It is important for the mother to receive appropriate support and guidance during the second stage of labor to ensure a safe and successful delivery.

Tolmetin is a non-steroidal anti-inflammatory drug (NSAID) that is used to relieve pain, inflammation, and fever. It works by inhibiting the production of prostaglandins, which are hormone-like substances that cause pain and inflammation in the body. Tolmetin is available in immediate-release and sustained-release forms, and it is typically prescribed to treat conditions such as osteoarthritis, rheumatoid arthritis, and juvenile rheumatoid arthritis.

The medical definition of Tolmetin can be found in various pharmaceutical and medical references, including the Merck Manual, the American Hospital Formulary Service (AHFS) Drug Information, and the National Library of Medicine's MedlinePlus. According to these sources, the chemical name for Tolmetin is (3R,5S)-3-(4-methylbenzoyl)-5-(3-methoxy-4-hydroxyphenyl)-1H-indole-2-one, and its molecular formula is C19H16NO3.

Tolmetin has a number of potential side effects, including stomach pain, nausea, vomiting, diarrhea, gas, dizziness, and headache. It can also increase the risk of serious gastrointestinal side effects, such as bleeding, ulcers, and perforations in the stomach or intestines, especially in people who are over the age of 65 or have a history of stomach ulcers or other gastrointestinal problems. Tolmetin can also increase the risk of heart attack, stroke, and other cardiovascular events, particularly in people who take it for a long time or at high doses.

Tolmetin is available only by prescription, and it should be taken exactly as directed by a healthcare provider. It is important to follow the instructions on the label carefully and to talk to a doctor or pharmacist if there are any questions about how to take Tolmetin or what the potential side effects may be.

Piroxicam is a non-steroidal anti-inflammatory drug (NSAID) that is used to treat pain, inflammation, and fever. It works by inhibiting the activity of cyclooxygenase (COX) enzymes, which are involved in the production of prostaglandins, chemicals that contribute to inflammation and pain.

Piroxicam is available as a prescription medication and is used to treat conditions such as osteoarthritis, rheumatoid arthritis, and ankylosing spondylitis. It is typically taken orally in the form of tablets or capsules, and its effects can last for up to 12 hours.

Like other NSAIDs, piroxicam can cause side effects such as stomach ulcers, bleeding, and kidney problems, especially when used at high doses or for long periods of time. It is important to use piroxicam only as directed by a healthcare provider and to follow any recommended precautions.

Acupuncture points, also known as "acupoints," are specific locations on the body that are used in acupuncture therapy. These points are believed to correspond to underlying pathways, or meridians, through which vital energy, or "qi" (pronounced "chee"), flows.

Acupuncture points are typically found along these meridians and are thought to have specific therapeutic properties. According to traditional Chinese medicine (TCM) theory, stimulating these points with needles, heat, pressure, or electrical impulses can help restore the balance of qi and promote healing in the body.

There are over 360 acupuncture points identified in TCM, each with its own name, location, and set of indications for use. Modern research has attempted to identify the anatomical structures underlying these points, with some studies suggesting that they may correspond to nerve bundles, blood vessels, or other physiological features. However, the exact mechanisms by which acupuncture works remain a topic of ongoing scientific investigation and debate.

Medical Definition of Respiration:

Respiration, in physiology, is the process by which an organism takes in oxygen and gives out carbon dioxide. It's also known as breathing. This process is essential for most forms of life because it provides the necessary oxygen for cellular respiration, where the cells convert biochemical energy from nutrients into adenosine triphosphate (ATP), and releases waste products, primarily carbon dioxide.

In humans and other mammals, respiration is a two-stage process:

1. Breathing (or external respiration): This involves the exchange of gases with the environment. Air enters the lungs through the mouth or nose, then passes through the pharynx, larynx, trachea, and bronchi, finally reaching the alveoli where the actual gas exchange occurs. Oxygen from the inhaled air diffuses into the blood, while carbon dioxide, a waste product of metabolism, diffuses from the blood into the alveoli to be exhaled.

2. Cellular respiration (or internal respiration): This is the process by which cells convert glucose and other nutrients into ATP, water, and carbon dioxide in the presence of oxygen. The carbon dioxide produced during this process then diffuses out of the cells and into the bloodstream to be exhaled during breathing.

In summary, respiration is a vital physiological function that enables organisms to obtain the necessary oxygen for cellular metabolism while eliminating waste products like carbon dioxide.

Orthopedic procedures are surgical or nonsurgical methods used to treat musculoskeletal conditions, including injuries, deformities, or diseases of the bones, joints, muscles, ligaments, and tendons. These procedures can range from simple splinting or casting to complex surgeries such as joint replacements, spinal fusions, or osteotomies (cutting and repositioning bones). The primary goal of orthopedic procedures is to restore function, reduce pain, and improve the quality of life for patients.

Acute pain is a type of pain that comes on suddenly and can be severe, but it typically lasts for a short period of time. It is often described as sharp or stabbing and can be caused by tissue damage, inflammation, or injury. Acute pain is the body's way of signaling that something is wrong and that action needs to be taken to address the underlying cause.

Acute pain is different from chronic pain, which is pain that persists for 12 weeks or longer. Chronic pain can be caused by a variety of factors, including ongoing medical conditions, nerve damage, or inflammation. It is important to seek medical attention if you are experiencing acute pain that does not improve or becomes severe, as it may be a sign of a more serious underlying condition.

Intraventricular injections are a type of medical procedure where medication is administered directly into the cerebral ventricles of the brain. The cerebral ventricles are fluid-filled spaces within the brain that contain cerebrospinal fluid (CSF). This procedure is typically used to deliver drugs that target conditions affecting the central nervous system, such as infections or tumors.

Intraventricular injections are usually performed using a thin, hollow needle that is inserted through a small hole drilled into the skull. The medication is then injected directly into the ventricles, allowing it to circulate throughout the CSF and reach the brain tissue more efficiently than other routes of administration.

This type of injection is typically reserved for situations where other methods of drug delivery are not effective or feasible. It carries a higher risk of complications, such as bleeding, infection, or damage to surrounding tissues, compared to other routes of administration. Therefore, it is usually performed by trained medical professionals in a controlled clinical setting.

Oxymorphone is a semi-synthetic opioid analgesic, which is a strong painkiller. It is derived from thebaine, a constituent of opium. Medically, it is used to treat moderate to severe pain and is available under various brand names such as Opana and Numorphan.

Oxymorphone works by binding to the mu-opioid receptors in the brain and spinal cord, which results in pain relief, relaxation, and sedation. It has a high potential for abuse and addiction due to its euphoric effects, and its use should be closely monitored and controlled.

Like other opioids, oxymorphone can cause physical dependence and withdrawal symptoms if discontinued abruptly after prolonged use. Common side effects of oxymorphone include dizziness, lightheadedness, sedation, nausea, vomiting, constipation, and sweating. Serious side effects may include respiratory depression, low blood pressure, and decreased heart rate.

It is important to follow the prescribing physician's instructions carefully when taking oxymorphone and to report any bothersome or worsening side effects promptly.

I believe there may be a slight confusion in your question as hypnosis and anesthesia are two different concepts in the field of medicine. Here are separate definitions for each:

1. Hypnosis: This is a state of highly focused attention or concentration, often associated with relaxation, and heightened suggestibility. During hypnosis, a person may become more open to suggestions and their perception of reality may change. It's important to note that hypnosis is not a form of unconsciousness or sleep, and the person can usually hear and remember what happens during the session. Hypnosis is sometimes used in medical and psychological settings to help manage pain, anxiety, or symptoms of various conditions.

2. Anesthetic: An anesthetic is a drug that's used to block sensation in certain areas of the body or to induce sleep and reduce pain during surgical procedures. There are two main types of anesthetics: local and general. Local anesthetics numb a specific area of the body, while general anesthetics cause a state of unconsciousness and amnesia, so the person is unaware of the procedure taking place. Anesthetics work by depressing the function of the central nervous system, which includes the brain and spinal cord.

I hope this clarifies any confusion! If you have any further questions or need more information, please don't hesitate to ask.

The epidural space is the potential space located outside the dura mater, which is the outermost of the three membranes covering the brain and spinal cord (the meninges). This space runs the entire length of the spinal canal and contains fatty tissue, blood vessels, and nerve roots. It is often used as a route for administering anesthesia during childbirth or surgery, as well as for pain management in certain medical conditions. The injection of medications into this space is called an epidural block.

The postoperative period is the time following a surgical procedure during which the patient's response to the surgery and anesthesia is monitored, and any complications or adverse effects are managed. This period can vary in length depending on the type of surgery and the individual patient's needs, but it typically includes the immediate recovery phase in the post-anesthesia care unit (PACU) or recovery room, as well as any additional time spent in the hospital for monitoring and management of pain, wound healing, and other aspects of postoperative care.

The goals of postoperative care are to ensure the patient's safety and comfort, promote optimal healing and rehabilitation, and minimize the risk of complications such as infection, bleeding, or other postoperative issues. The specific interventions and treatments provided during this period will depend on a variety of factors, including the type and extent of surgery performed, the patient's overall health and medical history, and any individualized care plans developed in consultation with the patient and their healthcare team.

Arthroplasty, replacement, knee is a surgical procedure where the damaged or diseased joint surface of the knee is removed and replaced with an artificial joint or prosthesis. The procedure involves resurfacing the worn-out ends of the femur (thigh bone) and tibia (shin bone) with metal components, and the back of the kneecap with a plastic button. This surgery is usually performed to relieve pain and restore function in patients with severe knee osteoarthritis, rheumatoid arthritis, or traumatic injuries that have damaged the joint beyond repair. The goal of knee replacement surgery is to improve mobility, reduce pain, and enhance the quality of life for the patient.

Droperidol is a butyrophenone neuroleptic medication that is primarily used for its antiemetic (anti-nausea and vomiting) properties. It works by blocking dopamine receptors in the brain, which can help to reduce feelings of nausea and vomiting caused by various factors such as chemotherapy, surgery, or motion sickness.

Droperidol is also known for its sedative and anxiolytic (anxiety-reducing) effects, and has been used in the past as a premedication before surgery to help reduce anxiety and produce sedation. However, due to concerns about rare but serious side effects such as QT prolongation (a heart rhythm disorder), droperidol is now less commonly used for this purpose.

Droperidol is available in injectable form and is typically administered by healthcare professionals in a hospital or clinical setting. It should be used with caution and only under the close supervision of a healthcare provider, as it can cause a range of side effects including dizziness, drowsiness, dry mouth, and restlessness. More serious side effects such as seizures, irregular heartbeat, and neuroleptic malignant syndrome (a rare but potentially life-threatening condition characterized by muscle rigidity, fever, and autonomic instability) have also been reported with droperidol use.

Diclofenac is a non-steroidal anti-inflammatory drug (NSAID) commonly used to treat pain, inflammation, and fever. It works by inhibiting the production of prostaglandins, which are hormone-like substances that cause pain and inflammation in the body. Diclofenac is available in various forms, including tablets, capsules, suppositories, topical creams, gels, and patches.

The medical definition of Diclofenac is:

Diclofenac sodium: A sodium salt of diclofenac, a phenylacetic acid derivative that is a potent inhibitor of prostaglandin synthesis. It is used in the treatment of inflammation and pain in rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, and other conditions. Diclofenac sodium has also been used to treat actinic keratosis, a precancerous skin condition. It is available by prescription in various forms, including oral tablets, capsules, topical creams, gels, and patches.

Fetal heart rate (FHR) is the number of times a fetus's heart beats in one minute. It is measured through the use of a fetoscope, Doppler ultrasound device, or cardiotocograph (CTG). A normal FHR ranges from 120 to 160 beats per minute (bpm), although it can vary throughout pregnancy and is usually faster than an adult's heart rate. Changes in the FHR pattern may indicate fetal distress, hypoxia, or other conditions that require medical attention. Regular monitoring of FHR during pregnancy, labor, and delivery helps healthcare providers assess fetal well-being and ensure a safe outcome for both the mother and the baby.

A drug interaction is the effect of combining two or more drugs, or a drug and another substance (such as food or alcohol), which can alter the effectiveness or side effects of one or both of the substances. These interactions can be categorized as follows:

1. Pharmacodynamic interactions: These occur when two or more drugs act on the same target organ or receptor, leading to an additive, synergistic, or antagonistic effect. For example, taking a sedative and an antihistamine together can result in increased drowsiness due to their combined depressant effects on the central nervous system.
2. Pharmacokinetic interactions: These occur when one drug affects the absorption, distribution, metabolism, or excretion of another drug. For example, taking certain antibiotics with grapefruit juice can increase the concentration of the antibiotic in the bloodstream, leading to potential toxicity.
3. Food-drug interactions: Some drugs may interact with specific foods, affecting their absorption, metabolism, or excretion. An example is the interaction between warfarin (a blood thinner) and green leafy vegetables, which can increase the risk of bleeding due to enhanced vitamin K absorption from the vegetables.
4. Drug-herb interactions: Some herbal supplements may interact with medications, leading to altered drug levels or increased side effects. For instance, St. John's Wort can decrease the effectiveness of certain antidepressants and oral contraceptives by inducing their metabolism.
5. Drug-alcohol interactions: Alcohol can interact with various medications, causing additive sedative effects, impaired judgment, or increased risk of liver damage. For example, combining alcohol with benzodiazepines or opioids can lead to dangerous levels of sedation and respiratory depression.

It is essential for healthcare providers and patients to be aware of potential drug interactions to minimize adverse effects and optimize treatment outcomes.

Postoperative complications refer to any unfavorable condition or event that occurs during the recovery period after a surgical procedure. These complications can vary in severity and may include, but are not limited to:

1. Infection: This can occur at the site of the incision or inside the body, such as pneumonia or urinary tract infection.
2. Bleeding: Excessive bleeding (hemorrhage) can lead to a drop in blood pressure and may require further surgical intervention.
3. Blood clots: These can form in the deep veins of the legs (deep vein thrombosis) and can potentially travel to the lungs (pulmonary embolism).
4. Wound dehiscence: This is when the surgical wound opens up, which can lead to infection and further complications.
5. Pulmonary issues: These include atelectasis (collapsed lung), pneumonia, or respiratory failure.
6. Cardiovascular problems: These include abnormal heart rhythms (arrhythmias), heart attack, or stroke.
7. Renal failure: This can occur due to various reasons such as dehydration, blood loss, or the use of certain medications.
8. Pain management issues: Inadequate pain control can lead to increased stress, anxiety, and decreased mobility.
9. Nausea and vomiting: These can be caused by anesthesia, opioid pain medication, or other factors.
10. Delirium: This is a state of confusion and disorientation that can occur in the elderly or those with certain medical conditions.

Prompt identification and management of these complications are crucial to ensure the best possible outcome for the patient.

Adrenergic alpha-2 receptor agonists are a class of medications that bind to and activate adrenergic alpha-2 receptors, which are found in the nervous system and other tissues. These receptors play a role in regulating various bodily functions, including blood pressure, heart rate, and release of certain hormones.

When adrenergic alpha-2 receptor agonists bind to these receptors, they can cause a variety of effects, such as:

* Vasoconstriction (narrowing of blood vessels), which can increase blood pressure
* Decreased heart rate and force of heart contractions
* Suppression of the release of norepinephrine (a hormone and neurotransmitter involved in the "fight or flight" response) from nerve endings
* Analgesia (pain relief)

Adrenergic alpha-2 receptor agonists are used in a variety of medical conditions, including:

* High blood pressure
* Glaucoma (to reduce pressure in the eye)
* Anesthesia (to help prevent excessive bleeding and to provide sedation)
* Opioid withdrawal symptoms (to help manage symptoms such as anxiety, agitation, and muscle aches)

Examples of adrenergic alpha-2 receptor agonists include clonidine, brimonidine, and dexmedetomidine.

Nausea is a subjective, unpleasant sensation of discomfort in the stomach and upper gastrointestinal tract that may precede vomiting. It's often described as a feeling of queasiness or the need to vomit. Nausea can be caused by various factors, including motion sickness, pregnancy, gastrointestinal disorders, infections, certain medications, and emotional stress. While nausea is not a disease itself, it can be a symptom of an underlying medical condition that requires attention and treatment.

Arthroscopy is a minimally invasive surgical procedure where an orthopedic surgeon uses an arthroscope (a thin tube with a light and camera on the end) to diagnose and treat problems inside a joint. The surgeon makes a small incision, inserts the arthroscope into the joint, and then uses the attached camera to view the inside of the joint on a monitor. They can then insert other small instruments through additional incisions to repair or remove damaged tissue.

Arthroscopy is most commonly used for joints such as the knee, shoulder, hip, ankle, and wrist. It offers several advantages over traditional open surgery, including smaller incisions, less pain and bleeding, faster recovery time, and reduced risk of infection. The procedure can be used to diagnose and treat a wide range of conditions, including torn ligaments or cartilage, inflamed synovial tissue, loose bone or cartilage fragments, and joint damage caused by arthritis.

Cyclohexanecarboxylic acids are a type of organic compound that consists of a cyclohexane ring, which is a six-carbon saturated hydrocarbon, substituted with a carboxylic acid group (-COOH). This group contains a carbon atom double bonded to an oxygen atom and single bonded to a hydroxyl group (-OH).

The cyclohexane ring can be in various forms, including the chair, boat, or twist-boat conformations, depending on the orientation of its constituent atoms. The carboxylic acid group can ionize to form a carboxylate anion, which is negatively charged and has a deprotonated hydroxyl group.

Cyclohexanecarboxylic acids have various applications in industry and research, including as intermediates in the synthesis of other chemicals, solvents, and pharmaceuticals. They can also be found naturally in some plants and microorganisms.

A single-blind method in medical research is a study design where the participants are unaware of the group or intervention they have been assigned to, but the researchers conducting the study know which participant belongs to which group. This is done to prevent bias from the participants' expectations or knowledge of their assignment, while still allowing the researchers to control the study conditions and collect data.

In a single-blind trial, the participants do not know whether they are receiving the active treatment or a placebo (a sham treatment that looks like the real thing but has no therapeutic effect), whereas the researcher knows which participant is receiving which intervention. This design helps to ensure that the participants' responses and outcomes are not influenced by their knowledge of the treatment assignment, while still allowing the researchers to assess the effectiveness or safety of the intervention being studied.

Single-blind methods are commonly used in clinical trials and other medical research studies where it is important to minimize bias and control for confounding variables that could affect the study results.

Inguinal hernia, also known as an inguinal rupture or groin hernia, is a protrusion of abdominal-cavity contents through the inguinal canal. The inguinal canal is a passage in the lower abdominal wall that carries the spermatic cord in males and a round ligament in females. Inguinal hernias are more common in men than women.

There are two types of inguinal hernias: direct and indirect. Direct inguinal hernias occur when the abdominal lining and/or fat push through a weakened area in the lower abdominal wall, while indirect inguinal hernias result from a congenital condition where the abdominal lining and/or fat protrude through the internal inguinal ring, a normal opening in the abdominal wall.

Inguinal hernias can cause discomfort or pain, especially during physical activities, coughing, sneezing, or straining. In some cases, incarceration or strangulation of the hernia may occur, leading to serious complications such as bowel obstruction or tissue necrosis, which require immediate medical attention.

Surgical repair is the standard treatment for inguinal hernias, and it can be performed through open or laparoscopic techniques. The goal of surgery is to return the protruding tissues to their proper position and strengthen the weakened abdominal wall with sutures or mesh reinforcement.

Transcutaneous Electrical Nerve Stimulation (TENS) is a non-invasive method of pain relief that involves the use of low-voltage electrical currents. A TENS device, which is usually small and portable, delivers these currents through electrodes that are placed on the skin near the site of pain. The electrical impulses stimulate nerve fibers, which can help to block the transmission of pain signals to the brain, thereby reducing the perception of pain.

TENS is thought to work through a number of different mechanisms, including the gate control theory of pain and the release of endorphins, which are natural painkillers produced by the body. It is generally considered safe, with few side effects, and can be used in conjunction with other forms of pain management.

TENS is often used to treat chronic pain conditions such as arthritis, fibromyalgia, and lower back pain, as well as acute pain from injuries or surgery. However, its effectiveness varies from person to person, and it may not work for everyone. It is important to consult with a healthcare provider before using TENS, particularly if you have any underlying medical conditions or are taking medication that could interact with the electrical currents.

Subcutaneous injection is a route of administration where a medication or vaccine is delivered into the subcutaneous tissue, which lies between the skin and the muscle. This layer contains small blood vessels, nerves, and connective tissues that help to absorb the medication slowly and steadily over a period of time. Subcutaneous injections are typically administered using a short needle, at an angle of 45-90 degrees, and the dose is injected slowly to minimize discomfort and ensure proper absorption. Common sites for subcutaneous injections include the abdomen, thigh, or upper arm. Examples of medications that may be given via subcutaneous injection include insulin, heparin, and some vaccines.

Vomiting is defined in medical terms as the forceful expulsion of stomach contents through the mouth. It is a violent, involuntary act that is usually accompanied by strong contractions of the abdominal muscles and retching. The body's vomiting reflex is typically triggered when the brain receives signals from the digestive system that something is amiss.

There are many potential causes of vomiting, including gastrointestinal infections, food poisoning, motion sickness, pregnancy, alcohol consumption, and certain medications or medical conditions. In some cases, vomiting can be a symptom of a more serious underlying condition, such as a brain injury, concussion, or chemical imbalance in the body.

Vomiting is generally not considered a serious medical emergency on its own, but it can lead to dehydration and other complications if left untreated. If vomiting persists for an extended period of time, or if it is accompanied by other concerning symptoms such as severe abdominal pain, fever, or difficulty breathing, it is important to seek medical attention promptly.

Antiemetics are a class of medications that are used to prevent and treat nausea and vomiting. They work by blocking or reducing the activity of dopamine, serotonin, and other neurotransmitters in the brain that can trigger these symptoms. Antiemetics can be prescribed for a variety of conditions, including motion sickness, chemotherapy-induced nausea and vomiting, postoperative nausea and vomiting, and pregnancy-related morning sickness. Some common examples of antiemetic medications include ondansetron (Zofran), promethazine (Phenergan), and metoclopramide (Reglan).

Combination drug therapy is a treatment approach that involves the use of multiple medications with different mechanisms of action to achieve better therapeutic outcomes. This approach is often used in the management of complex medical conditions such as cancer, HIV/AIDS, and cardiovascular diseases. The goal of combination drug therapy is to improve efficacy, reduce the risk of drug resistance, decrease the likelihood of adverse effects, and enhance the overall quality of life for patients.

In combining drugs, healthcare providers aim to target various pathways involved in the disease process, which may help to:

1. Increase the effectiveness of treatment by attacking the disease from multiple angles.
2. Decrease the dosage of individual medications, reducing the risk and severity of side effects.
3. Slow down or prevent the development of drug resistance, a common problem in chronic diseases like HIV/AIDS and cancer.
4. Improve patient compliance by simplifying dosing schedules and reducing pill burden.

Examples of combination drug therapy include:

1. Antiretroviral therapy (ART) for HIV treatment, which typically involves three or more drugs from different classes to suppress viral replication and prevent the development of drug resistance.
2. Chemotherapy regimens for cancer treatment, where multiple cytotoxic agents are used to target various stages of the cell cycle and reduce the likelihood of tumor cells developing resistance.
3. Cardiovascular disease management, which may involve combining medications such as angiotensin-converting enzyme (ACE) inhibitors, beta-blockers, diuretics, and statins to control blood pressure, heart rate, fluid balance, and cholesterol levels.
4. Treatment of tuberculosis, which often involves a combination of several antibiotics to target different aspects of the bacterial life cycle and prevent the development of drug-resistant strains.

When prescribing combination drug therapy, healthcare providers must carefully consider factors such as potential drug interactions, dosing schedules, adverse effects, and contraindications to ensure safe and effective treatment. Regular monitoring of patients is essential to assess treatment response, manage side effects, and adjust the treatment plan as needed.

Morphine dependence is a medical condition characterized by a physical and psychological dependency on morphine, a potent opioid analgesic. This dependence develops as a result of repeated use or abuse of morphine, leading to changes in the brain's reward and pleasure pathways. The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) outlines the following criteria for diagnosing opioid dependence, which includes morphine:

A. A problematic pattern of opioid use leading to clinically significant impairment or distress, as manifested by at least two of the following, occurring within a 12-month period:

1. Opioids are often taken in larger amounts or over a longer period than was intended.
2. There is a persistent desire or unsuccessful efforts to cut down or control opioid use.
3. A great deal of time is spent in activities necessary to obtain the opioid, use the opioid, or recover from its effects.
4. Craving, or a strong desire or urge to use opioids.
5. Recurrent opioid use resulting in a failure to fulfill major role obligations at work, school, or home.
6. Continued opioid use despite having persistent or recurrent social or interpersonal problems caused or exacerbated by the effects of opioids.
7. Important social, occupational, or recreational activities are given up or reduced because of opioid use.
8. Recurrent opioid use in situations in which it is physically hazardous.
9. Continued opioid use despite knowing that a physical or psychological problem is likely to have been caused or exacerbated by opioids.
10. Tolerance, as defined by either of the following:
a. A need for markedly increased amounts of opioids to achieve intoxication or desired effect.
b. A markedly diminished effect with continued use of the same amount of an opioid.
11. Withdrawal, as manifested by either of the following:
a. The characteristic opioid withdrawal syndrome.
b. The same (or a closely related) substance is taken to relieve or avoid withdrawal symptoms.

Additionally, it's important to note that if someone has been using opioids for an extended period and suddenly stops taking them, they may experience withdrawal symptoms. These can include:

- Anxiety
- Muscle aches
- Insomnia
- Runny nose
- Sweating
- Diarrhea
- Nausea or vomiting
- Abdominal cramping
- Dilated pupils

If you or someone you know is struggling with opioid use, it's essential to seek professional help. There are many resources available, including inpatient and outpatient treatment programs, support groups, and medications that can help manage withdrawal symptoms and cravings.

In medical terms, parity refers to the number of times a woman has given birth to a viable fetus, usually defined as a pregnancy that reaches at least 20 weeks' gestation. It is often used in obstetrics and gynecology to describe a woman's childbearing history and to assess potential risks associated with childbirth.

Parity is typically categorized as follows:

* Nulliparous: A woman who has never given birth to a viable fetus.
* Primiparous: A woman who has given birth to one viable fetus.
* Multiparous: A woman who has given birth to more than one viable fetus.

In some cases, parity may also consider the number of pregnancies that resulted in stillbirths or miscarriages, although this is not always the case. It's important to note that parity does not necessarily reflect the total number of pregnancies a woman has had, only those that resulted in viable births.

Catheterization is a medical procedure in which a catheter (a flexible tube) is inserted into the body to treat various medical conditions or for diagnostic purposes. The specific definition can vary depending on the area of medicine and the particular procedure being discussed. Here are some common types of catheterization:

1. Urinary catheterization: This involves inserting a catheter through the urethra into the bladder to drain urine. It is often performed to manage urinary retention, monitor urine output in critically ill patients, or assist with surgical procedures.
2. Cardiac catheterization: A procedure where a catheter is inserted into a blood vessel, usually in the groin or arm, and guided to the heart. This allows for various diagnostic tests and treatments, such as measuring pressures within the heart chambers, assessing blood flow, or performing angioplasty and stenting of narrowed coronary arteries.
3. Central venous catheterization: A catheter is inserted into a large vein, typically in the neck, chest, or groin, to administer medications, fluids, or nutrition, or to monitor central venous pressure.
4. Peritoneal dialysis catheterization: A catheter is placed into the abdominal cavity for individuals undergoing peritoneal dialysis, a type of kidney replacement therapy.
5. Neurological catheterization: In some cases, a catheter may be inserted into the cerebrospinal fluid space (lumbar puncture) or the brain's ventricular system (ventriculostomy) to diagnose or treat various neurological conditions.

These are just a few examples of catheterization procedures in medicine. The specific definition and purpose will depend on the medical context and the particular organ or body system involved.

The sciatic nerve is the largest and longest nerve in the human body, running from the lower back through the buttocks and down the legs to the feet. It is formed by the union of the ventral rami (branches) of the L4 to S3 spinal nerves. The sciatic nerve provides motor and sensory innervation to various muscles and skin areas in the lower limbs, including the hamstrings, calf muscles, and the sole of the foot. Sciatic nerve disorders or injuries can result in symptoms such as pain, numbness, tingling, or weakness in the lower back, hips, legs, and feet, known as sciatica.

Epinephrine, also known as adrenaline, is a hormone and a neurotransmitter that is produced in the body. It is released by the adrenal glands in response to stress or excitement, and it prepares the body for the "fight or flight" response. Epinephrine works by binding to specific receptors in the body, which causes a variety of physiological effects, including increased heart rate and blood pressure, improved muscle strength and alertness, and narrowing of the blood vessels in the skin and intestines. It is also used as a medication to treat various medical conditions, such as anaphylaxis (a severe allergic reaction), cardiac arrest, and low blood pressure.

Tooth extraction is a dental procedure in which a tooth that is damaged or poses a threat to oral health is removed from its socket in the jawbone. This may be necessary due to various reasons such as severe tooth decay, gum disease, fractured teeth, crowded teeth, or for orthodontic treatment purposes. The procedure is performed by a dentist or an oral surgeon, under local anesthesia to numb the area around the tooth, ensuring minimal discomfort during the extraction process.

Ketorolac tromethamine is a non-steroidal anti-inflammatory drug (NSAID) used to treat pain and inflammation in various clinical settings. It is a salt of ketorolac, which is a racemic mixture of R-(+)- and S-(-)-enantiomers.

Ketorolac tromethamine works by inhibiting the activity of cyclooxygenase (COX) enzymes, which are responsible for the production of prostaglandins, inflammatory mediators involved in pain and inflammation. By blocking the action of COX enzymes, ketorolac tromethamine reduces the production of prostaglandins, thereby alleviating pain and inflammation.

This medication is available as an injectable solution for intravenous (IV) or intramuscular (IM) administration, as well as in oral formulations. It is commonly used for short-term management of moderate to severe pain following surgery or trauma, as well as for the treatment of acute migraines and other painful conditions.

It's important to note that ketorolac tromethamine has a boxed warning from the U.S. Food and Drug Administration (FDA) due to its potential to increase the risk of serious gastrointestinal (GI) adverse events, such as bleeding, ulcers, and perforations, particularly when used for longer than recommended or at higher doses. Additionally, it may also increase the risk of cardiovascular events, renal toxicity, and anaphylaxis in some individuals. Therefore, its use should be closely monitored and managed by healthcare professionals to minimize potential risks.

In a medical context, "hot temperature" is not a standard medical term with a specific definition. However, it is often used in relation to fever, which is a common symptom of illness. A fever is typically defined as a body temperature that is higher than normal, usually above 38°C (100.4°F) for adults and above 37.5-38°C (99.5-101.3°F) for children, depending on the source.

Therefore, when a medical professional talks about "hot temperature," they may be referring to a body temperature that is higher than normal due to fever or other causes. It's important to note that a high environmental temperature can also contribute to an elevated body temperature, so it's essential to consider both the body temperature and the environmental temperature when assessing a patient's condition.

A tonsillectomy is a surgical procedure in which the tonsils, two masses of lymphoid tissue located on both sides of the back of the throat, are removed. This procedure is typically performed to treat recurrent or severe cases of tonsillitis (inflammation of the tonsils), sleep-disordered breathing such as obstructive sleep apnea, and other conditions where the tonsils are causing problems or complications. The surgery can be done under general anesthesia, and there are various methods for removing the tonsils, including traditional scalpel excision, electrocautery, and laser surgery. After a tonsillectomy, patients may experience pain, swelling, and difficulty swallowing, but these symptoms typically improve within 1-2 weeks post-surgery.

Intraoperative care refers to the medical care and interventions provided to a patient during a surgical procedure. This care is typically administered by a team of healthcare professionals, including anesthesiologists, surgeons, nurses, and other specialists as needed. The goal of intraoperative care is to maintain the patient's physiological stability throughout the surgery, minimize complications, and ensure the best possible outcome.

Intraoperative care may include:

1. Anesthesia management: Administering and monitoring anesthetic drugs to keep the patient unconscious and free from pain during the surgery.
2. Monitoring vital signs: Continuously tracking the patient's heart rate, blood pressure, oxygen saturation, body temperature, and other key physiological parameters to ensure they remain within normal ranges.
3. Fluid and blood product administration: Maintaining adequate intravascular volume and oxygen-carrying capacity through the infusion of fluids and blood products as needed.
4. Intraoperative imaging: Utilizing real-time imaging techniques, such as X-ray, ultrasound, or CT scans, to guide the surgical procedure and ensure accurate placement of implants or other devices.
5. Neuromonitoring: Using electrophysiological methods to monitor the functional integrity of nerves and neural structures during surgery, particularly in procedures involving the brain, spine, or peripheral nerves.
6. Intraoperative medication management: Administering various medications as needed for pain control, infection prophylaxis, or the treatment of medical conditions that may arise during the surgery.
7. Temperature management: Regulating the patient's body temperature to prevent hypothermia or hyperthermia, which can have adverse effects on surgical outcomes and overall patient health.
8. Communication and coordination: Ensuring effective communication among the members of the surgical team to optimize patient care and safety.

The intraoperative period is the phase of surgical treatment that refers to the time during which the surgery is being performed. It begins when the anesthesia is administered and the patient is prepared for the operation, and it ends when the surgery is completed, the anesthesia is discontinued, and the patient is transferred to the recovery room or intensive care unit (ICU).

During the intraoperative period, the surgical team, including surgeons, anesthesiologists, nurses, and other healthcare professionals, work together to carry out the surgical procedure safely and effectively. The anesthesiologist monitors the patient's vital signs, such as heart rate, blood pressure, oxygen saturation, and body temperature, throughout the surgery to ensure that the patient remains stable and does not experience any complications.

The surgeon performs the operation, using various surgical techniques and instruments to achieve the desired outcome. The surgical team also takes measures to prevent infection, control bleeding, and manage pain during and after the surgery.

Overall, the intraoperative period is a critical phase of surgical treatment that requires close collaboration and communication among members of the healthcare team to ensure the best possible outcomes for the patient.

Enkephalins are naturally occurring opioid peptides in the body that bind to opiate receptors and help reduce pain and produce a sense of well-being. There are two major types of enkephalins: Met-enkephalin and Leu-enkephalin, which differ by only one amino acid at position 5 (Leucine or Methionine).

Leu-enkephalin, also known as YGGFL, is a type of enkephalin that contains the amino acids Tyrosine (Y), Glycine (G), Glycine (G), Phenylalanine (F), and Leucine (L) in its sequence. It is involved in pain regulation, mood, and other physiological processes.

Leu-enkephalin is synthesized from a larger precursor protein called proenkephalin and is stored in the secretory vesicles of neurons. When released into the synaptic cleft, Leu-enkephalin can bind to opioid receptors on neighboring cells, leading to various physiological responses.

Leu-enkephalin has a shorter half-life than Met-enkephalin due to its susceptibility to enzymatic degradation by peptidases. However, it still plays an essential role in modulating pain and other functions in the body.

Alpha-2 adrenergic receptors are a type of G protein-coupled receptor that binds catecholamines, such as norepinephrine and epinephrine. These receptors are widely distributed in the central and peripheral nervous system, as well as in various organs and tissues throughout the body.

Activation of alpha-2 adrenergic receptors leads to a variety of physiological responses, including inhibition of neurotransmitter release, vasoconstriction, and reduced heart rate. These receptors play important roles in regulating blood pressure, pain perception, and various cognitive and emotional processes.

There are several subtypes of alpha-2 adrenergic receptors, including alpha-2A, alpha-2B, and alpha-2C, which may have distinct physiological functions and be targeted by different drugs. For example, certain medications used to treat hypertension or opioid withdrawal target alpha-2 adrenergic receptors to produce their therapeutic effects.

Drug synergism is a pharmacological concept that refers to the interaction between two or more drugs, where the combined effect of the drugs is greater than the sum of their individual effects. This means that when these drugs are administered together, they produce an enhanced therapeutic response compared to when they are given separately.

Drug synergism can occur through various mechanisms, such as:

1. Pharmacodynamic synergism - When two or more drugs interact with the same target site in the body and enhance each other's effects.
2. Pharmacokinetic synergism - When one drug affects the metabolism, absorption, distribution, or excretion of another drug, leading to an increased concentration of the second drug in the body and enhanced therapeutic effect.
3. Physiochemical synergism - When two drugs interact physically, such as when one drug enhances the solubility or permeability of another drug, leading to improved absorption and bioavailability.

It is important to note that while drug synergism can result in enhanced therapeutic effects, it can also increase the risk of adverse reactions and toxicity. Therefore, healthcare providers must carefully consider the potential benefits and risks when prescribing combinations of drugs with known or potential synergistic effects.

Peripheral catheterization is a medical procedure that involves the insertion of a thin, flexible tube (catheter) into a peripheral vein, which is a blood vessel located outside of the chest and abdomen. This type of catheterization is typically performed to administer medications, fluids, or nutritional support, or to monitor various physiological parameters such as central venous pressure.

Peripheral catheters are usually inserted into veins in the hands or arms, although they can also be placed in other peripheral veins. The procedure is typically performed using aseptic technique to minimize the risk of infection. Once the catheter is in place, it may be secured with a dressing or suture to prevent movement and dislodgement.

Peripheral catheterization is a relatively safe and common procedure that is routinely performed in hospitals, clinics, and other healthcare settings. However, like any medical procedure, it carries a small risk of complications such as infection, bleeding, or damage to the vein or surrounding tissues.

Analysis of Variance (ANOVA) is a statistical technique used to compare the means of two or more groups and determine whether there are any significant differences between them. It is a way to analyze the variance in a dataset to determine whether the variability between groups is greater than the variability within groups, which can indicate that the groups are significantly different from one another.

ANOVA is based on the concept of partitioning the total variance in a dataset into two components: variance due to differences between group means (also known as "between-group variance") and variance due to differences within each group (also known as "within-group variance"). By comparing these two sources of variance, ANOVA can help researchers determine whether any observed differences between groups are statistically significant, or whether they could have occurred by chance.

ANOVA is a widely used technique in many areas of research, including biology, psychology, engineering, and business. It is often used to compare the means of two or more experimental groups, such as a treatment group and a control group, to determine whether the treatment had a significant effect. ANOVA can also be used to compare the means of different populations or subgroups within a population, to identify any differences that may exist between them.

Premedication is the administration of medication before a medical procedure or surgery to prevent or manage pain, reduce anxiety, minimize side effects of anesthesia, or treat existing medical conditions. The goal of premedication is to improve the safety and outcomes of the medical procedure by preparing the patient's body in advance. Common examples of premedication include administering antibiotics before surgery to prevent infection, giving sedatives to help patients relax before a procedure, or providing medication to control acid reflux during surgery.

Reaction time, in the context of medicine and physiology, refers to the time period between the presentation of a stimulus and the subsequent initiation of a response. This complex process involves the central nervous system, particularly the brain, which perceives the stimulus, processes it, and then sends signals to the appropriate muscles or glands to react.

There are different types of reaction times, including simple reaction time (responding to a single, expected stimulus) and choice reaction time (choosing an appropriate response from multiple possibilities). These measures can be used in clinical settings to assess various aspects of neurological function, such as cognitive processing speed, motor control, and alertness.

However, it is important to note that reaction times can be influenced by several factors, including age, fatigue, attention, and the use of certain medications or substances.

Patient-controlled epidural analgesia (PCEA) is a related term describing the patient-controlled administration of analgesic ... Patient-controlled analgesia (PCA) is any method of allowing a person in pain to administer their own pain relief. The infusion ... Patient Controlled Intranasal Analgesia (PCINA or Nasal PCA) refers to PCA devices in a Nasal spray form with inbuilt features ... Advantages of patient-controlled analgesia include self-delivery of pain medication, faster alleviation of pain because the ...
Simopoulos TT, Smith HS, Peeters-Asdourian C, Stevens DS (January 2002). "Use of meperidine in patient-controlled analgesia and ... Stone PA, Macintyre PE, Jarvis DA (November 1993). "Norpethidine toxicity and patient controlled analgesia". British Journal of ... McHugh GJ (June 1999). "Norpethidine accumulation and generalized seizure during pethidine patient-controlled analgesia". ... "Conversion Factors for Controlled Substances". Diversion Control Division. Drug Enforcement Administration (DEA), U.S. ...
Servin FS (2017). "TCI in Special Patients Groups: The Elderly and Obese". Total Intravenous Anesthesia and Target Controlled ... Anesthesia and Analgesia. 122 (1): 70-78. doi:10.1213/ane.0000000000001009. PMID 26516798. S2CID 41023659. Struys MM, De Smet T ... This may lead to difficult postoperative pain control, as patients with hyperalgesia experience increased chronic pain and ... The use of dosing models derived from non-obese patients is therefore unsuitable for obese patients. Even within the obese ...
... inventor of patient-controlled analgesia Abraham Sinkov - mathematician; NSA (National Security Agency) cryptology pioneer ... American arms control expert Guillermo Linares 1975 - first Dominican-American New York City Council member Colin Powell - ...
... inventor of patient-controlled analgesia Joshua Lederberg (1940) - genetics; 1957 United States National Academy of Sciences, ...
... inventor of patient-controlled analgesia (PCA) Abraham Sinkov - mathematician; National Security Agency cryptology pioneer ... American arms control expert Felix A. Levy 1904 - rabbi Albert L. Lewis - conservative rabbi, president of international ...
It is often used in Patient Controlled Analgesia units. Dihydromorphine and morphine are also used alongside each other in ... Under the Controlled Substances Act, dihydromorphine is listed as a Schedule I substance along with heroin. In the United ... 216 Costantino CM, Gomes I, Stockton SD, Lim MP, Devi LA (2012). "Opioid receptor heteromers in analgesia". Expert Rev Mol Med ... Single Convention on Narcotic Drugs, 1961 - Page 40 of 44 Controlled Substances (in alphabetical order) Archived 2016-04-17 at ...
"A multidimensional comparison of morphine and hydromorphone patient-controlled analgesia". Anesthesia and Analgesia. 82 (5): ... Patients with compromised kidney function and older patients are at higher risk for metabolite accumulation. With a formula of ... Patients who stop taking this drug abruptly may experience withdrawal symptoms, which may start within hours of taking the last ... Clonidine is a non-opioid adjunct which may be used in situations where opioid use is not desired, such as in patients with ...
For more severe crises, most patients require inpatient management for intravenous opioids; patient-controlled analgesia ... If not treated, patients may die within 1-2 hours due to circulatory failure. Management is supportive, sometimes with blood ... Most patients can be managed supportively; some need a blood transfusion. Haemolytic crises are acute accelerated drops in ... Patients benefit today from routine vaccination for S. pneumoniae. Stroke, which can result from a progressive narrowing of ...
It is common in cancer patients who often have background pain that is generally well-controlled by medications, but who also ... Cancer Control. 8 (1): 15-24. doi:10.1177/107327480100800103. PMID 11176032. Selbst SM, Fein JA (2006). "Sedation and analgesia ... Experimental subjects challenged by acute pain and patients in chronic pain experience impairments in attention control, ... Such patients report that they have pain but are not bothered by it; they recognize the sensation of pain but suffer little, or ...
"Acute dystonia by droperidol during intravenous patient-controlled analgesia in young patients". Journal of Korean Medical ... 784 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control] (in Brazilian Portuguese). Diário ... Anesthesia and Analgesia. 88 (6): 1370-1379. doi:10.1213/00000539-199906000-00032. PMID 10357347. Kao LW, Kirk MA, Evers SJ, ... Anesthesia and Analgesia. 79 (5): 983-986. doi:10.1213/00000539-199411000-00028. PMID 7978420. Calver L, Page CB, Downes MA, ...
"Patient controlled opioid analgesia versus non-patient controlled opioid analgesia for postoperative pain". The Cochrane ... or by the patient using patient-controlled analgesia (PCA). PCA has been shown to provide slightly better pain control and ... in-patient/out-patient) and the individual.: 2757 Pain management is classified into either pre-emptive or on-demand. On-demand ... For instance, an operation on a person who is between the ages of 60-79 years old places the patient at 2.3 times greater risk ...
It is commonly used in patient-controlled analgesia (PCA) units. The usual starting dose is 5-10 mg given every 3-5 hours. ... Nicomorphine is regulated in much the same fashion as morphine worldwide but is a Schedule I controlled substance in the United ... Koopman-Kimenai PM, Vree TB, Booij LH, Dirksen R (December 1994). "Rectal administration of nicomorphine in patients improves ... 784 - Lists of Narcotic, Psychotropic, Precursor, and Other Substances under Special Control] (in Brazilian Portuguese). Diário ...
He was the inventor of patient-controlled analgesia (PCA), now commonly used post-operatively. Sechzer graduated from New ...
"Comparison of analgesic efficacy of oxycodone and morphine in postoperative intravenous patient-controlled analgesia". Acta ... Patients with chronic (rather than acute) pain may respond to analgesia differently. Repeated administration of a medication is ... Some patients request to be switched to a different narcotic due to stigma associated with a particular drug (e.g. a patient ... Patient variables such as sex, age, and organ function may also influence the effect of the drug on the system. These variables ...
... double-blind randomised crossover study with patient-controlled analgesia". The Lancet. 339 (8806): 1367-1371. doi:10.1016/0140 ... Randomized Controlled Trials: A User's Guide. London: BMJ Publishing Group, 1998 Jadad AR, Enkin MW. Randomized Controlled ... The neurosurgical patient: anesthetic and intensive care: Copilito Press, 1989 [Original title in Spanish: El paciente ... During this time, he also led the development of virtual clinical tools to transform the encounter between patients and health ...
For children, intravenous patient-controlled analgesia (IV-PCA) can be used when parenteral administration is preferred. IV-PCA ... It is not clear from clinical trials if it is more effective to provide pain control around the clock or provide pain relief as ... It is recommended to use the lowest dose and shortest duration possible to control pain. NSAIDs are not approved for infants ... Treatment such as surgery and injections can also lead to significant pain for the patient. If untreated, the pain can suppress ...
The infusion of local anesthetic can be programmed to be a continuous flow or patient-controlled analgesia. In some cases, ... Combined Selective Nerve Blockade and Local Infiltration Analgesia in a Total Shoulder Arthroplasty Patient With Chronic Pain ... They described their technique with the patient in the sitting position or in the supine position with a pillow between the ... However it may be associated with a shorter performance time and less procedure-related pain for the patient. The axillary ...
"Nimodipine-enhanced opiate analgesia in cancer patients requiring morphine dose escalation: a double-blind, placebo-controlled ... A] number of studies, however, have also reported inadequate pain control in 40%-70% of patients, resulting in the emergence of ... Santillán R, Maestre JM, Hurlé MA, Flórez J (July 1994). "Enhancement of opiate analgesia by nimodipine in cancer patients ... to be prescribed only as a last resort for dying patients. The Controlled Substances Act of 1970 eventually relaxed the ...
This course covers hand hygiene, wound care, CPR, health checkup, CADD pump and Patient-controlled analgesia (PCA). The series ...
Alon's fields of research and investigation are obstetric anesthesia, patient-controlled analgesia, regional anesthesia, and ...
... and the Laryngeal Tube Airway in Paralyzed Anesthetized Adult Patients Undergoing Pressure-Controlled Ventilation". Anesthesia ... Anesthesia and Analgesia. 95 (4): 1094-7, table of contents. doi:10.1097/00000539-200210000-00057. PMID 12351302. Wrobel, M; ... Asai, T.; Shingu, K.; Cook, T. (1 August 2003). "Use of the laryngeal tube in 100 patients". Acta Anaesthesiologica ... during anaesthesia with controlled ventilation". British Journal of Anaesthesia. 91 (5): 678-683. doi:10.1093/bja/aeg239. PMID ...
VATS lobectomy does not compromise patient safety or the oncological efficacy. Thoracic epidural analgesia or paravertebral ... however paravertebral blockade was as effective as thoracic epidural blockade in controlling acute pain. Transcutaneous ... Patient has to be placed in a lateral decubitus position for this approach. All pressure points should be padded. A pillow ... These tubes are used to drain air and fluid until the patient heals enough to take them out (usually a few days). Complications ...
"Epidural analgesia versus intravenous patient-controlled analgesia following minimally invasive pectus excavatum repair: a ... Patients who receive a diagnosis of cardiac disease are more apt to have acute pain. This pain often awakes them from sleep or ... Trauma can also be a cause for chest pain and has been found to be associated with the pain in 5% of the patients. Children can ... A small study in Turkey evaluated patients and found that 59% complained of pain that they had had for more than one month in ...
... known as the inventor of patient-controlled analgesia. Bernard Slicher van Bath, 94, Dutch social historian. Shobha Gurtu, 79, ...
"The safety and efficacy of a fentanyl patient-controlled transdermal system for acute postoperative analgesia: a multicenter, ... A fentanyl patient-controlled transdermal system (PCTS) is under development, which aims to allow patients to control ... Fentanyl is commonly used for analgesia and as a component of balanced sedation and general anesthesia in small animal patients ... Mayes S, Ferrone M (December 2006). "Fentanyl HCl patient-controlled iontophoretic transdermal system for the management of ...
And Placebo-controlled Study in Hemorrhoidectomy Patients". The Clinical Journal of Pain. 33 (5): 429-434. doi:10.1097/AJP. ... May 2017). "Sebacoyl Dinalbuphine Ester Extended-release Injection for Long-acting Analgesia: A Multicenter, Randomized, Double ... the Drug Control Authority of Malaysia in 2022, and State Service of Ukraine on Medicines and Drugs Control in 2023. ... Narver HL (March 2015). "Nalbuphine, a non-controlled opioid analgesic, and its potential use in research mice". Lab Animal. 44 ...
She studied the impact of cannabis plant extract during surgery, leading a placebo-controlled study with patients suffering ... The group presented a report documenting sex and gender differences in pain and analgesia. In the 1990s Holdcroft became ... She went on to investigate cannabis as a pain management strategy for patients with HIV Holdcroft was the first researcher to ... Principles and practice of obstetric anaesthesia and analgesia Core Topics in Pain 2005 Sex and Gender Differences in Pain ...
Remifentanil for labour analgesia: a meta-analysis of randomised controlled trials. Eur J Anaesthesiol. 2012 Apr;29(4):177-85. ... Comparison of surgical site and patient's history with a simplified score for the prediction of postoperative nausea and ... Obstetric analgesia in German clinics. Remifentanil as alternative to regional analgesia. Der Anaesthesist. 2011 Nov; 60(11): ... A quantitative systematic review of randomized controlled trials. Anesthesia and Analgesia 2004; 99: 718-727 P. Kranke, A. M. ...
... in a manner that foreshadowed the patient-controlled analgesia infusion pumps of today. The Analgizer inhaler was withdrawn in ... All vital signs remain normal in obstetric patients, newborns, and injured patients. The Analgizer was widely utilized for ... it was easy for patients to self-administer the drug and rapidly achieve a level of conscious analgesia which could be ... and for dressing changes on burn patients. When used for labor analgesia, the Analgizer allows labor to progress normally and ...
Patient-controlled epidural analgesia (PCEA) is a related term describing the patient-controlled administration of analgesic ... Patient-controlled analgesia (PCA) is any method of allowing a person in pain to administer their own pain relief. The infusion ... Patient Controlled Intranasal Analgesia (PCINA or Nasal PCA) refers to PCA devices in a Nasal spray form with inbuilt features ... Advantages of patient-controlled analgesia include self-delivery of pain medication, faster alleviation of pain because the ...
Abstract: Over the past two decades, numerous trials have assessed the safety and efficacy of patient-controlled analgesia (PCA ... The limitations of the literature involving PCA therapy in cancer patients make it difficult to identify optimal patient ... The majority of these trials have been conducted in the postoperative patient population. In the mid to late 1980s, interest ... superior patient satisfaction, decreased sedation and anxiety, faster return to normal functional status, and reduction in ...
They are used to permit the patient to self-administer doses of narcotics. ... Patient Controlled Analgesia (PCA) pumps were developed to address undermedication. ... A PCEA (patient controlled epidural analgesia) pump delivers pain medication into the patients epidural space. Dilaudid, ... Patient Controlled Analgesia (PCA) pumps were developed to address the problem of undermedication. They are used to permit the ...
This study examined the relationship between the use of fentanyl-based intravenous patient-controlled analgesia (ivPCA) and the ... Relationship between the Use of Fentanyl-Based Intravenous Patient-Controlled Analgesia and Clinically Significant Events in ... Relationship between the Use of Fentanyl-Based Intravenous Patient-Controlled Analgesia and Clinically Significant Events in ... Relationship between the Use of Fentanyl-Based Intravenous Patient-Controlled Analgesia and Clinically Significant Events in ...
Patient Controlled Analgesia - Patient Information - FM.820.P273 * Patient Controlled Analgesia (Chinese Traditional) - FM.820. ... Information about Patient Controlled Analgesia. Format. Booklet. Topic. Medications. Subject. Pain Management. Pain Control. ... Patient Controlled Analgesia - Patient Information https://vch.eduhealth.ca/en/permalink/phem420 ... pain control. pumps. pain medicine. intravenous. sleepiness. Surgeries. spinal cord. opiate. anesthetic. catheter. Reading ...
This study aimed to evaluate the antiemetic benefits and sedation effects of droperidol in morphine-based IV-PCA.Patients who ... There are limited real-world data regarding the use of droperidol for antiemetic prophylaxis in intravenous patient-controlled ... Antiemetic prophylaxis with droperidol in morphine-based intravenous patient-controlled analgesia: a propensity score matched ... There are limited real-world data regarding the use of droperidol for antiemetic prophylaxis in intravenous patient-controlled ...
... levobupivacain and intravenous patient controlled analgesia (PCA) with morphine on postoperative pain assessed by a visual- ... complication of analgesia and duration of hospital stay. We analyzed 71 patients with an ASA score of II or III. The patients ... Femoral analgesia leads to a stronger pain relief with less side effects, less morphine use and more patient satisfaction than ... duration of hospital stay and satisfaction with analgesia (although there were more satisfied patients in the FA group). ...
McNicol ED, Ferguson MC, Hudcova J. Patient controlled opioid analgesia versus non-patient controlled opioid analgesia for ... Patient-controlled analgesia (PCA) is an electronically controlled infusion pump that delivers a programmed amount of analgesia ... nurse-administered analgesia) or frequent small doses (patient-controlled analgesia, PCA). Shaded area represents the target ... Nurse/Caregiver Controlled Analgesia (NCA)5, 6. *In patients who are too young or not developmentally appropriate to operate a ...
Patient-controlled Analgesia. HC Deb 29 October 1999 vol 336 cc1027-8W. 1028W § Mrs. Lait. To ask the Secretary of State for ... Patient controlled analgesia administrated intravenously is a safe and effective method of delivering pain relief which is ... 2) how many NHS hospitals or trusts have introduced patient-controlled analgesia (a) intravenously and (b) orally. [95081] ... what progress is being made in introducing patient-controlled analgesia(a) intravenously and (b) orally in NHS hospitals; [ ...
Analgesia, Epidural* / methods * Analgesia, Patient-Controlled * Analgesics, Opioid / administration & dosage * Analgesics, ... Thoracic epidural analgesia and acute pain management Anesthesiology. 2011 Jul;115(1):181-8. doi: 10.1097/ALN.0b013e318220847c ...
Patient Controlled Analgesia (PCA). Canadas first supervised consumption site celebrates 20 years of saving lives. ... More flexibility to treat and assess patients at the Leon Judah Blackmore Centre for Sleep Disorders at UBC Hospital. ... A safe space for patients seeking emergency mental health and substance use treatment opens at Lions Gate Hospital. ... Richmond patients see improved access to nuclear imaging thanks to new gamma camera. ...
Patient Controlled Analgesia (PCA). Canadas first supervised consumption site celebrates 20 years of saving lives. ... Enhancing patient care: Introducing state-of-the-art anesthesia workstations at Lions Gate Hospital. ... More flexibility to treat and assess patients at the Leon Judah Blackmore Centre for Sleep Disorders at UBC Hospital. ... A safe space for patients seeking emergency mental health and substance use treatment opens at Lions Gate Hospital. ...
Remifentanil by patient controlled analgesia compared with epidural analgesia for pain relief in labour: 120. ... Remifentanil by patient controlled analgesia compared with epidural analgesia for pain relief in labour: 120. ...
Patient-Controlled Analgesia. The AAP notes that patient-controlled analgesia (PCA) is the safest technique for administering ... Managing pain in the pediatric patient population generally includes reducing, controlling, and preventing pain episodes while ... notes that examples of barriers to providing adequate pain control to pediatric patients include challenges in accurately ... it may be challenging to assess and manage pain in pediatric patients-especially in very young patients-since they are unable ...
Patient-Controlled Analgesia. For more than two decades, patient-controlled analgesia (PCA) has been used clinically in ... Patient-controlled analgesia: an appropriate method of pain control in children. Paediatr Drugs. 2001;3:273-284.. 26. ... Postoperative patient-controlled analgesia in the pediatric population: a literature review. AANA J. 2010;78:374-378.. 28. ... This suggests that these patients are still receiving inadequate analgesia. Barriers include misconceptions about pain ...
The patient administers a dose of narcotic when the need for pain relief arises. A lockout interval device automatically ... dose of a narcotic analgesic for reduction of pain whenever a patient pushes a switch on an electric cord. The device consists ... inactivates the system if the patient tries to increase the amount of narcotic within a preset time period. ... How is patient-controlled analgesia (PCA) administered? This is a drug delivery system that dispenses a preset intravenous (IV ...
Withholding Urinary Catheters in Children Receiving Patient-Controlled Analgesia for Appendicitis. J Surg Res. 2019 01; 233:100 ...
... ... This study evaluated the safety and efficacy of postoperative continuous patient controlled epidural analgesia (PCEA) in ... Patients were randomly divided into two groups according to postoperative pain relief regimen; the control group received an ... A limited number of studies have been conducted on postoperative epidural analgesia in pediatric patients. There have been ...
Reply to "Patient value of patient-controlled analgesia". Ying Hsuan Tai, Hsiang Ling Wu, Shih Pin Lin, Mei Yung Tsou, Kuang Yi ... Reply to "Patient value of patient-controlled analgesia". / Tai, Ying Hsuan; Wu, Hsiang Ling; Lin, Shih Pin 等. 於: Journal of ... Reply to "Patient value of patient-controlled analgesia". 於: Journal of the Chinese Medical Association : JCMA. 2020 ; 卷 83, 編號 ... Tai, Y. H., Wu, H. L., Lin, S. P., Tsou, M. Y., & Chang, K. Y. (2020). Reply to "Patient value of patient-controlled analgesia" ...
... that is controlled by the patient. Patient-controlled analgesia has several advantages over more traditional dosing regimens. ... "Patient-Controlled Analgesia." Pharmacology in Rehabilitation, 5e Ciccone CD, Bednarek ML, Miller KL. Ciccone C.D., & Bednarek ... Patient-Controlled Analgesia. In: Ciccone CD, Bednarek ML, Miller KL. Ciccone C.D., & Bednarek M.L., & Miller K.L.(Eds.),Eds. ... Patient-controlled analgesia. Ciccone CD, Bednarek ML, Miller KL. Ciccone C.D., & Bednarek M.L., & Miller K.L.(Eds.),Eds. ...
... patient monitoring, pain management, pathophysiology, and many other timely topics. Backed by internationally-known authorities ... Analgesia; Ambulatory Anesthesia; Anesthetic Pharmacology; Cardiovascular Anesthesia; Critical Care and Trauma; Economics, ... who serve on the Editorial Board and as Section Editors, Anesthesia &Analgesia is your gateway to everything that is happening ... Analgesia for its original and significant contributions to the anesthesiology field. Each monthly issue features peer-reviewed ...
... controlled intravenous analgesia for pain following intra‐abdominal surgery in adults answers are found in the Cochrane ... Epidural analgesia versus patientcontrolled intravenous analgesia for pain following intra‐abdominal surgery in adults. In ... "Epidural Analgesia Versus Patientcontrolled Intravenous Analgesia for Pain Following Intra‐abdominal Surgery in Adults." ... Epidural analgesia versus patientcontrolled intravenous analgesia for pain following intra‐abdominal surgery in adults. ...
How To Properly Clean A Patient-Controlled Analgesia Pump. #Label4 a,#Label4 .slider-item .meta-item .fa,#Label4 .color {color ...
How To Properly Clean A Patient-Controlled Analgesia Pump. #Label4 a,#Label4 .slider-item .meta-item .fa,#Label4 .color {color ... What you basically do is enter a marked box on the floor, and then start moving your arms to control the tank to shoot the ...
Patient-controlled analgesia (PCA): Children who are four to six years old may be able to use PCA with the help of a parent or ... Epidural analgesia: Epidural analgesia can be performed around major surgeries such as abdominal, lower extremity or spinal ... The dose of medicine will likely be smaller for children than for the average adult because it is based on the patients weight ... These medications can increase the availability of the bodys signals for well-being and relaxation, enabling pain control for ...
... patient input into her care, and dwindling healthcare dollars. ... patient-controlled analgesia (PCA), or other modalities for ... For asthma, patients should be wheeze-free at the time of surgery. Patients with suboptimal control of asthma should have their ... Patients on PCA have decreased overall narcotic use and have improved pain control. The addition of an intramuscular or oral ... Three retrospective case-control studies evaluating the risk of hospital admission for DVT in patients receiving HRT have been ...
... patient-controlled epidural analgesia is non-inferior to programmed intermittent epidural bolus if equal volumes of patient- ... In a recent study, we compared this with patient-controlled epidural analgesia without a background infusion and found that a ... The trial was considered positive if two endpoints were met non-inferiority of patient-controlled epidural analgesia with ... High-volume patient-controlled epidural vs. programmed intermittent epidural bolus for labour analgesia: a randomised ...
Patient-controlled epidural analgesia (PCEA). PCEA is the newest method of maintaining epidural analesgia for pain relief in ... Epidural analgesia does not make you or your baby sleepy and can be used without slowing labour - in fact, labour may become ... Epimorph: Pain control after a cesarean section. If you have a cesarean section under an epidural or spinal anaesthesia, your ... With this technique, you have full control over when you wish to give yourself the anaesthetic. Once you have given yourself a ...
Patient-controlled analgesia D. John Doyle and Kim J. Vicente. CMAJ March 06, 2001 164 (5) 620-620-a; ... Psychosocial patient selection criteria in clinical practice guidelines: An ethical basis for rationing? John B. Dossetor ... Guidelines as rationing tools: a qualitative analysis of psychosocial patient selection criteria for cardiac procedures Mita K ... Guidelines as rationing tools: a qualitative analysis of psychosocial patient selection criteria for cardiac procedures Mita K ...
Regional anesthesia; Obstetric anesthesia; Anesthesia; Patient-controlled analgesia; Pain measurement; Postoperative pain; ... Hanna MN, González-Fernández M, Barrett AD, Williams KA, Pronovost P. "Does patient perception of pain control affect patient ... Patient Ratings & Comments. The Patient Rating score is an average of all responses to physician related questions on the ... Armstrong Award, The Armstrong Institute for Patient Safety and Quality, 2012. *Award in Leadership Program for Woman Faculty, ...
  • Advances in PCA technology coupled with advances in vascular access technology that allow the placement of long-term ports and catheters to facilitate intravenous, epidural, or intrathecal administration of opioid analgesics have made the applicability of PCA in ambulatory cancer patients an attractive option. (druglibrary.org)
  • PCAs can be programmed to have a basal opioid infusion that runs continuously in the background in addition to a "button" that allows the patient to deliver a small bolus dose of an opioid. (openanesthesia.org)
  • Basal infusions increase risk of respiratory depression, since opioid will infuse continuously even if patient is already sedated or sleeping. (openanesthesia.org)
  • They should be used with caution in opioid naïve patients. (openanesthesia.org)
  • Reliable alerting methods, such as audible alarms, central stations, or pagers, should be implemented to ensure timely and appropriate clinician response to the deteriorating respiratory status of patients receiving opioid therapy. (openanesthesia.org)
  • Patient controlled analgesia administrated intravenously is a safe and effective method of delivering pain relief which is becoming the standard method of administering opioid analgesia in hospitals where major surgery takes place. (parliament.uk)
  • The basic principle behind PCA is that the patient can self-administer small doses of the drug (usually an opioid) at relatively frequent intervals to provide optimal pain relief. (mhmedical.com)
  • Evidence Central , evidence.unboundmedicine.com/evidence/view/EBMG/451590/all/Patient_controlled_intravenous_opioid_analgesia_vs__continuous_epidural_analgesia_for_pain_after_intra_abdominal_surgery. (unboundmedicine.com)
  • Patient-controlled analgesia (PCA) allows the patient to self-administer a prescribed amount of intravenous (IV) opioid-based analgesia for the management of pain (Grass 2005 ). (springeropen.com)
  • Opioid Administration for Mucositis-related-Pain Using Patient Controlled Analgesia (PCA) Method is Associated with the Development of Early Posttransplant Complications [Acta Oncol Tur. (actaoncologicaturcica.com)
  • This study was performed to evaluate the association of opioid administration using patient controlled analgesia (PCA) method with early posttranplant complications. (actaoncologicaturcica.com)
  • DISCUSSION AND CONCLUSION: Opioid administration with PCA, which was more frequently used in patients who had myeloablative conditioning and mucositis, was found to be associated with the development of early posttransplant complications. (actaoncologicaturcica.com)
  • TARTI MA ve SONU : Bu al mada, myeloablatif haz rlama rejimi uygulanan ve a r mukozit geli en hastalarda daha s k kullan lan HKA e li inde opioid uygulamas n n erken d nem nakil komplikasyonlar yla ili kili oldu u g sterildi. (actaoncologicaturcica.com)
  • These data establish a clear association between the use of multimodal analgesia and a reduction in opioid prescription and complications in a real-world practice setting," said Dr. Stavros G. Memtsoudis from Weill Cornell Medical College, in New York. (medscape.com)
  • Together with existing literature, these findings suggest that multimodal analgesia with at least 3 modalities in addition to opioids is associated with better outcomes and reduced opioid prescription need," he told Reuters Health by email. (medscape.com)
  • While our data suggest that practicing multimodal analgesia not only reduces opioid consumption but also reduces perioperative complications, we should also acknowledge that opioids do have a role to play in perioperative care," he said. (medscape.com)
  • citation needed] In a hospital setting, an intravenous PCA (IV PCA) refers to an electronically controlled infusion pump that delivers an amount of analgesic when the patient presses a button. (wikipedia.org)
  • Typically the patient receives an intravenous "loading" dose to quickly raise the blood level of the pain medication. (medleague.com)
  • Relationship between the Use of Fentanyl-Based Intravenous Patient-Controlled Analgesia and Clinically Significant Events in Laparoscopic Gynecological Surgery: A Single-Center Retrospective Cohort Study. (iasp-pain.org)
  • This study examined the relationship between the use of fentanyl-based intravenous patient-controlled analgesia (ivPCA) and the incidence of a clinically significant event (CSE), while considering both the analgesic effects and side effects in laparoscopic gynecological surgery. (iasp-pain.org)
  • Antiemetic prophylaxis with droperidol in morphine-based intravenous patient-controlled analgesia: a propensity score matched cohort study. (physiciansweekly.com)
  • Peripheral regional analgesia with femoral catheter versus intravenous patient controlled analgesia after total knee arthroplasty: a prospective randomized study. (ox.ac.uk)
  • The aim of this study is to compare the effects of femoral analgesia (FA) with 0.25% levobupivacain and intravenous patient controlled analgesia (PCA) with morphine on postoperative pain assessed by a visual-analog scale (VAS) score and their complications during the first 24 postoperative hours after the a total knee arthroplasty in a prospective randomized study. (ox.ac.uk)
  • Femoral analgesia leads to a stronger pain relief with less side effects, less morphine use and more patient satisfaction than intravenous PCA with morphine. (ox.ac.uk)
  • PCA refers to an electronically controlled infusion pump that delivers a specific amount of intravenous analgesic through tubing connected to an intravenous line when the patient presses a button. (openanesthesia.org)
  • This is a drug delivery system that dispenses a preset intravenous (IV) dose of a narcotic analgesic for reduction of pain whenever a patient pushes a switch on an electric cord. (papertrell.com)
  • Cochrane Abstracts , Evidence Central , evidence.unboundmedicine.com/evidence/view/Cochrane/432294/all/Epidural_analgesia_versus_patient���controlled_intravenous_analgesia_for_pain_following_intra���abdominal_surgery_in_adults. (unboundmedicine.com)
  • An intravenous (IV) in your arm or hand is required for patients needing an epidural or spinal procedure. (nygh.on.ca)
  • This study aimed to determine the stability of drug mixtures commonly used for intravenous patient-controlled analgesia. (springeropen.com)
  • We examined four of the most commonly used drug combinations in intravenous patient-controlled analgesia at our institution. (springeropen.com)
  • Four drug mixtures commonly used for intravenous patient-controlled analgesia are physiochemically stable and remain sterile for 96 h after mixing. (springeropen.com)
  • In this study, the investigators evaluate the effect of total intravenous anesthesia using sufentanil-remimazolam and remifentanil-remimazolam on postoperative pain in patients undergoing laparoscopic gastrectomy. (centerwatch.com)
  • The risk of respiratory depression is too great in patients who have not built up a tolerance to opioids. (medleague.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)
  • Only opioids could be used for labor analgesia in these situations, as they do not decrease systemic vascular resistance. (medscape.com)
  • Initial: To convert patients from oral or parenteral opioids to transdermal formulation, a 24-hour analgesic requirement should be calculated (based on prior opiate use). (globalrph.com)
  • Hospital length of stay was decreased by 12.1% after hip arthroplasty and by 9.3% after knee arthroplasty for patients who received more than two modes of analgesics in addition to opioids, compared with patients treated with opioids alone. (medscape.com)
  • What is the most surprising is that even in 2016 there are still hospitals that are using opioids as their primary source for perioperative analgesia. (medscape.com)
  • PCA dosing for pediatric patients. (openanesthesia.org)
  • As members of the multidisciplinary team of clinicians involved in pain management, pharmacists can be instrumental in patient care by making clinical recommendations based on guidelines to provide safe and effective pain management, improve clinical outcomes, and diminish or prevent adverse events in pediatric patients. (uspharmacist.com)
  • 2-4 According to the World Health Organization (WHO) Guidelines on the Management of Chronic Pain in Children, the management of pain in pediatric patients can be challenging and multifaceted, and there is a lack of high-quality research studies with regard to optimal treatment interventions and management approaches in this patient population. (uspharmacist.com)
  • however, it may be challenging to assess and manage pain in pediatric patients-especially in very young patients-since they are unable to verbalize/articulate their pain. (uspharmacist.com)
  • however, according to the Emergency Medicine Residents' Association, among pediatric patients, pain accounts for an estimated 78% of emergency department (ED) visits, including episodic, acute, or exacerbations of chronic pain. (uspharmacist.com)
  • 6 The IASP indicates that, globally, chronic pain affects approximately 20% to 35% of pediatric patients. (uspharmacist.com)
  • A recent publication in Practical Pain Management indicated that an estimated 33% to 82% of hospitalized pediatric patients experience moderate-to-severe pain, especially post surgery, and an estimated 20% of those patients do not obtain adequate pain relief, which may result in chronic pain. (uspharmacist.com)
  • 6 Pain in pediatric patients also occurs in those who have undergone surgery, those with neuropathic pain, and those with chronic conditions such as sickle cell disease (SCD), cancer, juvenile arthritis, fibromyalgia, and inflammatory bowel disease. (uspharmacist.com)
  • Multiple barriers to effective pain management in the pediatric patient population, especially in the hospital setting, have been documented in the literature, including difficulty evaluating pain in pediatric patients, inadequate or insufficient prescriber medication orders to meet the needs of pediatric patients, lack of time to administer analgesics before procedures, unawareness and/or underreporting of pain by parents/caregivers, and lack of knowledge about pain management for pediatric patients. (uspharmacist.com)
  • 8 The assumption that increased distractibility in children indicates a lack of pain may lead to the incorrect conclusion that pediatric patients do not perceive pain as noxious stimuli and therefore need minimal analgesia. (uspharmacist.com)
  • Effects of Postoperative Patient Controlled Epidural Analgesia in Pediatric Patients Undergoing Lower Extremity Surgery. (ekja.org)
  • A limited number of studies have been conducted on postoperative epidural analgesia in pediatric patients. (ekja.org)
  • This study shows that PCEA targeted at the surgical dermatome is a safer and more effective regimen for postoperative pain relief than conventional postoperative pain relief in pediatric patients undergoing lower extremity surgery. (ekja.org)
  • Although there are no standardized recommendations for monitoring when a patient has a PCA, the Anesthesia Patient Safety Foundation (APSF) recommends the following during PCA. (openanesthesia.org)
  • Treatment plans often warrant a multimodal approach that may include pharmacologic and nonpharmacologic measures tailored to patient needs. (uspharmacist.com)
  • Instead, "multimodal" pain control has been used, which utilizing multiple drug classes to control pain. (mhmedical.com)
  • Multimodal analgesia has frequently been recommended for enhanced recovery after surgery [ 5 ]. (springer.com)
  • Multimodal analgesia has demonstrated effectiveness in joint replacement surgery, Dr. Memtsoudis and colleagues note in Anesthesiology, online March 1. (medscape.com)
  • Dr. Jacques Chelly from the University of Pittsburgh Medical Center, who recently reviewed advances in acute pain management, including the role of multimodal pain therapy, told Reuters Health by email, "The most interesting part of this article is that it provides original evidence supporting the concept that the multimodal approach to perioperative pain management is becoming the standard of care of patients undergoing joint replacement. (medscape.com)
  • Patient-controlled epidural analgesia (PCEA) is a related term describing the patient-controlled administration of analgesic medicine in the epidural space, by way of intermittent boluses or infusion pumps. (wikipedia.org)
  • A PCEA (patient controlled epidural analgesia) pump delivers pain medication into the patient's epidural space. (medleague.com)
  • This study evaluated the safety and efficacy of postoperative continuous patient controlled epidural analgesia (PCEA) in children undergoing lower extremity surgery using a bupivacaine and fentanyl via lumbar approach. (ekja.org)
  • the control group received an intramuscular injection of ketorolac 1 mg/kg t.i.d. and meperidine 0.5 mg/kg p.r.n., and the epidural group received PCEA (0.1% bupivacaine + fentanyl 2 microgram/ml) through an epidural catheter positioned at the surgical dermatomal level of the spinal cord. (ekja.org)
  • Remifentanil by patient controlled analgesia compared with epidural analgesia for pain relief in labour: 120. (bmj.com)
  • The authors hypothesized that epidural bupivacaine with neostigmine would decrease total hourly bupivacaine use compared with epidural bupivacaine with fentanyl for patient-controlled epidural analgesia. (silverchair.com)
  • When used for labor analgesia, the Analgizer allows labor to progress normally and with no apparent adverse effect on Apgar scores. (wikipedia.org)
  • 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)
  • Advantages of patient-controlled analgesia include self-delivery of pain medication, faster alleviation of pain because the patient can address pain with medication, and dosage monitoring by medical staff (dosage can be increased or decreased depending on need). (wikipedia.org)
  • Advantages over conventional parenteral narcotics reported from these trials include equivalent to superior pain relief, superior patient satisfaction, decreased sedation and anxiety, faster return to normal functional status, and reduction in nursing time and hospitalization. (druglibrary.org)
  • Patient-controlled analgesia has several advantages over more traditional dosing regimens. (mhmedical.com)
  • The advantages of IT analgesia, especially if spinal anesthesia is already planned, include its simplicity, lack of need for catheter care or pumps, low cost, and easy supplementation with low-dose patient-controlled analgesia (PCA) narcotics as needed. (medscape.com)
  • Not only is this specific context devoid of adrenergic stimulation, but also it provides the patient with the benefits of preemptive analgesia, avoiding the postoperative pain Dr. Durieux says "may play a very important role in metastasis after cancer surgery. (apsf.org)
  • The dissociative effect and preemptive analgesia. (apsf.org)
  • To evaluate the effect of preemptive analgesia of paracetamol and dipyrone in vital teeth professionally whitened in office. (bvsalud.org)
  • Dipyrone 500 mg exhibited higher effectiveness than Paracetamol 500 mg in the study population, as a technique of preemptive analgesia in tooth whitening procedure. (bvsalud.org)
  • An adjuvant therapy is the preemptive analgesia, which is a drug regimen prior to the nociceptive stimulus, aiming at preventing hyperalgesia and the subsequent pain amplification 1 . (bvsalud.org)
  • They are used to permit the patient to self-administer small doses of narcotics (usually Morphine, Dilaudid, Demerol, or Fentanyl) into the blood or spinal fluid at frequent intervals. (medleague.com)
  • 1 These small doses are typically delivered intravenously or into the spinal canal by some type of machine (i.e., pump) that is controlled by the patient. (mhmedical.com)
  • Epidural analgesia can be performed around major surgeries such as abdominal, lower extremity or spinal surgeries for postoperative pain control. (webmd.com)
  • 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)
  • Lumbar laminectomy is commonly performed in patients with lumbar spinal stenosis to relieve low back pain, reduce radiculopathy and improve overall function. (springer.com)
  • 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)
  • In obstetric patients, regional analgesia refers to partial or complete loss of pain sensation below the T8 to T10 spinal level. (medscape.com)
  • In a 2015 Cochrane review of 49 randomized trials comparing PCA to other methods for postoperative analgesia, PCA improved patient satisfaction and reduced pain scores. (openanesthesia.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)
  • Methods Women were randomised before the onset of labour, to receive either patient controlled remifentanil or epidural analgesia when pain relief was requested during labour. (elsevierpure.com)
  • METHODS: Medical records of 452 patients [median age: 35(15-67) years, male/female: 285/167] were retrospectively reviewed. (actaoncologicaturcica.com)
  • Methods for controlling nitrous-oxide (10024972) (N2O) exposure during administration to patients as an anesthetic gas by dental workers were discussed. (cdc.gov)
  • An illustration of an N2O anesthetic delivery and scavenging system, a step by step approach for controlling N2O, and a list of sampling methods for N2O were provided. (cdc.gov)
  • Patients and methods. (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)
  • 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)
  • This can be used by women in labour, terminally ill cancer patients or to manage post-operative pain. (wikipedia.org)
  • High-volume patient-controlled epidural vs. programmed intermittent epidural bolus for labour analgesia: a randomised controlled study. (bvsalud.org)
  • In conclusion, patient -controlled epidural analgesia is non-inferior to programmed intermittent epidural bolus if equal volumes of patient -controlled epidural analgesia are used to maintain labour analgesia and superior with respect to local anaesthetic consumption . (bvsalud.org)
  • Epidural analgesia does not make you or your baby sleepy and can be used without slowing labour - in fact, labour may become more effective once the pain is relieved. (nygh.on.ca)
  • An economic analysis of patient controlled remifentanil and epidural analgesia as pain relief in labour (RAVEL trial): A randomised controlled trial. (elsevierpure.com)
  • Objective To compare the costs of a strategy of patient controlled remifentanil versus epidural analgesia for pain relief in labour. (elsevierpure.com)
  • Epidural analgesia has provided effective pain relief in labour for over three decades. (bvsalud.org)
  • The pump is programmed to limit the number of additional doses that the patient can receive, so as to not exceed safe hourly limits of the narcotic. (medleague.com)
  • New pumps have touch screens and bar coding, which can be used to track pain medications as they leave the pharmacy, but also to identify the patient who receives the medication and the nurse who puts it in the pump. (medleague.com)
  • Concerns have been identified in the last few years about the hazards of PCA by proxy, that is allowing nurses and family members to activate the PCA pump on behalf of the patient. (medleague.com)
  • Careful PCA pump programming and patient selection, as well as vigilant monitoring for the patient's responses to medication are essential to provide a safe delivery of pain relief. (medleague.com)
  • Patient-controlled analgesia (PCA) is an electronically controlled infusion pump that delivers a programmed amount of analgesia with a bolus dose with or without a basal infusion. (openanesthesia.org)
  • Patient-controlled analgesia pump. (openanesthesia.org)
  • Caregivers should never activate the pump as this may lead to oversedation and respiratory depression (unless the PCA has been designated as a nurse or caregiver-controlled analgesia). (openanesthesia.org)
  • The Analgizer was widely utilized for analgesia and sedation until the early 1970s, in a manner that foreshadowed the patient-controlled analgesia infusion pumps of today. (wikipedia.org)
  • Drug levels above the window may produce adequate analgesia but may also produce side effects such as sedation. (mhmedical.com)
  • When a procedure, such as a MRI (magnetic resonance imaging), requires sedation or anesthesia, we work closely with our colleagues in Diagnostic Imaging and Radiology to help make the patient more comfortable. (childrensnational.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)
  • 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)
  • Less than 2% of patients suffer from complications due to pacemaker implantation. (cms.gov)
  • 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)
  • IV PCA can be used for both acute and chronic pain patients. (wikipedia.org)
  • For instance, PCA systems are used to help manage acute pain following surgery, and they are used to treat pain in patients with cancer and other conditions associated with chronic pain. (mhmedical.com)
  • PCA is widely used to control postoperative pain and several other types of acute pain, as well as chronic pain associated with cancerous tumors (Buvanendran and Kroin 2007 ). (springeropen.com)
  • 5 Further, beta-blockers reduce infarct size in patients with acute MI and decrease the risk of sudden death due to ventricular arrhythmias. (cms.gov)
  • The Acute Pain Medicine team provides in-patient consultation for patient-controlled analgesia (PCA), epidural anesthesia and other postoperative and acute pain-related problems that include conditions such as sickle cell disease. (childrensnational.org)
  • Abstract: Over the past two decades, numerous trials have assessed the safety and efficacy of patient-controlled analgesia (PCA). (druglibrary.org)
  • The Analgizer was found to be safe, effective, and simple to administer in obstetric patients during childbirth, as well as for patients with bone fractures and joint dislocations, and for dressing changes on burn patients. (wikipedia.org)
  • All vital signs remain normal in obstetric patients, newborns, and injured patients. (wikipedia.org)
  • PCA pumps are commonly used after surgery to provide a more effective method of pain control than periodic injections of narcotics. (medleague.com)
  • Intrathecal (IT) narcotics can offer effective postoperative analgesia. (medscape.com)
  • Graph representing difference in analgesic concentrations with two different regimens: intermittent bolus administration (nurse-administered analgesia) or frequent small doses (patient-controlled analgesia, PCA). (openanesthesia.org)
  • Patient-specific electronic decision support reduces prescription of excessive doses. (ahrq.gov)
  • patients with prior opiate exposure may require higher initial doses. (globalrph.com)
  • 1.2 million doses of vaccine were administered, and more than 6,900 patients were treated with tecovirimat, an antiviral medication with activity against orthopoxviruses such as Variola virus and Monkeypox virus. (cdc.gov)
  • Secondary outcomes included: morphine use, patient satisfaction, complication of analgesia and duration of hospital stay. (ox.ac.uk)
  • Motor block, patient satisfaction scores and maternal and neonatal outcomes were similar across both groups. (bvsalud.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)
  • Effective pain control improves post-operative outcomes and patient satisfaction. (springer.com)
  • Engaging in research to identify the best combination of modalities, the maximum number of approaches that will lead to improvements in outcomes (without increasing the risk of side effects), and, finally, establishing an evidence-based approach to individual patient management will be our next challenges," Dr. Memtsoudis said. (medscape.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)
  • Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: a cross-sectional study. (ahrq.gov)
  • Cognitive-behavioral interventions may reduce pain and pain-related disability and help patients cope. (msdmanuals.com)
  • These interventions include counseling to refocus a patient's thoughts from the effects and limitations of pain to the development of personal coping strategies and may include counseling to help patients and their family work together to manage pain. (msdmanuals.com)
  • We aimed to understand how professionals and patients communicate about risks and benefits of the interventions and take decisions in the Internet era. (bvsalud.org)
  • Communicate the results of the whole evaluation to the patient, surgeon, primary care physician (PCP), and anesthesiology team. (medscape.com)
  • Disadvantages include the possibility that a patient will use the pain medication non-medically, self-administering the narcotic for its euphoric properties even though the patient's pain is sufficiently controlled. (wikipedia.org)
  • Greater pain control has the potential to allow for earlier hospital discharge and may improve the patient's ability to tolerate physical therapy. (medscape.com)
  • Patient-controlled analgesia (PCA) is any method of allowing a person in pain to administer their own pain relief. (wikipedia.org)
  • The patient administers a dose of narcotic when the need for pain relief arises. (papertrell.com)
  • The aim of neuraxial analgesia is to achieve excellent pain relief with the fewest adverse effects . (bvsalud.org)
  • After surgery, good pain relief is essential to enable patients to start walking again. (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)
  • Lumbar epidural analgesia is a common modality for pain relief following these procedures. (cochrane.org)
  • Approximately 60% of laboring women (2.4 million each year) choose regional analgesia for pain relief during labor. (medscape.com)
  • Various regional analgesia techniques exist that can be used to promote postoperative pain relief. (medscape.com)
  • pain relief in palliative care patients, a case series. (bvsalud.org)
  • The use of patient-controlled analgesia was the only independent risk factor associated with postoperative fever, and A. baumannii isolates recovered from the blood of patients who had received patient-controlled analgesia were genetically related to an isolate recovered from the diluted morphine solution used for this procedure. (cambridge.org)
  • Postoperatively, patients receiving BIS/PK MAC have only required oral Tylenol ® , Tylenol PM ® , or IV Toradol ® , even for abdominoplasties, not morphine PCA. (apsf.org)
  • For IT morphine, the onset of analgesia is 30-60 minutes, and the duration of analgesia is 18-24 hours, depending on the dose that is used. (medscape.com)
  • 19 demonstrated that dipyrone use prior to surgical incision reduces the consumption of morphine per hour, evaluated through the method of analgesia controlled by the patient. (bvsalud.org)
  • In Dentistry, three drug groups are commonly employed to control pain: local anesthetics, nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids, and analgesic drugs of central and/or peripheral action 14 . (bvsalud.org)
  • 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)
  • Sixteen patients (ten with one or more intestinal fistula) developed abdominal wall dehiscence were included in this study. (who.int)
  • Patient Controlled Analgesia (PCA) pumps were developed to address the problem of undermedication. (medleague.com)
  • Because of the simplicity of the Analgizer and the pharmacological characteristics of methoxyflurane, it was easy for patients to self-administer the drug and rapidly achieve a level of conscious analgesia which could be maintained and adjusted as necessary over a period of time lasting from a few minutes to several hours. (wikipedia.org)
  • In particular, PCA systems allow the patient to better match his or her need for analgesic medication to the dose to treat a specific amount of pain at any given point in time-that is, as pain fluctuates, the patient can self-administer more or less drug to provide the appropriate level of anesthesia. (mhmedical.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)
  • A total of 215 American Society of Anesthesiologists physical status II, laboring parturients requesting labor epidural analgesia consented to the study and were randomized to receive 0.125% bupivacaine with the addition of either fentanyl (2 μg/ml) or neostigmine (2, 4, or 8 μg/ml). (silverchair.com)
  • 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)
  • This suggests that these patients are still receiving inadequate analgesia. (uspharmacist.com)
  • 1,2 Although progress has been made in the availability of pain-assessment tools and the understanding of pain pharmacotherapy, research suggests that hospitalized children are still receiving inadequate analgesia. (uspharmacist.com)
  • Regional analgesia is also contraindicated in cases of patient refusal or inadequate practitioner training and experience. (medscape.com)
  • Oral analgesia, taken regularly or as required, is available in all National Health Service hospitals where surgery takes place. (parliament.uk)
  • Also, see eMedicineHealth's patient education article Pain After Surgery . (medscape.com)
  • The purpose of the preoperative workup is to assist the gynecologic surgeon in preparing their patient for surgery. (medscape.com)
  • However, women with significant medical conditions should be seen at least 1 week before surgery to allow time for risk assessment, specialty consultation, and patient preparation. (medscape.com)
  • These complicated patients and their conditions require additional evaluation or treatment before surgery is performed. (medscape.com)
  • The Department of Surgery at Women's College Hospital provides a variety of services to patients with many different conditions. (womenscollegehospital.ca)
  • We focus on innovation and ambulatory surgery, and are able to treat many patients on a day-surgery basis. (womenscollegehospital.ca)
  • Conducting a case in this manner prevents the patient from experiencing pain during the initial injection of local and, subsequently, during the surgery itself. (apsf.org)
  • Before a child undergoes any surgery, diagnostic test or therapy, we make sure both the patient and family know what to expect with anesthesia. (childrensnational.org)
  • Our specialists provide surgical anesthesia and post-operative pain management for all young patients undergoing surgery at Children's National. (childrensnational.org)
  • The team provides care for patients undergoing cardiac surgery, cardiac catheterization, MRI and echocardiography. (childrensnational.org)
  • They also provide anesthesia care for any patient with significant heart disease undergoing non-cardiac surgery (such as ear tubes and tonsillectomies) or non-surgical procedure (such as CT scan or dental examination). (childrensnational.org)
  • The childbirth scenario in Brazil has been characterized by high rates of cesarean sections, an aggressive management of normal birth, high rates of maternal morbidity and mortality that are stagnant for at least a decade 1 , and for the frequent disregard for rights of patients, as in the case of the companion of choice in childbirth. (bvsalud.org)
  • The most common form of patient-controlled analgesia is self-administration of oral over-the-counter or prescription painkillers. (wikipedia.org)
  • These patients should receive written and oral instructions and be allowed to ask questions while in the waiting area. (medscape.com)
  • Of 220 patients admitted to the surgical ICU who had a nasogastric tube for more than 24 hours, 68 case patients received oral metoclopramide (10 mg every 8 hours) and 152 control patients did not. (who.int)
  • Patient-controlled analgesia (PCA) was first introduced into clinical practice in the early 1980s as an alternative way to administer analgesic medications. (mhmedical.com)
  • Psychosocial patient selection criteria in clinical practice guidelines: An ethical basis for rationing? (cmaj.ca)
  • Neuropathic pain (NP) originates as a In non-oncological patients, chronic NP is The authors declare there are direct consequence of a lesion or disease common in clinical practice and consider- no conflict of interests. (bvsalud.org)
  • In a recent study, we compared this with patient -controlled epidural analgesia without a background infusion and found that a programmed intermittent epidural bolus was associated with less breakthrough pain , lower pain scores, higher local anaesthetic consumption and comparable motor block. (bvsalud.org)
  • and superiority of patient -controlled epidural analgesia with respect to local anaesthetic consumption . (bvsalud.org)
  • The primary outcome was total hourly local anesthetic consumption, defined as total patient-controlled epidural analgesia use and top-ups (expressed as milliliters of 0.125% bupivacaine) divided by the infusion duration. (silverchair.com)
  • Several methodological aspects of system maintenance, ventilation and work practice were recommended to control N2O exposure. (cdc.gov)
  • Dr. Memtsoudis added, "This study was performed with data from hundreds of hospitals and over 1.5 million patients in the US, including a wide range of practice settings, patterns, and individual patients, which leads to a high level of external validity of the results. (medscape.com)
  • Allows patient involvement: Some patients enjoy the ability to watch knee arthroscopic procedures on the video monitor. (medscape.com)
  • 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)
  • With a PCA the patient spends less time in pain and as a corollary to this, patients tend to use less medication than in cases in which medication is given according to a set schedule or on a timer. (wikipedia.org)
  • A continuous infusion (called a basal rate) of 1-2 mg/hour permits the patient to receive a continuous infusion of pain medication. (medleague.com)
  • The epidural method of pain medication administration should be done only by clinicians skilled in its use and when careful monitoring of the patient can be provided. (medleague.com)
  • Notify the patient about preparation issues, such as nothing-by-mouth (ie, NPO) requirements and medication instructions. (medscape.com)
  • If the patient is in severe pain or needs additional medication, PCA affords the convenience of providing pain control with the push of a button. (springeropen.com)
  • Medication errors involving patient-controlled analgesia. (ahrq.gov)
  • It is commonly used for post-operative pain management, and for end-stage cancer patients. (wikipedia.org)
  • If drug levels are below this window, the analgesic is below the minimum analgesic concentration, and the patient is in pain. (mhmedical.com)
  • 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)
  • Traditional preventive measures for nosocomial pneumonia include decreasing aspiration by the patient, preventing cross-contamination or colonization via hands of personnel, appropriate disinfection or sterilization of respiratory-therapy devices, use of available vaccines to protect against particular infections, and education of hospital staff and patients. (cdc.gov)
  • Some animal-to-animal respiratory transmission has been shown in controlled studies, and environmental sampling studies have detected airborne MPXV. (cdc.gov)
  • Besides providing analgesia in labor, regional analgesia may facilitate atraumatic vaginal delivery of twins, preterm neonates, and neonates with breech presentation. (medscape.com)
  • Screening results for gestational diabetes, as well as urinary controls and vaginal swabs for group B Streptococcus , were negative. (cdc.gov)
  • The most recently introduced technique for epidural analgesia maintenance is the programmed intermittent epidural bolus. (bvsalud.org)
  • However, we had compared 10 ml programmed intermittent epidural boluses with 5 ml patient -controlled epidural analgesia boluses. (bvsalud.org)
  • A total of 360 nulliparous women were allocated randomly to patient -controlled epidural analgesia -only or programmed intermittent epidural bolus groups. (bvsalud.org)
  • the programmed intermittent group received 10 ml boluses supplemented by 5 ml patient -controlled boluses. (bvsalud.org)
  • Breakthrough pain was similar between groups (11.2% patient controlled vs. 10.8% programmed intermittent, p = 0.003 for non-inferiority). (bvsalud.org)
  • There were no differences between the PCA and FA groups regarding demographic characteristics, operation duration, ASA score distribution, duration of hospital stay and satisfaction with analgesia (although there were more satisfied patients in the FA group). (ox.ac.uk)
  • This process is aimed at enhancing the outcome from a surgical procedure and must be thorough, streamlined, educational, and cost-effective, with physician and patient satisfaction as the final goal. (medscape.com)
  • Hanna MN, González-Fernández M, Barrett AD, Williams KA, Pronovost P. "Does patient perception of pain control affect patient satisfaction across surgical units in a tertiary teaching hospital? (hopkinsmedicine.org)
  • The worldwide overall incidence of hospital adverse events approximates 10%, 5 with the OR being the most common site for incidents in the hospital setting, and errors occurring in up to 14.6% of surgical patients. (thejns.org)
  • With an IV PCA the patient is protected from overdose by the caregiver programming the PCA to deliver a dose at frequent set intervals. (wikipedia.org)
  • The gastrointestinal tract of colonized or infected patients is the most frequent reservoir. (cdc.gov)
  • Children's anesthesiologists provide anesthesia and analgesia for therapeutic and diagnostic purposes. (childrensnational.org)
  • The forces associated with the strong 1.5- and 3.0-T magnets used for MRI are potent and hazardous, creating distinct concerns regarding safety, infection control, and image interpretation. (thejns.org)
  • Referrals of infection control breaches to public health authorities: ambulatory care settings experience, 2017. (ahrq.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)
  • 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)
  • Knowledge about transmission may improve infection control measures. (cdc.gov)