Acute Pain最新文献_第8页

Management of pain in a surgical emergency unit—Underlying factors affecting its delivery 外科急诊科疼痛的处理——影响疼痛产生的潜在因素

Acute Pain Pub Date : 2008-12-01 DOI: 10.1016/j.acpain.2008.05.013

D. Grenman, L. Niemi-Murola, E. Kalso

{"title":"Management of pain in a surgical emergency unit—Underlying factors affecting its delivery","authors":"D. Grenman, L. Niemi-Murola, E. Kalso","doi":"10.1016/j.acpain.2008.05.013","DOIUrl":"10.1016/j.acpain.2008.05.013","url":null,"abstract":"<div><h3>Background</h3><p>Pain is an important symptom in emergency departments. The purpose of this study was to evaluate possible obstacles to pain management in a surgical emergency department.</p></div><div><h3>Methods</h3><p>All patients arriving in the ED (<em>N</em>  ==34). None of the patients received nonsteroidal anti-inflammatoric analgesics (NSAIDs). Male gender, lower educational level and high age correlated with reluctance to accept analgesics. Experience of pain and the healthcare system correlated with unwillingness to talk about pain. The nurses were more positive towards measurement of pain (<em>p</em>  <0.001) than the physicians. The physicians were less concerned about problems with analgesics than the nurses (<em>p</em>  <!-->0.01).</p></div><div><h3>Conclusion</h3><p>The patients should be encouraged to talk about their pain. The emergency department personnel needs education about measurement of pain and pain medication.</p></div>","PeriodicalId":100023,"journal":{"name":"Acute Pain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.acpain.2008.05.013","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78008550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

A comparison of the efficacy and rate of side-effects of mefenamic acid and naproxen in adult patients following elective tonsillectomy: A randomized double-blind study 甲氧胺酸和萘普生在成人选择性扁桃体切除术后的疗效和副反应率的比较:一项随机双盲研究

Acute Pain Pub Date : 2008-12-01 DOI: 10.1016/j.acpain.2008.07.003

G. Graf , M. Jelen , D. Jamnig , H. Schabus , W. Pipam , R. Likar

{"title":"A comparison of the efficacy and rate of side-effects of mefenamic acid and naproxen in adult patients following elective tonsillectomy: A randomized double-blind study","authors":"G. Graf , M. Jelen , D. Jamnig , H. Schabus , W. Pipam , R. Likar","doi":"10.1016/j.acpain.2008.07.003","DOIUrl":"10.1016/j.acpain.2008.07.003","url":null,"abstract":"<div><p><span>The aim of this study was to assess the efficacy and side-effects of mefenamic acid as compared to </span>naproxen<span> administered postoperatively to patients following elective tonsillectomy.</span></p></div><div><h3>Methods</h3><p>Fifty patients received either naproxen or mefenamic acid given postoperatively in a randomized fashion following elective tonsillectomy. General anaesthesia<span><span> for the tonsillectomies was administered in a standardized fashion. Pain intensity was assessed postoperatively at rest and on exertion using the numeric rating scale (NRS) and </span>analgesic consumption. The side-effects were also documented.</span></p></div><div><h3>Results</h3><p>Forty-one patients were included in the assessment. There were no significant differences with respect to the demographic data. After the 48th postoperative hour the NRS score demonstrated a significant difference in pain intensity at rest and on exertion in favour of the mefenamic acid group. There was no difference in the rate of side-effects between the two groups.</p></div><div><h3>Conclusion</h3><p>Mefenamic acid is a more effective analgesic than naproxen given postoperatively following elective tonsillectomies.</p></div>","PeriodicalId":100023,"journal":{"name":"Acute Pain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.acpain.2008.07.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74213194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Epidural morphine for postoperative analgesia after Caesarean section 硬膜外吗啡用于剖宫产术后镇痛

Acute Pain Pub Date : 2008-12-01 DOI: 10.1016/j.acpain.2008.07.001

Shymala Kumarasamy, Y.C. Choy

{"title":"Epidural morphine for postoperative analgesia after Caesarean section","authors":"Shymala Kumarasamy, Y.C. Choy","doi":"10.1016/j.acpain.2008.07.001","DOIUrl":"10.1016/j.acpain.2008.07.001","url":null,"abstract":"<div><h3>Introduction</h3><p>This prospective randomized double-blind study compared the effectiveness and duration of analgesia of epidural morphine 4mg and 5mg while Group B received epidural morphine 5h. Time to first demand of patient controlled analgesia, cumulative morphine consumption and side effects were documented.</p></div><div><h3>Results</h3><p>The VAS for pain was significantly lower in Group B at 16, 20 and 24h. The mean cumulative PCAM consumption was significantly lower in Group B. The incidence of nausea, vomiting (PONV) and pruritus was significantly higher in Group B, <em>p</em>  <span>0.05. There was no incidence of excessive sedation or respiratory depression.</span></p></div><div><h3>Conclusion</h3><p>Epidural morphine 5mg provided adequate and longer duration of analgesia but resulted in higher frequency of pruritus and vomiting.</p></div>","PeriodicalId":100023,"journal":{"name":"Acute Pain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.acpain.2008.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75287713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Acute neuropathic pain: Amputations 急性神经性疼痛:截肢

Acute Pain Pub Date : 2008-12-01 DOI: 10.1016/j.acpain.2008.08.006

引用次数: 0

Intranasal ketamine for acute pain 鼻内氯胺酮治疗急性疼痛

Acute Pain Pub Date : 2008-12-01 DOI: 10.1016/j.acpain.2008.08.013

引用次数: 0

A novel parenteral NSAID in acute pain management 一种新型非甾体抗炎药在急性疼痛管理中的应用

Acute Pain Pub Date : 2008-12-01 DOI: 10.1016/j.acpain.2008.08.010

引用次数: 0

A cross-sectional study of the role of Canadian nurses with a specialty practice in pain management 加拿大护士在疼痛管理专业实践中的作用横断面研究

Acute Pain Pub Date : 2008-12-01 DOI: 10.1016/j.acpain.2008.09.002

Mona Sawhney , Jason Sawyer

{"title":"A cross-sectional study of the role of Canadian nurses with a specialty practice in pain management","authors":"Mona Sawhney , Jason Sawyer","doi":"10.1016/j.acpain.2008.09.002","DOIUrl":"10.1016/j.acpain.2008.09.002","url":null,"abstract":"<div><h3>Purpose</h3><p>To explore and describe the role of nurses working in a specialty practice of pain management in Canada.</p></div><div><h3>Methods</h3><p>A convenience sample of 60 nurses from across Canada with a specialty practice in pain management completed a self-administered questionnaire, which covered a broad range of topics including demographic data, sources of pain education, role responsibilities, positive outcomes and challenges of the role.</p></div><div><h3>Results</h3><p><span>Forty-six nurses responded with the majority of respondents from Ontario. Most of nurses worked at a University affiliated teaching hospital, and were baccalaureate or masters prepared, with 28% completing nurse practitioner preparation. The main clinical responsibility of the role involved daily patient visits, with 78% of nurses performing daily patient visits independently. Nurses were also engaged in pain management education for: </span>health care<span> professionals in the hospital setting, students in educational institutions and presentations at conferences. Other role components included administrative, research and leadership responsibilities. Identified benefits of the role include increased accessibility and continuity of care, the ability to act as a liaison between members of the health care team, and increased patient satisfaction. Identified challenges of the role fell into four broad categories including role implementation, clinical tools and support, health care provider education, and administrative support.</span></p></div><div><h3>Conclusion</h3><p>This study builds on previous work examining the role of nurses in pain management. Respondents to the survey reported several benefits and challenges to the role of nurses with a specialty practice in pain management.</p></div>","PeriodicalId":100023,"journal":{"name":"Acute Pain","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.acpain.2008.09.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74933895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Spinal cord injury pain 脊髓损伤疼痛

Acute Pain Pub Date : 2008-12-01 DOI: 10.1016/j.acpain.2008.08.020

引用次数: 0

Acute neuropathic pain: Pain in neurological diseases 急性神经性疼痛:神经性疾病的疼痛

Acute Pain Pub Date : 2008-12-01 DOI: 10.1016/j.acpain.2008.08.017

引用次数: 0

Epidemiology of renal colic in a district general hospital 某地区综合医院肾绞痛流行病学分析

Acute Pain Pub Date : 2008-06-01 DOI: 10.1016/j.acpain.2008.05.015

A. Trinchieri, S. Cappoli, N. Esposito, P. Acquati

引用次数: 11