Acute Pain

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Pain Management in the ED: Expert Insights

Pain Management in the ED: Expert Insights

Pain is 1 the most frequent reasons for ED visits. See what an ED physician has to say about opioid prescribing and general pain management approaches in the ED.

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FDA Accepts New Drug Application for Novel Buprenorphine Sublingual Spray

FDA Accepts New Drug Application for Novel Buprenorphine Sublingual Spray

Compared to other commonly used opioids, buprenorphine offers a ceiling effect for respiratory depression and less abuse potential, less cognitive impairment, and less constipation.

Nonopioid Analgesic Combination and Opioid Combinations Provide Similar Analgesic Effects for Acute Extremity Pain

Nonopioid Analgesic Combination and Opioid Combinations Provide Similar Analgesic Effects for Acute Extremity Pain

Nonopioid analgesic combinations may be noninferior to opioid/acetaminophen combinations for reducing acute extremity pain.

Virtual Reality Reduces Pain in Children During Routine Blood Draw

Virtual Reality Reduces Pain in Children During Routine Blood Draw

Virtual reality was shown to reduce pain and anxiety compared with standard of care during routine blood draws in children and adolescents.

Opioid Prescribing Suboptimal in Setting of Enhanced Recovery After Surgery

Opioid Prescribing Suboptimal in Setting of Enhanced Recovery After Surgery

Implementation of an enhanced recovery after surgery protocol resulted in an increase in opioid-free anesthesia and multimodal analgesia, but did not modify opioid prescribing practices.

New Drug Application Submitted for Olinvo to Treat Acute Pain

New Drug Application Submitted for Olinvo to Treat Acute Pain

Trevena has submitted their New Drug Application to the FDA for Olinvo, an oliceridine injection, for the management of moderate-to-severe pain in the hospital and similar settings.

Ice Cube Cryotherapy Reduces Local Anesthetic Injection Pain

Ice Cube Cryotherapy Reduces Local Anesthetic Injection Pain

Ice-cube cryotherapy prior to subcutaneous local anesthetic injection reduced pain in patients undergoing repair for simple lacerations.

Ibuprofen Comparable With Morphine for Postoperative Pain in Children

Ibuprofen Comparable With Morphine for Postoperative Pain in Children

Among children who have undergone minor outpatient orthopedic surgery, ibuprofen provides equivalent postoperative pain relief compared with oral morphine.

Systemic Lidocaine May Be Effective for Postmastectomy Pain

Systemic Lidocaine May Be Effective for Postmastectomy Pain

Intraoperative systemic lidocaine may reduce chronic persistent postmastectomy pain at 6 months after surgery.

Steroid Injection Betters Hand Function in Carpal Tunnel Syndrome

Steroid Injection Betters Hand Function in Carpal Tunnel Syndrome

Local steroid injection improved hand function and finger dexterity in patients with carpal tunnel syndrome.

Predictors of Nausea, Vomiting in Patients Receiving Postoperative Opioids

Predictors of Nausea, Vomiting in Patients Receiving Postoperative Opioids

Opioid treatment of acute postoperative pain was shown to cause high rates of postoperative nausea and vomiting, particularly in women and younger patients.

Uniport vs Multiport Catheters for Labor Epidural Analgesia

Uniport vs Multiport Catheters for Labor Epidural Analgesia

Uniport and multiport wire-reinforced flexible catheters have similar analgesic efficacy for labor epidural analgesia.

Psychological Factors, Not Opioid Use, Linked with Disability After Fracture Surgery

Psychological Factors, Not Opioid Use, Linked with Disability After Fracture Surgery

Post-operative opioid therapy may not be necessary for patients undergoing ankle surgery.

Optimal Pain Management After Total Knee Arthroplasty

Optimal Pain Management After Total Knee Arthroplasty

In patients undergoing total knee arthroplasty, sciatic nerve block plus femoral nerve block was more effective for pain relief than local infiltration analgesia plus femoral nerve block.

Image-Guided Symphyseal Steroid Injection for Sports-Related Groin Pain

Image-Guided Symphyseal Steroid Injection for Sports-Related Groin Pain

Fluoroscopy-guided corticosteroid symphyseal injection was found to be effective for the treatment of sports-related groin pain.

Acetaminophen, Ibuprofen Often Under-Dosed in Children in the ED

Acetaminophen, Ibuprofen Often Under-Dosed in Children in the ED

Acetaminophen and ibuprofen are frequently under-dosed in children in the emergency department.

Acute Pain Management in the Emergency Department With SoluMatrix Indomethacin

Acute Pain Management in the Emergency Department With SoluMatrix Indomethacin

SoluMatrix indomethacin may represent a treatment option for the management of moderate acute pain, including patients in emergency room settings.

Antipyretic Medications

Information on fever-reducing medications including formulation, strength and dosage.

Secondary Hyperalgesia Mediated by Nociceptive and Other Sensory Pathways

Secondary Hyperalgesia Mediated by Nociceptive and Other Sensory Pathways

The effects of central sensitization extend beyond nociceptive pathways to other sensory modalities.

Undiagnosed Chest Pain May Increase Cardiovascular Risk

Undiagnosed Chest Pain May Increase Cardiovascular Risk

Most patients with undiagnosed chest pain in primary care do not undergo cardiac diagnostic testing.

Virtual Reality Technology for Hospital Pain Management

Virtual Reality Technology for Hospital Pain Management

The use of virtual reality technology was superior to standard controlled distraction therapy for the management of pain in hospitalized patients.

Strategies to Prevent the Transition From Postoperative Acute Pain to Chronic Pain

Strategies to Prevent the Transition From Postoperative Acute Pain to Chronic Pain

A number of shortcomings are associated with systematic reviews and meta-analyses of postoperative care.

AAOS: Few Hip Fracture Patients Consistently Take Vitamin D

AAOS: Few Hip Fracture Patients Consistently Take Vitamin D

There was a correlation for consistent vitamin D supplementation with increase in physical component of the SF-12 score.

Aspirin May Improve Perineal Pain After Episiotomy

Aspirin May Improve Perineal Pain After Episiotomy

Single-dose aspirin may provide relief of perineal pain after episiotomy in women who are not breastfeeding.

Nitrous Oxide During Labor: Less Pain Relief, High Patient Satisfaction

Nitrous Oxide During Labor: Less Pain Relief, High Patient Satisfaction

Despite lower reported effectiveness for labor pain, the degree of patient satisfaction in women who received nitrous oxide is similar to that of women who received neuraxial modalities.

Online Tool To Determine When Tests Are Needed for Chest Pain

Online Tool To Determine When Tests Are Needed for Chest Pain

An online tool predicts which patients with chest pain are likely to have normal non-invasive test results and remain free of cardiac adverse events.

Lidocaine Safe, Effective for Pain in the ICU

Lidocaine Safe, Effective for Pain in the ICU

Intravenous lidocaine seems safe for reducing pain among patients in the intensive care unit with varying degrees of organ dysfunction.

Opioids vs NSAIDs Following Motor Vehicle Collision

Opioids vs NSAIDs Following Motor Vehicle Collision

Opioids prescribed for pain following a motor vehicle collision do not reduce the likelihood of developing persistent pain.

Diagnostic Criteria for Chronic Sickle Cell Disease-Related Pain

Diagnostic Criteria for Chronic Sickle Cell Disease-Related Pain

A new evidence-based classification system for chronic sickle cell disease pain was recently published.

Lidocaine, Not Sucrose, Relieved Some Pain in Infant Vaccination

Lidocaine, Not Sucrose, Relieved Some Pain in Infant Vaccination

In a comparative study, topical liposomal lidocaine proved most effective for analgesia during infant vaccination.

Pain Control After Nephrectomy: Epidural & Continuous Surgical Site Analgesia

Pain Control After Nephrectomy: Epidural & Continuous Surgical Site Analgesia

Many patients experience pain months after nephrectomy. Continuous surgical site analgesia may offer the best long-term pain control.

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