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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Predicting Acute Pain After Cesarean Delivery to Reduce Risk for Persistent Pain

Predicting Acute Pain After Cesarean Delivery to Reduce Risk for Persistent Pain

The most promising tools to predict acute pain after cesarean delivery are local anesthetic infiltration before placement of spinal anesthesia, and asking patients simple questions about anticipated pain and analgesic needs.

High Bioavailability, Fast Absorption of Buprenorphine With New Sublingual Wafer

High Bioavailability, Fast Absorption of Buprenorphine With New Sublingual Wafer

Preliminary results suggest that a new sublingual buprenorphine wafer may offer high bioavailability and fast absorption for patients treated for acute and chronic pain.

Handover of Intraoperative Anesthesia Care Linked to Increase in Adverse Postoperative Outcomes

Handover of Intraoperative Anesthesia Care Linked to Increase in Adverse Postoperative Outcomes

Complete handover of intraoperative anesthesia care is associated with an increased risk of adverse postoperative outcomes among adults undergoing major surgery.

Intravenous Acetaminophen May Reduce Hospital Length of Stay in Adolescents Undergoing Posterior Spinal Fusion

Intravenous Acetaminophen May Reduce Hospital Length of Stay in Adolescents Undergoing Posterior Spinal Fusion

Postoperative management of adolescents undergoing posterior spinal fusion surgery with intravenous acetaminophen may have an opioid-sparing effect, due to a reduced hospital length of stay.

Low-Dose Ketamine Provides Comparable Acute Pain Relief, More Adverse Events Than Morphine

Low-Dose Ketamine Provides Comparable Acute Pain Relief, More Adverse Events Than Morphine

Acute pain management in the emergency department with low-dose ketamine may provide pain relief comparable with morphine at 30 minutes.

ACTTION Consensus Provides Best Practices for the Design of Pediatric Clinical Trials Focused on Acute Pain

ACTTION Consensus Provides Best Practices for the Design of Pediatric Clinical Trials Focused on Acute Pain

Key factors susceptible to improve the design of clinical trials on analgesics for acute pain in pediatric populations were reviewed and recommendations published.

High Prevalence of Musculoskeletal Disorders in At-Risk Physicians

High Prevalence of Musculoskeletal Disorders in At-Risk Physicians

The most common work-related musculoskeletal disorders in physicians were found to be degenerative cervical spine disease, rotator cuff pathology, degenerative lumbar spine disease, and carpal tunnel syndrome.

Postoperative Pain Management in Children With Developmental Delay

Postoperative Pain Management in Children With Developmental Delay

Parent- and nurse-controlled analgesia may not reduce postoperative pain in children with developmental delay compared with opioids administered by a nurse as needed.

Fast Track Designation Granted for Post-Surgical Pain Medication

Fast Track Designation Granted for Post-Surgical Pain Medication

The FDA has granted Fast Track Designation to the investigational treatment CA-008 (Concentric Analgesics) for the treatment of post-surgical pain.

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.