Pain medicine : the official journal of the American Academy of Pain Medicine
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To provide pediatric care providers with insight into lidocaine infusions for analgesia. ⋯ Our limited experience suggests that lidocaine infusions are well tolerated in the adolescent and young adult pain population, with side effects resolving quickly with interruption or discontinuation of the infusion if necessary. Future studies are warranted to examine safety, efficacy, mechanism of actions, and its long-term impact on a developing central nervous system.
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The aim of this study was to investigate the clinical characteristics of primary stabbing headache (PSH) and its prevalence in a neurology outpatient center at a university hospital in China. ⋯ PSH was shown to have an onset at middle age with moderate-to-severe intensity attacks localized predominantly within the first division of the trigeminal nerve. Accompanying phenomena and trigger factors were common and should be noted, implying further research to be conducted.
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To evaluate the degree of knowledge about pain management and opioids use by professionals working at three pediatric units. ⋯ Problems in the processes of pain identification, measurement, and treatment have been found. Results suggest that there is a need for both an investment in continuing education of professionals and the development of protocols to optimize the analgesic therapy, thus preventing increased child suffering.
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Letter Case Reports
Off-label, low-dose naltrexone for refractory chronic low back pain.