Articles: acute-pain.
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Anesthesia and analgesia · Apr 2012
Case ReportsUltrasound-guided peripheral nerve stimulator placement in two soldiers with acute battlefield neuropathic pain.
Acute peripheral neuropathic pain after combat-related polytrauma is a common occurrence in the United States military that is often refractory to current drugs and regional anesthesia. Both spinal cord and peripheral nerve stimulation are successfully used for chronic neuropathic pain states, but are not reported for acute neuropathic pain. We present 2 cases of percutaneous ultrasound-guided sciatic peripheral nerve stimulation placement in soldiers who had conditions precluding them from spinal cord stimulation placement. Opioid reduction and marked increase in functionality were possible in one case, and cessation of opioid escalation, with eventual reduction after permanent implantation, was possible in the other.
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Comparative Study
Exploration of the relationship between disability perception, preference for death over disability, and suicidality in patients with acute and chronic pain.
Passive, active, and historical suicidality are associated with preference for death over disability. ⋯ Preference for death over disability is associated with passive and active suicide ideation and historical suicidality in patients with chronic pain.
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Ann R Coll Surg Engl · Apr 2012
Case ReportsAcute neck pain referred to the surgeon: Lemierre's syndrome as a differential diagnosis.
Lemierre's syndrome is usually reported in the young and in fit individuals. We report a case of an 81-year-old woman who presented with thrombophlebitis of the internal jugular vein with a pulmonary embolism.
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Cochrane Db Syst Rev · Mar 2012
Review Meta AnalysisSingle dose oral celecoxib for acute postoperative pain in adults.
This is an update of a review published in The Cochrane Library 2008, Issue 4. Celecoxib is a selective cyclo-oxygenase-2 (COX-2) inhibitor usually prescribed for the relief of chronic pain in osteoarthritis and rheumatoid arthritis. Celecoxib is believed to be associated with fewer upper gastrointestinal adverse effects than conventional non-steroidal anti-inflammatory drugs (NSAIDs). Its effectiveness in acute pain was demonstrated in the earlier reviews. ⋯ Single-dose oral celecoxib is an effective analgesic for postoperative pain relief. Indirect comparison suggests that the 400 mg dose has similar efficacy to ibuprofen 400 mg.