Articles: pain.
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Review Meta Analysis
Local anaesthesia for pain control during outpatient hysteroscopy: systematic review and meta-analysis.
To compare the effects of different types of local anaesthetic for pain control during outpatient hysteroscopy. ⋯ Paracervical local anaesthetic injection is the best method of pain control for women undergoing hysteroscopy as outpatients.
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Cochrane Db Syst Rev · Jan 2010
Review Meta AnalysisAdjusting the pH of lidocaine for reducing pain on injection.
Lidocaine administration produces pain due to its acidic pH. ⋯ Increasing the pH of lidocaine decreased pain on injection and augmented patient comfort and satisfaction.
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Cochrane Db Syst Rev · Jan 2010
Review Meta AnalysisSucrose for analgesia in newborn infants undergoing painful procedures.
Administration of oral sucrose with and without non-nutritive sucking is frequently used as a non-pharmacological intervention for procedural pain relief in neonates. ⋯ Sucrose is safe and effective for reducing procedural pain from single events. An optimal dose could not be identified due to inconsistency in effective sucrose dosage among studies.Further investigation on repeated administration of sucrose in neonates and the use of sucrose in combination with other non-pharmacological (e.g. behavioural, physical) and pharmacologic interventions is needed. Sucrose use in extremely low birth-weight and unstable and/or ventilated neonates needs to be addressed.
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Cochrane Db Syst Rev · Jan 2010
Review Meta AnalysisSingle dose dipyrone for acute postoperative pain.
Dipyrone (metamizole) is a non-steroidal anti-inflammatory drug used in some countries to treat pain (postoperative, colic, cancer, and migraine); it is banned in others because of an association with life-threatening blood agranulocytosis. This review updates a 2001 Cochrane review, and no relevant new studies were identified, but additional outcomes were sought. ⋯ Based on very limited information, single dose dipyrone 500 mg provides good pain relief to 70% of patients. For every five individuals given dipyrone 500 mg, two would experience this level of pain relief who would not have done with placebo, and fewer would need rescue medication, over 4 to 6 hours.
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J Exp Clin Canc Res · Jan 2010
Meta AnalysisEfficacy and adverse effects of transdermal fentanyl and sustained-release oral morphine in treating moderate-severe cancer pain in Chinese population: a systematic review and meta-analysis.
Previous meta-analysis suggested that transdermal fentanyl was not inferior to sustained-release oral morphine in treating moderate-severe cancer pain with less adverse effects. Now, we updated the data and performed a systematic review. ⋯ Our study showed again that both transdermal fentanyl and oral morphine had the same efficacy in the treatment of moderate-severe cancer pain in Chinese population, but the former might have less adverse effects and better quality of life.