Articles: pain.
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Twenty six patients who had received spinal cord stimulation for chronic pain were evaluated by videotaped structured interviews with staff not directly involved in the patients' care. In addition estimates of pain relief were obtained from clinicians involved in the patients' care and from close relatives and friends. Information about lifestyles and drug usage was also collected and correlated with pain relief. At the time of the interviews half of the patients were receiving 50% or better relief of their pain.
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A retrospective, multi-physician survey was carried out to examine the infusion concentrations of morphine delivered intrathecally by continuous infusion pumps placed to control pain. Replies from 19 physicians formed the basis for a population of 163 patients who received morphine by continuous infusion delivered by an Infusaid pump through a chronically implanted intrathecal catheter (N = 130 for pain of a metastatic origin; N = 3 for non-metastatic pain; N = 30 undefined). These patients received a total of 3443 patient weeks of infusion. ⋯ E. M.). Though the group morphine utilization rose, examination of the patient population which was infused for periods in excess of 3 months indicated that 48% showed less than a 2-fold increase in dose by 3 months.
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J Obstet Gynecol Neonatal Nurs · Nov 1987
A national survey of the assessment and treatment of pain and agitation in the neonatal intensive care unit.
A national survey was conducted to determine beliefs about neonatal pain and agitation, current methods of assessment, and standards for treatment. The results indicated a lack of consistency in both attitudes and practices among neonatal intensive care unit staff with regard to pain assessment and management in neonates. ⋯ Infants with chronic lung disease were identified as being particularly affected by agitation. These infants were noted to have an increased incidence of feeding problems and were more often medicated for agitation.
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The American surgeon · Nov 1987
The diagnostic value of laparoscopy in women with chronic pelvic pain.
Laparoscopy was performed in 130 patients with chronic pelvic pain. Laparoscopy confirmed the preoperative diagnosis of pelvic inflammatory disease (PID) in 41 of 63 women with preoperative diagnosis of chronic PID (65%), whereas in 8 (13%), no pathologic findings were revealed. ⋯ Of the total group, laparoscopy prevented laparotomy in 20 cases. These results are in accord with those of previous studies and emphasize the importance of laparoscopy in the management of women with chronic pelvic pain.