Articles: pain-management.
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J. Cardiothorac. Vasc. Anesth. · Aug 2023
Outcomes Related to Cardiac Enhanced Recovery After Surgery Protocol.
The objective of this study was to assess the quality of pain control and outcomes in patients who underwent coronary artery bypass graft (CABG) over a period of 96 hours preimplementation of a cardiac enhanced recovery after surgery (C-ERAS) protocol compared with postimplementation. ⋯ Implementing a C-ERAS protocol within a CABG surgery patient population reduced the amount of MME.
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Chronic penile pain causes significant suffering in men, yet the management of chronic penile pain is not described in current literature. A patient presented with penile pain for 3 months following a tick bite. ⋯ The patient underwent dorsal nerve block (DNB), which provided immediate pain relief and continued to provide significant relief for several months. This is the first case of chronic penile pain that was successfully managed with DNB.
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Reg Anesth Pain Med · Aug 2023
Case ReportsAcute pain service reduces barriers to buprenorphine/naloxone initiation by using regional anesthesia techniques.
Medications for opioid use disorder (MOUD) are a life-saving intervention; thus, it is important to address barriers to successful initiation. Spasticity affects many patients with spinal cord injury and can be painful and physically debilitating. Chronic painful conditions can lead to the illicit use of non-prescribed opioids, but fear of pain is a barrier to the initiation of MOUD. In this case report, we describe the novel use of botulinum toxin A injections to treat abdominal spasticity and facilitate Acute Pain Service-led buprenorphine/naloxone initiation in a patient with opioid use disorder and severe abdominal spasticity due to spinal cord injury. ⋯ This case report demonstrates that inpatient buprenorphine/naloxone initiation by an Acute Pain Service can improve the success of treatment by addressing barriers to initiation. Acute Pain Service clinicians possess unique skills and knowledge, including ultrasound-guided interventions, that enable them to provide innovative and personalized approaches to care in the complex opioid use disorder population.
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Pain is considered as one of the most common factors that cause people to seek medical care. An important responsibility of health professionals is to manage pain, and nurses play a crucial role in it. Therefore, nursing students must have pain management knowledge and skills to fulfill this role. ⋯ The students had a moderate mean score on the Knowledge and Attitudes Survey Regarding Pain. The students who graduated from high school and those who received their clinical education in cardiovascular and thoracic surgery units had significantly higher mean scores on pain management knowledge and attitudes.