Articles: pain-management.
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Southern medical journal · Feb 1996
Randomized Controlled Trial Comparative Study Clinical TrialEye patch treatment for the pain of corneal abrasion.
The traditional use of patching and topical antibiotics in the treatment of corneal abrasion has recently been challenged, particularly after foreign body removal. In a prospective, controlled, randomized study of 33 patients treated in the emergency department for eye pain and corneal abrasion, we attempted to determine whether eye patching affected the pain of simple corneal abrasions. After fluorescein examination with magnification (x 5), a visual analog pain score was recorded and the patient was randomized to either the patched or nonpatched group. ⋯ There was no significant difference in the mean changes in pain scores between the patched and nonpatched groups. Analgesic use was also similar. We conclude that routine eye patching does not favorably affect the pain associated with the treatment of simple corneal abrasion.
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J Am Acad Orthop Sur · Jan 1996
Clavicular Nonunion and Malunion: Evaluation and Surgical Management.
Nonunions and malunions of the clavicle are uncommon but can be disabling. Pain, limitation of shoulder mobility, or local compression of the brachial plexus can produce profound functional impairment. ⋯ Salvage procedures include excision of a bony prominence, partial or total clavicular resection, and resection of the first rib. While most patients with a malunited clavicular fracture are asymptomatic, osteotomy and correction of the deformity should be considered when there is associated functional or neurovascular impairment.
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Ann Fr Anesth Reanim · Jan 1996
Case Reports[Cancer pain: beneficial effect of ketamine addition to spinal administration of morphine-clonidine-lidocaine mixture].
To assess the benefit of ketamine addition to a morphine-clonidine-lidocaine mixture administered continuously by the intrathecal route for the treatment of cancer pain. ⋯ Ketamine by intrathecal route potentiates analgesia obtained with morphine-clonidine and lidocaine, while impeding the development of a tolerance vis-à-vis the former.
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Int J Clin Exp Hypn · Jan 1996
ReviewHypnosis treatment of clinical pain: understanding why hypnosis is useful.
Clinical and experimental research literature indicates hypnosis is very useful for severe and persistent pain, yet reviews suggest hypnosis is not widely used. To encourage more widespread clinical application, the author reviews recent controlled clinical studies in which hypnosis compares favorably with other interventions; links advances in understanding endogenous pain modulation to a neurophysiologic view of hypnosis and hypnoanalgesia; relates the neurophysiology of hypnoanalgesia to management of chronic pain; challenges the view that hypnotic pain control is only for the highly hypnotizable patient; and raises issues about how people learn to control pain with hypnosis. Training in hypnotic analgesia may usefully enhance nervous system inhibitory processes that attenuate pain.