conclusions in this study, intravenous paracetamol or diclofenac suppositories, administered for postgastrectomy pain control, decreased morphine consumption by almost 32% and also improved alertness. nevertheless, the amount of opioids did not affect the incidence of complications. background major surgical procedures, such as gastrectomy, result in extensive postoperative pain, which can lead...

introduction: rib fracture is one of the common causes of trauma disabilities in many events and the outcome of these patients are very extensive from temporary pain management to long-term significant disability. control and management of the pain in such patients is one of the most important challenges in emergency departments. thus, the aim of the present study was assessing the efficacy of ...

Chronic pain is highly prevalent in the United States and Canada, occurring in an estimated 30% of the adult population. Despite its high prevalence, US and Canadian medical schools provide very little training in pain management, including training in the safe and effective use of potent analgesics, most notably opioids. In 2005, the International Association for the Study of Pain published re...

This paper reviews the use of music as an adjuvant to the control of pain, especially in medical procedures. Surgery causes stress and anxiety that exacerbates the experience of pain. Self-report of and physiological measures on post-surgical patients indicate that music therapy or music stimulation reduces the perception of pain, both alone and when part of a multimodal pain management program...

The American Academy of Pain Medicine and the American Society for Regional Anesthesia have recently focused on the evolving practice of acute pain medicine. There is increasing recognition that the scope and practice of acute pain therapies must extend beyond the subacute pain phase to include pre-pain and pre-intervention risk stratification, resident and fellow education in regional anesthes...

BACKGROUND The expectations of patients for managing pain induced by exercise and mobilization (PIEM) have seldom been investigated. We identified the views of patients and care providers regarding pain management induced by exercise and mobilization during physical therapy programs. METHODS We performed a qualitative study based on semi-structured interviews with a stratified sample of 12 pa...

introduction: although the synergistic effects of opioids and other analgesic drugs such as non-steroidal anti-inflammatory drugs (nsaids) have been established in relieving acute pain due to renal calculi, no studies today have evaluated the concomitant administration of opiates and other drugs with analgesic effects, such as serotonin re-uptake inhibitors. considering the high prevalence of r...

ketamine is a promising alternative agent for pain control that offers benefit to traditional strategies, particularly in the setting of rib fracture. current pharmacologic therapies have clear adverse effects, and other options may be invasive, cost prohibitive, or marginally effective. we describe three consecutive patients with traumatic injuries including rib fracture for which a ketamine i...