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Pain
RECENT FEATURES

Managing Pain in Obese ED Patients

Weight-based dosing of opioids is a commonly used approach for managing patients who present to the ED with more severe pain. “Many patients who present to the ED with pain are obese or morbidly obese,” says Asad E. Patanwala, PharmD. “Heavier patients often receive larger total doses of opioids when compared with normal weight individuals.…

Relieving Pain in Colorectal Surgery

Researchers have developed enhanced recovery pathways (ERP) to improve outcomes and reduce readmissions in colorectal surgery patients. “ERP protocols use a set of standardized pre- and postoperative orders,” explains Conor P. Delaney, MD, PhD, FACS, FASCRS. “Research clearly shows that these protocols can help speed recovery and improve outcomes.” ERP protocols emphasize early mobilization after surgery, optimal analgesia, and control of intravenous fluid volumes.…

Optimizing Migraine Care

The American Headache Society joined the Choosing Wisely initiative and produced a list of five tests and procedures that are associated with low-value care in headache medicine.

OPINION ARTICLES

Managing Pain in Obese ED Patients

Weight-based dosing of opioids is a commonly used approach for managing patients who present to the ED with more severe pain. “Many patients who present to the ED with pain are obese or morbidly obese,” says Asad E. Patanwala, PharmD. “Heavier patients often receive larger total doses of opioids when compared with normal weight individuals.…

A Look at Opioid Use During Pregnancy

According to NIH data, prescriptions for opioids have increased dramatically in the general population, rising by more than 200 million between 1991 and 2009. In 2014, the American Society of Anesthesiologists distributed a list as part of the American Board of Internal Medicine Foundation’s Choosing Wisely campaign to help physicians and patients engage in conversations about treatments or medications that are commonly prescribed in pain medicine but are not always necessary.…

Relieving Pain in Colorectal Surgery

Adding a TAP block to ERP protocols may allow patients to bypass or reduce narcotics use after colorectal surgery.

BLOG

Drug Wars in the Exam Room

"Though we should never deny appropriate medical treatment to a patient, this balancing act can be difficult, and we sometimes fail to differentiate between those in need from those selling a tale."

New Evidence-Based Guidelines: 4 Signs of Concussion

The first part of new evidence-based guidelines, published in the September 2014 issue of Neurosurgery, sought to identify which signs, symptoms, and neurologic and cognitive deficits have the highest and most consistent prevalence in samples of individuals sustaining a potentially concussive event.…

The Evolution of Medicine

Source: BestMedicalDegrees.com

Modern medicine has helped lead to a surge in average life expectancy, which was only about 36 in the late 1800s. With humans routinely living into their 100s, advances in medical science are to thank. Let’s take a journey through the history of medical advancements.…

NEWS BRIEFS

Assessing Self-Management for Lower Back Pain

Self-management of lower back pain appears to have only small effects on pain and disability, according to findings from a systematic review. Analyses of 13 trials found little improvement in pain and disability, suggesting that treatment guidelines that endorse self-management strategies should be reassessed.…

Migraine Prevalence, Celiac Disease, & IBD

When compared with healthy controls, patients with celiac disease, gluten sensitivity (GS), and inflammatory bowel disease (IBD) appear to have a higher prevalence of migraine. Investigators from New York noted that migraine was graded as severe by 72% of patients with celiac disease, compared with 60% for those with GS and 30% for those with IBD.…

Evaluating Online Scoliosis Info

An exploration of the top 100 websites from searches of “scoliosis” using the five most commonly used search engines suggests that the overall quality of information on the condition appears to be poor despite exponential growth in the number of available sites in recent years.…

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