نتایج جستجو برای: opioid analgescics

تعداد نتایج: 31289  

2013
Jorge E Marcet Valentine N Nfonsam Sergio Larach

BACKGROUND Opioid analgesics are effective for postsurgical pain but are associated with opioid-related adverse events, creating a significant clinical and economic burden. Gastrointestinal surgery patients are at high risk for opioid-related adverse events. We conducted a study to assess the impact of an opioid-sparing multimodal analgesia regimen with liposome bupivacaine, compared with the s...

2011
A. Fareed S. Stout J. Casarella S. Vayalapalli J. Cox K. Drexler

Opioid intoxications and overdose are associated with high rates of morbidity and mortality. Opioid overdose may occur in the setting of intravenous or intranasal heroin use, illicit use of diverted opioid medications, intentional or accidental misuse of prescription pain medications, or iatrogenic overdose. In this review, we focused on the epidemiology of illict opioid use in the United State...

2011
Jan M Keppel Hesselink David J Kopsky

To fi nd appropriate and effective treatment options for chronic pain syndromes is a challenging task. Multimodal treatment approach has been gaining acceptance for chronic pain. However, combining treatments, such as acupuncture, with rational pharmacology is still in its infancy. Acupuncture infl uences the opioid and cannabinoid system through releasing endogenous receptor ligands. Low dose ...

Journal: :American journal of orthopedics 2017
Joseph T O'Neil Mark L Wang Nayoung Kim Mitchell Maltenfort Asif M Ilyas

Pain management and opioid consumption after distal radius fracture (DRF) open reduction and internal fixation (ORIF) are highly variable and poorly understood. To optimize postoperative opioid dosage and better understand opioid consumption patterns after DRF-ORIF, we conducted a prospective study with the hypothesis that opioid consumption would increase with worsening fracture classification...

Journal: :The journal of pain : official journal of the American Pain Society 2009
Roger Chou Gilbert J Fanciullo Perry G Fine Jeremy A Adler Jane C Ballantyne Pamela Davies Marilee I Donovan David A Fishbain Kathy M Foley Jeffrey Fudin Aaron M Gilson Alexander Kelter Alexander Mauskop Patrick G O'Connor Steven D Passik Gavril W Pasternak Russell K Portenoy Ben A Rich Richard G Roberts Knox H Todd Christine Miaskowski

UNLABELLED Use of chronic opioid therapy for chronic noncancer pain has increased substantially. The American Pain Society and the American Academy of Pain Medicine commissioned a systematic review of the evidence on chronic opioid therapy for chronic noncancer pain and convened a multidisciplinary expert panel to review the evidence and formulate recommendations. Although evidence is limited, ...

2018
Todd Molfenter Carol Sherbeck Sandy Starr Jee-Seon Kim Mark Zehner Andrew Quanbeck Nora Jacobson Dennis McCarty

OBJECTIVE Few studies examine how payers address the need for improved access to pharmacotherapy for opioid use disorders and the influence of environmental variables on access to opioid agonist and antagonist medications. METHOD The 52 Ohio Addiction Drug Abuse and Mental Health Services (ADAMHS) Boards that disburse funds for treatment services for the uninsured and underinsured were survey...

2007
Tor D. Wager David J. Scott Jon-Kar Zubieta Edward E. Smith

Placebo-induced expectancies have been shown to decrease pain in a manner reversible by opioid antagonists, but little is known about the central brain mechanisms of opioid release during placebo treatment. This study examined placebo effects in pain by using positron-emission tomography with [11C]carfentanil, which measures regional -opioid receptor availability in vivo. Noxious thermal stimul...

Journal: :Journal of opioid management 2012
Andrea D Furlan Rhoda Reardon Lena Salach

The Opioid Manager is designed to be used as a point-of-care tool for providers prescribing opioids for chronic noncancer pain. It condenses the key elements from the Canadian Opioid Guideline and can be used as a chart insert. The Opioid Manager has been validated and is available for download from the Guideline's Web site http://nationalpaincentre.mcmaster.ca/opioidmanager/. The Opioid Manage...

Journal: :The Journal of perinatal & neonatal nursing 2017
Rebecca R Safley Jamie Swietlikowski

Opioid dependence is an epidemic in the United States, and the percentage of pregnant women who are opioid dependent has increased dramatically in the last decade. Pain management, already a concern for intrapartum and postpartum care, is complicated in the context of opioid dependence. This clinical review surveys the literature on pain management in opioid-dependent pregnant women to summariz...

Journal: :Anesthesiology 2011
Ream Al-Hasani Michael R Bruchas

Opioid receptors have been targeted for the treatment of pain and related disorders for thousands of years and remain the most widely used analgesics in the clinic. Mu (μ), kappa (κ), and delta (δ) opioid receptors represent the originally classified receptor subtypes, with opioid receptor like-1 (ORL1) being the least characterized. All four receptors are G-protein coupled and activate inhibit...

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