BACKGROUND Opioids are good painkillers, but many patients treated with opioids as painkillers developed a secondary addiction. These patients need to stop misusing opioids, but the mild-to-severe clinical symptoms associated with opioid withdrawal risk increasing their existing pain. In such cases, ketamine, which is used by anaesthetists and pain physicians to reduce opioid medication, may be...

Background: Oral fluids and food are traditionally introduced slowly after total abdominal hysterectomy (TAH). This descriptive study examined the effect and tolerance of early oral intake following this surgery. Methods: A retrospective chart review was conducted on 164 patients who had been on a clinical pathway following TAH. Comparisons in initiation of fluids and foods, and gastrointestina...

OBJECTIVES In light of current FDA guidelines on opioid use in children, we sought to determine the risk of post-tonsillectomy hemorrhage (PTH) in children who received ibuprofen with acetaminophen versus those who received narcotic with acetaminophen for postoperative pain control. METHODS This was an IRB-approved retrospective chart review of patients at a tertiary-care pediatric center. Th...

conclusions analysis of codeine to morphine metabolism rate is needed when we are using morphine/codeine ratio to rule out abuse of narcotics. wada should consider analysis for the cyp2d6 alleles (main metabolizer of codeine) in case of including morphine/codeine ratio in future prohibited list. the possibility of ultra-rapid cyp2d6 cannot be ruled out in certain results of morphine/codeine nea...

A novel chemically modified electrode was constructed based on multi-walled carbon nanotubes, MCM48 molecular sieve composite modified glassy carbon electrode .The modified electrode showed that it can be used for simultaneous determination of acetaminophen (ACT) and codeine (COD), simultaneously. The measurements were carried out by the application of differential pulse voltammetry (DPV), cycl...

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