Background: Narcotic abuse and addiction have recently emerged as significant global issues. The consumption of dependence-inducing substances has become increasingly prevalent among younger generations in numerous countries, exacerbating the problem. Until 2015, South Korea had been relatively narcotic-free; however, this is no longer true. Consequently, encountering narcotic abusers clinical ...

  Background: Our institution’s traditional pain management strategy after shoulder arthroplasty has involved the utilization of postoperative patient-controlled narcotic analgesia. More recently, we have implemented a protocol (TLC) that utilizes a multimodal approach. The purpose of this study was to determine whether this change has improved pain control and decreased narcotic utilization. ...

Introduction Patient comfort is a priority in the Intensive Care Unit (ICU). Narcotics are used to ensure optimal comfort and to facilitate patient management, including mechanical ventilation and other interventions. Previous studies indicate that chronic pain is common for an extended period after ICU discharge [1]. However, little data is available on the use of narcotic medications before a...

A narcotic or a non-narcotic analgesic that would not cause respiratory depression and addiction in may be used as an alternative to morphine. In Ayurveda a large number of indigenous drugs have been mentioned possessing the analgesic properties e.g Guggul, Erand, Rasna, Bhringaraja, Methika, palandu and prasikayavani. Total alcoholic extracts of Bhringaraja (Eclipta alba) was undertaken to stu...

OBJECTIVES To compare rates of narcotic administration for medically treated neonates in different neonatal intensive care units (NICUs) and to compare treated and untreated neonates to assess whether narcotics provided advantages or disadvantages for short-term outcomes, such as cardiovascular stability (ie, blood pressure and heart rate), hyperbilirubinemia, duration of respiratory support, g...

AIM (1) To describe a process approach to the improvement of pain management in emergency departments. (2) To compare analgesia ordering and administration practices for patients with acute fractures before and after implementation of a nurse managed, titrated intravenous narcotic policy. METHOD Retrospective chart review of patients with long bone fractures for the years 1993 and 1997. RES...

Our objective is to quantify the mortality from AIDS, narcotic related deaths, and traffic accidents among those between 15 and 39 years of age, in the Community of Madrid, 1990-1991. Data provided by the Regional Register of AIDS, Forensic Institute of Madrid, local police teams and the Traffic Directorate General have been used. Mortality from traffic accidents ranked first as a cause of deat...

Narcotic analgesics cause addiction by poorly understood mechanisms, involving mu opoid receptor (MOR). Previous cell culture studies have demonstrated significant basal, spontaneous MOR signaling activity, but its relevance to narcotic addiction remained unclear. In this study, we tested basal MOR-signaling activity in brain tissue from untreated and morphine-pretreated mice, in comparison to ...

Purpose. To compare narcotic versus nonnarcotic outpatient oral pain management after pediatric laparoscopic appendectomy. Methods. In a prospective study from July 1, 2010, to March 30, 2011, children undergoing laparoscopic appendectomy on a rapid discharge protocol were treated with either nonnarcotic or narcotic postoperative oral analgesia. Two surgeons in a four-person faculty group emplo...

Nalbuphine hydrochloride is a relatively new agonist-antagonist drug structurally related to the potent narcotic, oxymorphone (Numorphan®), and the potent narcotic antagonist, naloxone (Narcan®). (Figure 1.) Nalbuphine has a potency equivalent to morphine sulphate and meperidine (10 mg morphine sulphate and 75 mg meperidine being equivalent to 20 mg nalbuphine), 1 with an abuse potential which ...