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Are We Prescribing More Than 3-Days Worth Opioids' Prescriptions To Our Outpatient Surgical Patients When Discharged On Day Of Surgery? A Quality Improvement Study Worth Exploring
Background: Since the time when Centers for Disease Control and Prevention (CDC) came up with the guidelines [1] to further responsible attitude towards opioid prescriptions in acute pain settings, we have been wondering the status of awareness among opioid prescribers in our institution as well as their responsiveness to the CDC ..
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Avascular Necrosis (AVN) of the Coccyx as a Cause of Coccydynia (Tailbone Pain)
Abstract : Introduction: Coccydynia (coccyx pain, tailbone pain) has many etiologies. Avascular necrosis (AVN, osteonecrosis) of the coccyx is a rarely reported cause of coccyx pain. Case report: We present a case of a 35-year-old male who presented with complaints of four years of worsening coccyx pain. He had a history of bilat..
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Iatrogenic Coccydynia (Coccyx Pain) After Chiropractic Actuator Treatments: Case Report
Abstract : Coccyx pain (also called coccydynia, or tailbone pain) has a broad range of etiologies, including traumatic and non-traumatic causes. Iatrogenic etiologies of coccydynia are rarely reported. This is the first report of iatrogenic coccydynia due to the use of a chiropractic actuator. An actuator (also known as an activa..
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A New Nominal Scale (Yes-No-Don't Know-YNDK Scale) and Its Correlation with Standard Ordinal Scale (Numerical Rating Scale-NRS): Our Experience Among University Based Pain Clinic Patients
Abstract: Background: There are variety of pain scales available for use by the health care providers to assess patients' pain. Numerical rating scales (11-point 0-10 NRS) are one of the most commonly used pain..
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Visual Analogue Scale Specific Patient-Controlled Analgesia (VAS Guided PCA)
My opinion: As an anesthesia provider, we are responsible for ensuring adequate perioperative analgesia. One of the pain management modality that is frequently used in perioperative settings is patient-controlled..
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A Theoretical Analysis of the Etiology of Idiopathic Carpal Tunnel Syndrome
Abstract : The etiology of carpal tunnel syndrome was studied by comparing the role of genetics, sleep position and sexual intercourse as possible causes of idiopathic carpal tunnel syndrome. The etiologic potential of the three theories was analyzed using a modified version of the Bradford Hill criteria of causation. All three t..
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Participations of Glias and Immune Cells in Neuropathic Pain
Abstract: Nowadays, one cannot but recognize a key role of the peripheral and central glial cells for generation of clinical neuropathic pain. Many cytokines are released from glial cells, immune cells and nociceptive primary afferent central or peripheral terminals by injury, bacterial or viral infection, and envenomation by be..
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Preemptive Analgesia in Children with Caudal Blocks
Abstract : Introduction: The aim of this study was to evaluate the preemptive analgesic effect and duration of postoperative analgesia after caudal blocks in children.Methods: Forty-five children who underwent distal hypospadias surgery were assigned to group one (n=23) received caudal bupivacaine (0.25%) 0.5 mg kg-1 and midazola..
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Management of Acute Pain in Childen: An Overview
Abstract : BACKGROUND: Contrary to some beliefs, all children do experience pain, with its adverse emotional and social consequences. Pain may be of diagnostic and therapeutic origin such as lumbar puncture, bone marrow aspiration, or venipuncture. The aim of this review is to sensitise all health care providers to appreciate, pr..
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Headaches Secondary to Macromastia: Does Brain Temperature Changes Explain the Physiology of Breast Cleavage?
My opinion: A new concept was put forward by Ducic et al (1) when based on their anecdotal experience and retrospective review, they documented that macromastia was contributing to the headaches in the patients and reduction mammoplasty was shown to relieve the headaches significantly in these patients. Per Ducic et al, the underl..
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Cystatin C Decreases the Body Temperature and Pain Perception in Rats
Abstract: Cystatin C (CC) is a cysteine protease inhibitor present in cerebrospinal fluid (CSF) at high concentration. The abnormal CSF CC levels have been associated with numerous neurological diseases. It has been proposed as a pain biomarker and as a neuroprotector factor. We had analyzed its effect on sleep and on the recove..
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