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Magnetic-resonance-guided focused ultrasound (MRgFUS) is non-inferior to external-beam radiation therapy (EBRT) for the treatment of patients with painful bone metastases, according to results of a randomised, controlled trial presented at the 2018 European Congress of Radiology (ECR). Although MRgFUS is limited to non-spinal locations, it is a radiation-free, single-session procedure. High-intensity focused ultrasound as an […]
Read MoreAuthors: Lichtman JH et al. Circulation 2018 Feb 20. Beyond identifying differences between the sexes, this study highlights the need for clinicians to include AMI in the differential diagnosis of young adults. It has been reported that women and men suffering acute myocardial infarction (AMI) present with different symptomatology. To ascertain this in adults aged ≤55, […]
Read MorePatients with tension-type headache (TTH) experience benefit from acupuncture and stretching, especially in combination with pressure pain threshold (PPT) physiotherapy hands-on techniques, according to a new study conducted in Athens, Greece. The researchers undertook the study because, despite “weak to moderate evidence,” nonpharmacologic therapies for TTH and cervicogenic cephalalgia remain a treatment choice for many patients. Therefore, […]
Read MoreClinical best practice recommendations for the use of buprenorphine in the perioperative management of patients undergoing interventional pain procedures and other surgeries were recently published in Pain Physician.1 Buprenorphine can prevent the binding of additional opioid medications to opioid receptors during surgery and was found to have a ceiling effect for analgesia.2 The goal of this literature […]
Read MoreAUTHORS: Leal R et al World Neurosurgery (Feb 2018) BACKGROUND Brain tumor surgery near or within eloquent regions is increasingly common and is associated with a high risk of neurological injury. Awake craniotomy with mapping has been shown to be a valid method to preserve neurological function while increasing the extent of resection. However, the […]
Read MoreIlioinguinal-transversus abdominis plane (I-TAP) block was shown to provide superior pain relief compared with a multimodal analgesic regimen in patients undergoing elective cesarean delivery, and to be associated with reduced use of high fentanyl doses, in a study published in Anaesthesia. In this prospective placebo-controlled triple-blind trial, investigators evaluated pain outcomes in 100 women who underwent […]
Read MoreThe American Society for Gastrointestinal Endoscopy (ASGE) has released updated guidelines on the use of sedation and anesthesia during GI endoscopic procedures. There are similarities to the guidelines of the American Society of Anesthesiologists (ASA), particularly when it comes to timing of sedation. However, the new ASGE guidelines offer a different approach for capnography during endoscopic procedures […]
Read MoreBy Shereen Lehman (Reuters Health) – Using non-steroidal anti-inflammatory drugs (NSAIDs) around the time of conception significantly increases the risk of miscarriage in the first eight weeks of pregnancy, a study suggests. Researchers compared newly pregnant women who used NSAIDs around the time of conception or early in their pregnancy to those who used acetaminophen […]
Read MoreBy Rachael Rettner Life Science June 2018 Marijuana use may affect how much pain people feel and the dose of painkillers they need following a traumatic injury, such as an injury from a car accident, a new study suggests. The study found that, after experiencing a traumatic injury, marijuana users reported higher levels of pain, and needed […]
Read MoreOral vitamin E supplementation consisting of 400 mg/day mixed tocotrienols for 1 year may not result in improved neuropathic pain symptoms in patients with diabetic peripheral neuropathy (DPN), according to a randomized trial published in JAMA Neurology. In this double-blind placebo-controlled trial, investigators randomly assigned patients with DPN (mean age, 57.6±8.9 years; mean duration of diabetes, […]
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