Pain Management

Mar 1, 2005 Issue
Oral Analgesics for Acute Nonspecific Pain [Article]

Physicians most often recommend or prescribe oral medication for relief of acute pain. This review of the available evidence supports the use of acetaminophen in doses up to 1,000 mg as the initial choice for mild to moderate acute pain. In some cases, modest improvements in analgesic efficacy can b...

Nov 1, 2004 Issue
NSAIDs vs. Opiates for Pain in Acute Renal Colic [Cochrane for Clinicians]

Data from randomized controlled trials comparing NSAIDs with opiates show that NSAIDs are associated with lower pain scores, less need for additional rescue medication, and less vomiting (particularly when compared with meperidine).

Mar 1, 2004 Issue
Cutting Back on High-Dosage Narcotics [Curbside Consultation]

Over the past decade, the promotion of narcotics for control of malignant and non-malignant pain has been advocated by specialists in the pain community. While most physicians accept the use of aggressive narcotic analgesia in patients with cancer-related pain, the use of opioids in chronic, nonterminal conditions remains highly controversial.

Apr 15, 2003 Issue
Is Oral Sucrose an Effective Analgesic in Neonates? [Cochrane for Clinicians]

The use of oral sucrose, with or without pacifiers, has been shown to relieve pain in neonates, as assessed by physiologic and behavioral pain indicators and pain scores.

Oct 1, 2001 Issue
Challenges in Pain Management at the End of Life [Article]

Effective pain management in the terminally ill patient requires an understanding of pain control strategies. Ongoing assessment of pain is crucial and can be accomplished using various forms and scales. It is also important to determine if the pain is nociceptive (somatic or visceral pain) or neuro...

May 15, 2001 Issue
New Concepts In Acute Pain Therapy: Preemptive Analgesia [Article]

Pain, which is often inadequately treated, accompanies the more than 23 million surgical procedures performed each year and may persist long after tissue heals. Preemptive analgesia, an evolving clinical concept, involves the introduction of an analgesic regimen before the onset of noxious stimuli, ...

Mar 1, 2000 Issue
Treatment of Nonmalignant Chronic Pain [Article]

Nonmalignant, chronic pain is associated with physical, emotional and financial disability. Recent animal studies have shown that remodeling within the central nervous system causes the physical pathogenesis of chronic pain. This central neural plasticity results in persistent pain after correction ...

Feb 1, 2000 Issue
Managing Pain in the Dying Patient [Article]

End-of-life care can be a challenge requiring the full range of a family physician's skills. Significant pain is common but is often undertreated despite available medications and technology. Starting with an appropriate assessment and following recommended guidelines on the use of analgesics, famil...

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