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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses, temperature changes,...
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Skeletal Muscle Relaxants: Therapeutic Uses01:31

Skeletal Muscle Relaxants: Therapeutic Uses

Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx as...

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Endoscopic trans-iliac approach to L5-S1 disc and foramen - a report on clinical experience.

International journal of spine surgery·2015
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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
09:35

Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain

Published on: May 10, 2017

Pain management clinics.

Sandeep Sherlekar1

  • 1Capital Area Pain Management Associates, LLC, 141 Thomas Johnson Drive #190, Frederick, MD, USA. sherlekar99@yahoo.com <sherlekar99@yahoo.com>

Clinics in Podiatric Medicine and Surgery
|May 20, 2008
PubMed
Summary

Multidisciplinary pain clinics offer standard chronic pain care. Primary care physicians should remain involved post-referral, especially for complex cases like long-term opiate therapy.

Area of Science:

  • Pain Medicine
  • Primary Care

Background:

  • Multidisciplinary pain management clinics are the standard of care for chronic pain.
  • Primary care physicians (PCPs) play a crucial role in patient management.
  • PCPs are encouraged to remain active in patient care post-referral.

Purpose of the Study:

  • To discuss the role of pain management clinics after patient referral.
  • To highlight the importance of continued PCP involvement in chronic pain management.

Main Methods:

  • This article provides insights and discusses the role of pain management clinics.
  • Literature review and clinical practice insights.

Main Results:

  • Pain clinics manage complex chronic pain conditions.

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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
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  • Continued PCP involvement is vital for long-term patient care.
  • Specific conditions include long-term opiate therapy and complex regional pain syndrome.

    • Conclusions:

    • Pain management clinics are essential for specialized chronic pain care.
    • Sustained collaboration between pain clinics and PCPs ensures comprehensive patient management.
    • PCPs are integral to the ongoing care of patients referred to pain centers.