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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

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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...
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Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

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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...
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Skeletal Muscle Relaxants: Therapeutic Uses01:31

Skeletal Muscle Relaxants: Therapeutic Uses

463
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...
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General Anesthesia: Overview01:24

General Anesthesia: Overview

190
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
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Technology-Based Interventions for Pain in Children Undergoing Surgery: A Systematic Review and Meta-Analysis.

Mustafa Volkan Düzgün1, Cafer Özdemir2, Ayşegül İşler1

  • 1Department of Pediatric Nursing, Faculty of Nursing, University of Akdeniz, Antalya, Turkey.

International Journal of Nursing Practice
|January 21, 2025
PubMed
Summary

Technology-based interventions effectively reduce pain in pediatric surgery patients. This systematic review and meta-analysis confirms their efficacy in managing post-operative discomfort.

Keywords:
nursingpaediatric surgerypainsystematic review and meta‐analysestechnology

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Area of Science:

  • Pediatric Surgery
  • Pain Management
  • Health Technology

Background:

  • Increasing use of technology-based, multimodal, non-pharmacological pain management in pediatric surgery.
  • Need to establish the effectiveness of these emerging interventions.

Purpose of the Study:

  • Evaluate the impact of technology-based interventions on pain experienced by pediatric surgery patients.
  • Synthesize evidence from randomized controlled trials (RCTs).

Main Methods:

  • Systematic review and meta-analysis of RCTs.
  • Comprehensive literature search across major scientific databases.
  • Data extraction and risk of bias assessment by two independent researchers.

Main Results:

  • Meta-analysis of 14 RCTs demonstrated significant pain reduction in pediatric surgery patients using technology-based interventions.
  • High heterogeneity was noted among the included studies, indicated by Cochran's Q test.

Conclusions:

  • Technology-based interventions are a proven effective strategy for pain reduction in pediatric surgical patients.
  • Further research may be needed to address heterogeneity and optimize intervention protocols.