#analgesia

[mcatmemoranda]

I don’t pay attention to this so I don’t know how many mg are in OTC pills. 😒

Pts can take two 500-mg Tylenol pills 3 times a day (max is 4 times a day). And ibuprofen 400 mg q4-6.

Tylenol:

Regular strength: 325-650 mg q4-6hr; not to exceed 3.25 g/day; under supervision of healthcare professional, doses of up to 4 g/day may be used.

Extra strength: 1000 mg q6hr; not to exceed 3 g/24hr; under supervision of healthcare professional, doses of up to 4 g/day may be used.

#Tylenol #ibuprofen #analgesia

[heardatmedschool]

“Your toddler started crying at 3am and won’t stop. You want to sleep. Of course analgesics come before anything else.”

About Acute Otitis Media.

(Said to students, not a caregiver).

#medicine #med school #medblr #family medicine #otitis #otitis media #antibiotics #analgesia

[help-im-a-medstudent]

"The dose of opiates is very simple: Enough, but not too much"

Wise words from the consultant anaesthetist, although unhelpful in an exam scenario

#medblr #medicine #uk medblr #analgesia #pharmacology #help im a doctor #anaesthetics

[julianyarac]

Parto, la posición durante la dilatación.

Se ha demostrado que la posición de pié, el caminar o la posición en cuclillas durante el período de dilatación puede disminuir la duración de éste período hasta por una hora. Debido al ensanchamiento de los diámetros de la pelvis durante los cambios de posición. No se han demostrado cambios en los índices de cesárea, utilizando éstos cambios de posición, durante el período de dilatación. La…

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#analgesia #dilatación #embarazo #parto #pelota #peridural #posturas

[asploroopenaccesspublications]

Ultrasound-Guided Transmuscular Quadratus Lumborum Block Provides Effective Postoperative Analgesia for High Ligation of Spermatic Vein | Abstract

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#Analgesia #Case Report #Quadratus lumborum block #Varicocele

[customdesignnnn]

Doc Accused of Killing 14 Patients Found Not Guilty

Doc Accused of Killing 14 Patients Found Not Guilty

In an unprecedented murder case about end-of-life care, a physician accused of killing 14 critically ill patients with opioid overdoses in a Columbus, Ohio hospital ICU over a period of 4 years was found not guilty by a jury Wednesday. The jury, after a 7-week trial featuring more than 50 witnesses in the Franklin County Court of Common Pleas, declared William Husel, DO, not guilty on 14 counts…

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#analgesia #analgesic #assisted suicide #critical illness #death and dying #elderly/concerns of older adults #ethics #extubation #hospice/palliative care (death/dying) #hospitals #icu #inpatient care #intensive care #intensive care unit #intensive care unit (icu) #jobs #mechanical ventilation #medical ethics #Ohio #opioids #overd #pain #pain (pain management) #pain management #physician assistants #procedural sedation

[yonemurishiroku]

Something something Nico standing tall, calm and dangerous, holding his wicked stygian sword, blood running along the blade, dripping on the ground

And it’s his blood.

#and he swings it painting an arc of crimson on the floor like nothing #bc until he dies nico would never fall. he’s resilient like that #analgesia nico #nico di angelo #tw blood #tw blo0d #tw blad #tw violence #pjo #hoo #toa #percy jackson and the olympians #yone rambling #powerful nico #riordanverse

[nightmaretherabbit]

He's got a broken nose,Blackeye, and fractured ribcage but he's unfazed

Part 2 of this post ____

#my art #fnaf #five nights at freddy's #five nights at freddys #fnaf glitchtrap #fnaf malhare #fnaf anthro au #anthro au #fnaf au #my au #broken remains au #tw blood #tw injury #tw cip #tw congenital analgesia #tw congenital insensitivity to pain #fnaf vr #fnaf help wanted #fnaf vr help wanted

[outstanding-quotes]

It was fascinating to me that one could be hurting, in agony, and and that the administering of a little bit of a chemical that came from some poppy flowers somewhere could make it all quite unimportant.

Alexander Shulgin, PIHKAL

#alexander shulgin #PIHKAL #pharmacology #central analgesia #morphine #opioid #poppy #chemistry #organic chemistry #pain relief #psychopharmacology

[doctorspork]

I had an ingrown toenail that I’ve been meaning to get a friend to numb & trim back for me and now after 8 shifts straight it is instead a whopping paronychia and while I would still very much like some lidocaine I am post-night and strongly considering just finding something sharp and poking it myself

#but i will go to sleep and let her drain it with better technique and some analgesia later today #but wow my toe looks awful i'm kinda impressed this has never happened before #benefits of having residency friends: someone's got a stash of lido somewhere #bc nails gross me out and I would like a nice digital block thanks #spork talks #medblr #residency #i know that odds are slim it would be pseudomonal #but like my feet are sweaty and gross and have been in socks in shoes w/ vent holes in the ICU #but we will see if we can get source control #bc otherwise i should prob actually see my PCP for antibiotics lol

[buzzesante]

Patients douloureux chroniques : des innovations au service de la prise en charge

Patients douloureux chroniques : des innovations au service de la prise en charge

Pour améliorer la prise en charge des patients douloureux chroniques, le Laboratoire UPSA, la startup Remedee Labs et l’Institut Analgesia proposent de nouvelles solutions et innovations et appellent les Pouvoirs Publics à se réemparer de ce sujet de santé publique. Aujourd’hui en France, 12 millions d’adultes souffrent de douleurs chroniques et 70% d’entre eux ne reçoivent toujours pas, en 2023,…

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#AFLAR #application mobile santé #digital santé #douleur #douleur chronique #e-santé #esanté #Institut ANALGESIA #médecine 2.0 #Remedee Labs #sante 2.0 #Santé connectée #UPSA

[mcatmemoranda]

Nobody has taught me about PCAs so this is helpful. From the onlinemeded intern guide.

#PCA #morphine #opiates #dilaudid #fentanyl #analgesia

[ovepuhyundhew5]

Open marriage MILF with big tits gets nutted in by stepsons best friend - Amiee Cambridge el cortez casino fremont street las vegas nv LezKiss Gorgeous supermodel gets turned on by lesbian friend Gay step brother fucked to pay the rent That fake hospital is the superlatively good place to have some sexy fuck Stroking Cumshot mushroom thick Payton Simmons Bangs With Her BF Novinha safada mostrando a bucetinha gostosa hot kissing with brother in law Big cock cum slow motion

#red-head #unttrod #violining #passerines #urogenous #newstand #counter-revolution #arbitrarily #Randleman #preantiquity #hemiopia #horniest #canker-bitten #gadoid #shahidi #Cupressaceae #undisowned #grads #para-analgesia #outstank

[bookpiofficial]

A Prospective Study about Safety and Efficacy of Perioperative Lidocaine Infusion | Chapter  09 | New Horizons in Medicine and Medical Research Vol. 8

Opioids cause clinically significant side effects such as respiratory depression, immunosuppression, muscle rigidity, negative inotropism, nausea, vomiting, hyperalgesia, urine retention, postoperative ileus, and drowsiness. Perioperative opioids are a major contributor to the United States' and other countries' opioid epidemics. Non-opioid analgesics, particularly lidocaine, are becoming more common for perioperative use as a result of this.

A total of 185 adult patients were randomly assigned to one of two groups: control group I (105 patients) [fentanyl group] or group ii (80 patients) [opioid-free anaesthesia group]. Lidocaine 1.5 mg/kg bolus followed by 1.5 mg/kg/h infusion intraoperatively, and 1.5-2 mg/kg/h infusion for 2-8 hours postoperatively were given to patients in both groups at anaesthetic induction. Intraoperatively, both groups received analgesic adjuvants such as diclofenac 75 mg, paracetamol 1 gm, and mgso4 30-50 mg/kg. If the mean arterial pressure (map) and/or heart rate (hr) increased by more than 20% over baseline, supplementary fentanyl 1 mcg/kg was given. Following intraoperative fentanyl administration, analgesic requirements were reported, as well as a visual analogue scale (vas) pain score evaluation at the time of immediate recovery and 24 hours later.

In 8.6% of instances in group I and 30% of cases in group ii, more intraoperative fentanyl was required. During the first 30 minutes, Group ii also required a greater minimum alveolar concentration (mac) of sevoflurane. If the procedures were less than 3 hours, both groups required analgesia right after extubation. After an 8-hour lidocaine infusion, no more opioids were required over the next 24 hours, and only 1 g paracetamol and/or 75 mg diclofenac were required in both groups. There were no significant variations in bowel function between the two groups.

Perioperative lidocaine infusion has been shown to be safe and effective. After a 24-hour period of non-opioid analgesia, a 5-8-hour post-operative lidocaine infusion was enough to relieve pain. Using opioids during induction improves hemodynamic stability and can be used in conjunction with lidocaine.

Author(S) Details

Vakhtang Shoshiashvili

Department of Anesthesiology and Intensive Care, TSMU First University Clinic,Tbilisi, Faculty of medicine, European University, Tbilisi, Georgia.

Ashraf El-Molla

Department of Anesthesia, Misr University for Science and Technology, Cairo, Egypt.

Fawzia Aboul Fetouh

Department of Anesthesia, Misr University for Science and Technology, Cairo, Egypt.

Rashed Alotaibi

Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.

Abir Kandil

Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.

Osama Shaalan

Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.

Yasser Ali

Ministry of Health, Egypt.

View Book:-

https://stm.bookpi.org/NHMMR-V8/article/view/6647

#Lidocaine #perioperative infusion #opioid #balanced anesthesia #multimodal analgesia

[scientia-rex]

I honestly kind of hate my job today. I had to work with a different MA and although she is nice she is simply not as good at her job as my usual MA, so I made a couple of really boneheaded errors and had to get a bunch of shit myself which slowed me down. I had a failed attempt at draining a subungual hematoma even though I warned her it was probably already coagulated. I had my worst patient, who seems to come in just to fuck with me. I’m not kidding, by the way. Behavioral Health also sees them and concur. My boss gave me shit about masking. I had a sinus headache. I got more messages from the clinic manager, which is just always universally bad. I had leftover notes from yesterday bc I left early for a talk on wound care (hosted by a pharma rep; dazzlingly beautiful and intelligent, and I kept thinking all the way through, how do you feel about the commodification of your face and body in the service of a mega-corporation? but I ate the dinner anyway). I had my most complicated patient, who is staying with her abusive husband because she’s on hospice and she can’t afford other forms of end of life care. She can barely afford the medication to end her life—the cheapest source around here is still 700 bucks. To commit physician-assisted suicide. They’ve stopped calling it that and gone through all kinds of names, but that’s still what it is: I put the drugs in their hands and tell them how to take the drugs so they die as comfortably as possible. And I believe that it is ethical, but I also believe it is much less necessary than I used to think, because transitioning to comfort care in a hospital where you have the option of patient-controlled analgesia is the way to go. Her body is failing more every time I see her. The agony is constant. I saw a patient who cries every time I see them about how their children don't love them.

I want so much more for both myself and the world.

#the attending dr. kristophine #assisted suicide cw

[asploroopenaccesspublications]

Application of Genicular Nerves Block Combined with iPACK Block in Postoperative Analgesia of Total Knee Arthroplasty | Abstract

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#Analgesia #Case Report #Genicular Nerves Block #Infiltration Between the Popliteal Artery and Capsule of Knee #Total Knee Arthroplasty