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Query: UMLS:C0184567 (acute pain)
 3,962 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Chronic low back pain is more significant from the psychiatric point of view than the acute pain. As a persistent pain of organic origin it leads to typical psychopathological symptoms ("algogenic psychosyndrome"). The algogenic psychosyndrome must be differentiated diagnostically from neurotic developments and masked depressions. Psychosomatic low back pain is a warning of failure in the accomplishment of professional or family duties and chronic and chronic inhibited aggression. - An interdisciplinary study of the courses of 50 patients operated on for prolapse of the lumbar intervertebral disk showed that the psychopathological picture and the pain syndrome are usually determined by several factors. The majority of neurotic disordered personalities developed symptoms of new syndromes after the operation.
MMW Munch Med Wochenschr 1977 Sep 09
PMID:[Psychiatric aspects of low back pain (author's transl)]. 14 4

The effect of age on ability to discriminate between levels of electrical stimulation of tooth pulp and willingness to report shocks as painful was evaluated using the Sensory Decision Theory. While threshold did not increase with age for tooth pulp stimulation as is often observed for thermal pain thresholds, a significant age deficit in ability to discriminate between suprathreshold shocks was observed. Significant changes with age in willingness to report the electrical shocks as painful were also observed. These results indicate that changes with age in pain perception are complex, involving not only possible discrimination deficits but also changes in bias for and against labeling noxious events as painful. These findings stress the need for within individual comparisons of laboratory techniques for evoking acute pain experiences where variables such as age are under consideration.
Pain 1976 Sep
PMID:Detection and decision factors in pain perception in young and elderly men. 102 3

Transcutaneous electrical stimulation as a means of relieving acute pain was evaluated in 100 patients who underwent abdominal or thoracic operative procedures. Transcutaneous electrical stimulation proveded pain relief in 77 per cent of test patients as opposed to 17 per cent of control patients. Transcutaneous electrical stimulation is an effective method of treatment that has many advantages over analgesic drugs.
Am J Surg 1975 Sep
PMID:Transcutaneous electrical stimulation in treatment of postoperative pain. 110 19

The effectiveness of a brief clinical and basic science seminar on pain for 1st year medical students was examined by comparing attitudes about pain prior to the seminar to attitudes 5 months after the seminar. The 6-h course combined written materials conveying facts about behavioral, social and biological aspects of pain with clinical observations of an acute and a chronic pain treatment team. Examination of responses to a questionnaire assessing attitudes toward pain patients revealed that medical students have limited personal experience with pain and medications for pain, and limited knowledge about pain. Pre-course attitudes toward pain patients were dominated by perceived negative characteristics of pain patients and the belief that working with such patients is difficult. Attitudes measured 5 months after the course reflected increased complexity, greater emphasis that pain is real and not imaginary, and stronger belief that working with pain patients is rewarding. Five months after the seminar, students reported more accurate estimates of the frequency of problems with addiction stemming from acute pain treatment and exaggerated the prevalence of pain problems in the society. The importance of integrating clinical and basic science experiences in order to influence long-term clinical attitudes and produce lasting changes in clinically relevant knowledge is discussed.
Pain 1992 Sep
PMID:Medical students' attitudes toward pain before and after a brief course on pain. 145 81

Learning needs assessment is the term applied to the process of identifying or diagnosing a learner's educational needs. It is the foundation of a systematic continuing medical education (CME) programme. Needs assessment has been identified as the most pressing problem of medical education directors in North America. Furthermore, the CME learning needs, interests or motivations of anaesthetists have never been studied. The amount of time and effort required for needs assessment is probably a major deterrent to this activity. The investigators adopted simple and straightforward means of assessing the "perceived learning needs" and topic interests of anaesthetists. Questionnaires were sent by mail to anaesthetists practicing in teaching and non-teaching hospitals in the Toronto area. The questionnaire presented a list of CME content areas. The respondents were asked to indicate on scale of 1 to 10 their Current Expertise, Ideal-Desired Expertise, and Interest-Motivation levels for each content area. Need Score for each content area was calculated by taking the difference between Ideal and Current Expertise responses. A total of 101/305 anaesthetists (29%) responded to the survey. Most of the respondents had been in anaesthesia practice for less than ten years. Regional nerve block, acute pain control, and medicolegal considerations received high overall ranks in both the need and interest categories. Paediatric anaesthesia, anaesthesia for trauma surgery and thoracic anaesthesia had top ranks among the subspecialty fields. Regional anaesthesia techniques received higher need and interest ranks than intravenous and inhalational techniques. The learning needs of anaesthetists of a large urban centre have been identified, and this information is useful to CME planners.
Can J Anaesth 1992 Sep
PMID:The continuing medical education needs of anaesthetists. 139 49

The clinical clues of sudden arterial hypertension, acute pain in the side, proteinuria, hematuria, abdominal bruits and renal failure are suspicious for spontaneous dissection of the renal arteries, even in the absence of one or more of the above-mentioned symptoms. To confirm the diagnosis and to provide appropriate therapy, immediate renal arteriography is mandatory, otherwise acute loss of renal tissue may occur. We report on one patient with spontaneous dissection of the renal arteries.
Z Kardiol 1992 Sep
PMID:[Spontaneous renal artery dissection]. 144 6

Chronic pain, the pain which persists or appears after the initial lesions are healed, has recently been recognized as a medical entity called the "chronic pain syndrome". This condition may be differentiated from acute pain on the basis of biological finality, pathogenic mechanisms, autonomic reactions, affective and behavioural components but most of all of the therapeutic goals. It is important to remind that the experience of pain is the result of at least three interactive neuro-psychological determinants viz. the sensory-discriminative, the affective-motivational and the cognitive-evaluative systems. For this reason, when pain becomes treatment resistant, it is important to complete the usual diagnostic approach by an evaluation of pain as a phenomenon and to abandon a strictly "peripheral" model. Such evaluation is necessarily interdisciplinary.
Acta Stomatol Belg 1992 Sep
PMID:[Evaluation of a chronic pain syndrome]. 148 67

The pathophysiology, assessment, and pharmacologic management of acute pain in infants and children are reviewed, and the mechanism of action, pharmacokinetics, clinical efficacy, adverse effects, and dosages of opioid analgesics, nonopioid analgesics, and local anesthetics used for regional blocks are discussed. The pathophysiology of pain and the physiologic rationale for treatment of pain are similar in children and adults. Severe pain can be controlled by i.v. or epidural administration of opioid analgesics. Neonates are more susceptible to the depressant effects of opioids, and opioid analgesia must be administered with caution in infants who are not receiving mechanical ventilation because of the associated risk of respiratory depression. Patient-controlled analgesia is a useful technique in older children. Acetaminophen and NSAIDs are useful for relieving milder pain of noninflammatory and inflammatory origin, respectively. Epidural or intrathecal administration of local anesthetics provides regional analgesia with minimal physiologic alterations. Topical application of local anesthetics is effective for many minor procedures. A variety of pain management techniques are available for the management of acute pain in pediatric patients. The development of drugs having fewer adverse effects and noninvasive administration techniques will be important research priorities in the coming years.
Clin Pharm 1991 Sep
PMID:Management of acute pain in children. 168 May 98

The reliability of some behavioral and physiological indices used for the recognition and assessment of acute pain in lambs after castration and tail docking has been examined. Changes in the indices were measured after blocking neural activity with local anaesthetic (lignocaine) and after an opioid antagonist (naloxone) was administered. Six lambs, aged less than one week, were allocated randomly to each of six treatments. (i) control handling and blood sampling; (ii) castration plus tail docking with tight rubber rings; (iii) local anaesthesia; (iv) local anaesthesia followed by castration and tail docking; (v) intravenous naloxone only (0.2 mg kg-1); and (vi) intravenous naloxone followed by castration and tail docking. Local anaesthesia eliminated the behavioural and plasma cortisol changes which usually follow castration and tail docking. Naloxone had a limited effect on the increase in cortisol but altered the behaviour. The results support the view that such indices are useful for assessment of the response to acute pain and that, although endogenous opioids do reduce pain in young lambs after castration and tail docking, the effect is small.
Res Vet Sci 1991 Sep
PMID:Effects of local anesthesia and intravenous naloxone on the changes in behaviour and plasma concentrations of cortisol produced by castration and tail docking with tight rubber rings in young lambs. 178 83

The use of epidural morphine for postoperative analgesia outside of intensive care units remains controversial. In this report our anesthesiology-based acute pain service documents experience with 1,106 consecutive postoperative patients treated with epidural morphine on regular surgical wards. This experience involved 4,343 total patient days of care and 11,089 individual epidural morphine injections. On a 0-10 verbal analog scale, patient-reported median pain scores at rest and with coughing or ambulation were 1 (inter-quartile range 3) and 4 (interquartile range 4), respectively. The incidence of side effects requiring medication were as follows: pruritus 24%, nausea 29%, and respiratory depression 0.2%. There were no deaths, neurologic injuries, or infections associated with the technique. Migration of epidural catheters into the subarachnoid space and into epidural veins each occurred twice. Overall, 1,051 of the 1,106 patients (95%) experienced none of the following problems: catheter obstruction, premature dislodgement, painful injections, catheter migration, infection, or respiratory depression. We conclude that postoperative pain can be safely and effectively treated with epidural morphine on surgical wards.
Anesthesiology 1991 Sep
PMID:Postoperative epidural morphine is safe on surgical wards. 172 29


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