Buprenorphine has been shown to be effective for fentanyl users in the emergency room.

Published Date: 13 Mar 2023

A review of electronic medical records found similar associations between opioid-using patients who reported and did not report fentanyl use.

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Latest News

Dr Richard Zhang explains why clinicians should look beyond the psychiatric diagnosis of borderline personality disorder to recognize commonly coexisting medical conditions.

A misdiagnosed refractory fibromyalgia case shows Dr Michael Kaplan how broad widespread pain labels can obscure other underlying causes.

Confirming biopsy sites before Mohs micrographic surgery can be difficult when wounds have healed clinically and documentation is limited, risking wrong-site surgery.

Concerns about respiratory depression, dependence, and adverse effects shape opioid prescribing, while careful assessment and monitoring support safer, appropriate morphine use.

In a phase 2b trial, the selective Nav1.8 inhibitor LTG-001 is associated with reduced acute postsurgical pain, suggesting a potential new nonopioid approach.

Not every illness has a magic bullet, and assuming otherwise is medicine's quiet overconfidence problem.

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Corticosteroid Shot Could Tame Pain After Fibroid Treatment

Intra-arterial administration of dexamethasone at time of embolization can be an effective adjunct to post-procedure analgesia.

UK PM Burnham Says Social Care Reform Should Come Before Assisted Dying Debate

Britain's new Prime Minister Andy Burnham said the debate over legalising assisted dying should ⁠wait until the country's palliative care and adult social care systems have...

Does Agent Choice Matter in Opioid-Free Bariatric Surgery?

In patients undergoing sleeve gastrectomy, opioid-free anesthesia with propofol or sevoflurane provides similar pain relief and postoperative nausea, but propofol is linked to delayed emergence.

Deep Blockade May Cut Heart Rate Drops in Kids’ Eye Surgery

Children undergoing strabismus surgery who receive moderate-to-deep neuromuscular blockade have a lower incidence of oculocardiac reflex than those receiving minimal-to-shallow blockade.

Two Sedatives Tie on Pain, but Not Preference for JIA

In children with juvenile idiopathic arthritis, dexmedetomidine and nitrous oxide provide similar pain relief, but nitrous oxide delivers better overall patient experience.

A Tale of Two Deaths and Difficult Conversations

Two deaths, but one family struggled to accept brain death. Neurology resident Noor Shaik writes that we have defined brain and circulatory death, but are still learning how to talk about it.

GA During Thrombectomy May Boost Stroke Outcomes

General anesthesia during thrombectomy for acute ischemic stroke is tied to improved functional independence compared to nongeneral anesthesia methods, a meta-analysis shows.

Does Exercise Improve Sexual Function in Endometriosis?

Women with endometriosis-related pelvic pain who participated in supervised exercise and pelvic floor muscle training reported modest improvements in sexual function.

Does Remimazolam Match Propofol for Post-Op Delirium?

Remimazolam does not match propofol for postoperative delirium in older patients undergoing lung resection, with higher rates of emergence delirium with remimazolam.

HSV Reactivation Linked to Higher ICU Mortality in COVID

HSV type 1 reactivation was prevalent among critically ill patients with COVID-19 and was independently associated with increased need for organ support and reduced ICU survival.

General Anesthesia Ups Heart Failure Risk Post-Valve Surgery

Anesthesia choice during transcatheter aortic valve replacement is not associated with differences in mortality or most major complications within a year, except for heart failure.

WHO Introduces Ebola Test, Launches Treatment Trial

Researchers begin testing potential Ebola treatments as WHO expands access to a validated Bundibugyo virus assay during the largest recorded outbreak.

Regional Anesthesia May Aid Recovery Post-Orthopedic Surgery

Adding regional anesthesia to general anesthesia for major orthopedic surgery is associated with modestly better daily function at discharge than using general anesthesia alone.

Europe Sets New Rules for Pancreatitis Pain

A first-of-its-kind European consensus puts pain management at the center of acute pancreatitis care, including opioids, epidurals, and special populations.

5 Ways to Improve Care for Cancer Survivors

As more patients live longer after cancer, primary care clinicians are taking on a bigger role in spotting late effects and coordinating survivorship care.

Life After Childhood Cancer Needs Better Follow-Up

As survival rates climb, experts are warning that cure is only the first step, with many survivors needing lifelong monitoring for late effects and coordinated care.

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