Dor

Tramadol: para onde vamos a partir de agora? – “O tramadol e sua imprevisibilidade, seus inigualáveis danos potenciais e sua falta de vantagem sobre outros opioides ou anti-inflamatórios não hormonais (AINH) são agora reconhecidos.”

15 Jul, 2021 | 10:31h

Estudo randomizado | Comparação da cetamina nebulizada em 3 regimes de dose diferentes para o tratamento de condições dolorosas no departamento de emergência.

13 Jul, 2021 | 11:11h

Comparison of Nebulized Ketamine at Three Different Dosing Regimens for Treating Painful Conditions in the Emergency Department: A Prospective, Randomized, Double-Blind Clinical Trial – Annals of Emergency Medicine (link para o resumo – $ para o texto completo)

Comentário no Twitter

Nebulized Ketamine for pain in the ED? No way…Well- here you go-Comparison of Nebulized Ketamine at Three Different Dosing Regimens for Treating Painful Conditions in the ED. https://t.co/v3UT0Y0LdU #FOAMed #FOAMems #FOAMtox #FOAMcc #FOAMpharm

— Sergey Motov (@painfreeED) July 3, 2021

M-A | Pouco benefício no uso de relaxantes musculares para adultos com dor lombar não específica.

9 Jul, 2021 | 15:49h

Efficacy, acceptability, and safety of muscle relaxants for adults with non-specific low back pain: systematic review and meta-analysis – The BMJ

Comentário: New analysis finds muscle relaxant drugs to be largely ineffective for low back pain – News Medical

Estudos relacionados: M-A: Effectiveness of treatments for acute and subacute mechanical non-specific low back pain E RCT: Little benefit from osteopathic manipulative treatment on activity limitations in patients with nonspecific subacute and chronic low back pain E M-A: Little benefit from antidepressants for low back pain E Meta-analysis: Little benefit from antidepressants for the treatment of back pain and osteoarthritis E ACP/AAFP Guideline: Nonpharmacologic and pharmacologic management of acute pain from non–low back, musculoskeletal injuries in adults

Comentários no Twitter

Muscle relaxants are largely ineffective for #lowback #pain. They might increase the risk of side effects.

Published today in @bmj_latest ⬇️

Proud to be a part of this excellent team led by @AidanCashin

Paper: https://t.co/4p7gd7PJIe pic.twitter.com/3CLvL7JUfI

— Hayley Leake (@HayleyLeake) July 8, 2021

This systematic review found very low certainty evidence that muscle relaxant drugs for the treatment of acute low back pain might provide a small and not clinically meaningful improvement in pain intensity at two weeks or less @Pain_NeuRa https://t.co/HGwN4Oekrq

— The BMJ (@bmj_latest) July 8, 2021

Revisão sistemática | Anti-inflamatórios não hormonais (AINH) profiláticos para dor pós-operatória em adultos submetidos a todos os tipos de cirurgia.

9 Jul, 2021 | 15:43h

Pre‐emptive and preventive NSAIDs for postoperative pain in adults undergoing all types of surgery – Cochrane Library

Resumo: Ibuprofen-like painkillers given before cutting the skin in surgery compared with given after cutting the skin in adults undergoing all types of surgery – Cochrane Library

Estudo randomizado | Bloqueio de nervo peitoral para cirurgia de aumento de mama.

7 Jul, 2021 | 07:58h

Pectoral Nerve Blocks for Breast Augmentation Surgery: A Randomized, Double-blind, Dual-centered Controlled Trial – Anesthesiology (link para o resumo – $ para o texto completo)

Comentário no Twitter

Better pain relief using PECS blocks in breast augmentation surgery. https://t.co/T0SIyR7zFn pic.twitter.com/4rrbj6eTFk

— Anesthesiology journal (@_Anesthesiology) June 29, 2021

M-A | Eficácia de glicocorticoides sistêmicos para dor na artrite reumatoide.

6 Jul, 2021 | 11:07h

The efficacy of systemic glucocorticosteroids for pain in rheumatoid arthritis: a systematic literature review and meta-analysis – Rheumatology

Estudo randomizado | Consumo de dieta com mais gorduras de peixe e menos óleos vegetais pode reduzir a cefaleia/migrânea.

5 Jul, 2021 | 10:10h

Comunicado de imprensa: Consuming a diet with more fish fats, less vegetable oils can reduce migraine headaches – NIH News Releases

Estudo original: Dietary alteration of n-3 and n-6 fatty acids for headache reduction in adults with migraine: randomized controlled trial – The BMJ

Editorial: Dietary omega 3 fatty acids for migraine

Comentário: Expert reaction to a study looking at diets rich in omega 3 fatty acids and headache in adults with migraine – Science Media Centre

Estudo randomizado | Segurança e eficácia da estimulação do nervo occipital na prevenção de ataques na cefaleia em salvas intratável.

5 Jul, 2021 | 09:48h

Safety and efficacy of occipital nerve stimulation for attack prevention in medically intractable chronic cluster headache (ICON): a randomised, double-blind, multicentre, phase 3, electrical dose-controlled trial – The Lancet Neurology (link para o resumo – $ para o texto completo)

Comentário: Nerve stimulation effective in patients with untreatable cluster headaches – Leiden University

Diretriz de Prática Clínica | Prescrição de opioide para analgesia após cirurgias otorrinolaringológicas comuns.

5 Jul, 2021 | 09:47h

Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations: Executive Summary –

Otolaryngology–Head and Neck Surgery

Comentário: AAO/HNS Issue Guideline for Opioid Use After Otolaryngologic Surgery – HealthDay

Síndrome da dor regional complexa: uma revisão ampla.

2 Jul, 2021 | 11:11h

Complex Regional Pain Syndrome: A Comprehensive Review – Pain and Therapy