Fentanyl patch (Durotep patch) is useful analgesic for terminal patients under home care, but the patients family may feel uneasy because they have to determine the induction dose, a prepare the rescue drug, and a variety of drug durability.
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Drug Test Anal
March 2025
Division of Identification and Forensic Science, Israel Police, Jerusalem, Israel.
The use of transdermal patches, primarily for pain relief, has grown significantly in recent years. This increase in legitimate use has been accompanied by a rise in their illegal use. Consequently, forensic laboratories are facing a growing number of these complex samples requiring analysis.
View Article and Find Full Text PDFIndian J Palliat Care
February 2025
Department of Palliative Care and Chronic Disease, INF Nepal Green Pastures Hospital and Rehabilitation Centre, Pokhara, Nepal.
This study aimed to explore current opioid availability and accessibility for palliative care (PC) practice in Nepal. A narrative review was conducted by performing literature searches in electronic databases, grey literature, policy documents, and pharmaceutical websites. This was supplemented by utilising the authors' expertise and experience in this field.
View Article and Find Full Text PDFCureus
January 2025
Cardiothoracic Surgery, Northeast Georgia Medical Center Gainesville, Gainesville, USA.
Empyema, defined as a purulent pleural effusion within the pleural cavity, typically results from severe infections and presents significant diagnostic and therapeutic challenges. This case report details the intricate clinical journey of a 44-year-old male with a complex medical history, including chronic substance abuse, significant tobacco use, and untreated hepatitis C, who presented with acute respiratory failure, hypoxia, and right-sided chest pain. Despite initial management with antibiotics and chest tube drainage, the patient's condition necessitated advanced surgical intervention due to persistent sanguineous output.
View Article and Find Full Text PDFJ Clin Med
December 2024
Clinical Department No. 10, "Carol Davila" University of Medicine and Pharmacy, 050474 Bucharest, Romania.
Controlling pain after major orthopedic surgery may be challenging, and it is related to delayed recovery, the development of chronic pain, and analgesic dependence. It is well known that effective postoperative pain control can reduce hospital stays by ensuring a more rapid rehabilitation,thereby decreasing the overall costs. Despite the development of analgesics, the use of opioids and their derivates remains the cornerstone of treatment for patients with acute moderate-to-severe pain in association with general or regional anesthesia.
View Article and Find Full Text PDFJ Oral Maxillofac Surg
December 2024
Associate Professor, Department of Dentistry, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Background: Transdermal buprenorphine is used for the management of postoperative pain. Its effectiveness for the postoperative pain management following mandibular resection and reconstruction has yet to be evaluated.
Purpose: To evaluate the efficacy of transdermal buprenorphine patch (TBP) in managing postoperative pain after mandibular resection and reconstruction with anterior iliac crest graft.
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