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http://dx.doi.org/10.4097/kjae.2014.67.S.S124DOI Listing

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Thrombolytic therapy or percutaneous coronary intervention for myocardial infarction often cause myocardial ischemia/reperfusion injury (MIRI) and poor prognosis of patients. This study aimed to explore the protective effect and potential mechanism of hydromorphone hydrochloride (HH) on MIRI. Fifty Sprague-Dawley male rats were randomly divided into Sham group, I/R group, HH-pre group, HH-post group, and HH-pre + post group.

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Rationale: Opioid injection drug use (IDU) has been linked to a more severe pattern of use (e.g. tolerance, overdose risk) and shorter retention in treatment, which may undermine abstinence attempts.

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Introduction: Acute lung injury (ALI) is a devastating pulmonary illness with diffuse inflammatory responses. Hydromorphone (Hyd) is an opioid agonist used for relieving moderate-to-severe pain. The present work investigated the effect of Hyd on cardiopulmonary bypass (CPB)-induced ALI by regulating pyroptosis of alveolar macrophages (AMs).

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Intrathecal hydromorphone as an analgesia option for gynecology patients.

JAAPA

August 2020

Shilpa Gajarawala is an assistant professor of obstetrics and gynecology in the Mayo Clinic College of Medicine and Science and an adjunct faculty member in the doctor of medical science program at Rocky Mountain University of Health Professions in Provo, Utah. Ali Wells is a postdoctoral student at the University of South Florida College of Medicine in Tampa, Fla. Elyse Watkins is an associate professor in the DMSc program at the University of Lynchburg in Lynchburg, Va. Bartley Rust is program director of the DMSc program at Rocky Mountain University of Health Professions. Mark E. Archambault is an associate professor in the DMSc program at the University of Lynchburg. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Enhanced recovery after surgery (ERAS) is a multimodal perioperative strategy originally developed to attenuate the postsurgical stress response in patients after colorectal surgery. Patients undergoing gynecologic surgery who had ERAS had significantly shorter hospital length of stay, reduced hospital-related costs, and acceptable pain management with reduced opioid use, without compromising patient satisfaction. Intrathecal hydromorphone is an effective alternative ERAS protocol analgesia for these patients and will not compromise patient outcomes or healthcare costs.

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