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Analgesia After Vestibular Schwannoma Surgery in Europe-Potential for Reduction of Postoperative Opioid Usage.
Otol Neurotol
January 2025
Department of Neurosurgery, Vienna General Hospital, Medical University of Vienna, Vienna, Austria.
Objective: Excessively prescribed opioids promote chronic drug abuse and worsen a highly prevalent public health problem in the era of the opioid epidemic. This study aimed to (a) determine general analgesic prescription patterns after surgery for vestibular schwannoma (VS) with a focus on opioid prescription rates, (b) identify risk factors for receiving narcotics for postoperative pain management, and (c) highlight the feasibility of opioid-free analgesic treatment strategies.
Study Design: Retrospective chart review.
Isolated Severe Neutropenia in Adults, Evaluation of Underlying Causes and Outcomes, Real-World Data Collected over a 5-Year Period in a Tertiary Referral Hospital.
Medicina (Kaunas)
September 2024
Department of Hematology and Central Hematological Laboratory, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland.
: In clinical practice, neutropenia is frequently accompanied by other cytopenia; isolated non-chemotherapy-induced severe neutropenia is less frequent and its differential diagnosis can be challenging. In this real-world study with data collected over a 5-year period in a tertiary referral hospital, we primarily sought to identify underlying causes of isolated severe neutropenia (<0.5 × 10/L).
View Article and Find Full Text PDFUpdating Clinical Practice: Improving Perioperative Pain Management for Adeno-Tonsillectomy in Children.
Children (Basel)
September 2024
Hospital de Mérida, 06800 Mérida, Badajoz, Spain.
Background/objective: Perioperative acute pain management in pediatric patients is essential to reduce complications. Adenoidectomy-Tonsillectomy are surgical procedures requiring pain control, and risk minimization for postoperative bleeding, nausea, and vomiting. Despite their known secondary effects, the use of opioid analgesics is still preponderant in pediatric perioperative management.
View Article and Find Full Text PDFAntipyretic effect of oral dipyrone (Metamizole) compared to oral ibuprofen in febrile children: a systematic review and meta-analysis.
BMC Pediatr
October 2024
Faculty of Medicine, Fayoum University, Fayoum, Egypt.
Article Synopsis
- - Dipyrone, a strong pain reliever and fever reducer, is still used in many countries despite being banned in some due to serious side effects, and its effectiveness in treating fevers in children compared to ibuprofen is unclear.
- - The research examined existing studies comparing oral dipyrone and ibuprofen for managing fever in children, using various medical databases to find relevant randomized controlled trials.
- - The results indicated that there was no significant difference in the effectiveness of dipyrone and ibuprofen for reducing fever in children, showing both medications work similarly in this context.
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