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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (4): 658-663
in English | IMEMR | ID: emr-191294

ABSTRACT

Background: Proper postoperative pain management, which can be advanced using a multimodal approach, results in pain relief with minimal side effects. Newer recovery protocols, along with minimally invasive surgeries add to the better management of post-operative complication. Many factors play a role in failure of proper postoperative pain management, which mainly include insufficient education, fear of complications associated with analgesic drugs, poor pain assessment and inadequate staffing


Methodology: we conducted this review using a comprehensive search of MEDLINE, PubMed, and EMBASE from January 1987 to March 2017. The following search terms were used: post-operative pain mechanism, post-operative pain management, non-opioid pain management


Aim of the work: In this study we aimed to understand the mechanism and the management of post-operative pain, along with shining some light upon the recent advances


Conclusion: Various combinations and modalities of pain management exist, and their use depends largely on the case, the patients, and their perception of pain. Enhanced recovery protocols have significantly improved perioperative and postoperative pain management, making the decrease in opioids need a priority

2.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (4): 2266-2270
in English | IMEMR | ID: emr-190617

ABSTRACT

Background: headaches account for 10% of all consultations with the general practitioner, and the third leading cause of emergency department visits. The current prevalence of headache can go from 7.4% to 22.7% and may be associated with much comorbidity, and can cause significant disabilities in an individual's quality of life


Methodology: in this paper we carried out a systematic review on 32 observational [nonrandomized] studies using PUBMED


Aim: our aim in the study is to evaluate the prevalence, associated risk factors, pathogenesis, management, and the effect on quality of life caused due to chronic headaches


Conclusion: chronic headache adds to a huge burden in overall health care system, and a very frequent general practice visit. Treatment of this type of headache is very challenging due to its chronicity as well as its risk of conversion into medication onset headache. More researches that can promise better quality of life for individuals that suffer from chronic daily headache must be done

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