Pain Management After Shoulder Arthroplasty: A Systematic Review of Randomized Controlled Trials

Author(s):  
Matthew R. Cohn ◽  
Kyle N. Kunze ◽  
Joshua Wright-Chisem ◽  
Johnathon R. McCormick ◽  
Garrett S. Bullock ◽  
...  
Author(s):  
Matthew Gillum ◽  
Samantha Huang ◽  
Yuki Kuromaru ◽  
Justin Dang ◽  
Haig A Yenikomshian ◽  
...  

Abstract Pain following burn injury is associated with long-term health consequences in the pediatric population. Literature suggests nonpharmacologic treatment may provide improved pain control as an effective adjunct for these patients. This study aims to summarize randomized controlled trials on nonpharmacologic procedural pain management in pediatric burn patients. A systematic review was conducted on nonpharmacologic procedural pain management techniques used in the pediatric burn population. Fifteen studies were included and involved virtual reality, distraction devices, child life therapy, directed play, digital tablet games, cartoons, hypnosis, and music therapy. Treatment was effective in 8 out of 15 studies. Compared to controls, nonpharmacologic treatments reduced mid procedure pain by 19.7% and post procedure pain by 20.1%. This study demonstrates nonpharmacologic therapy can be an effective adjunct in pediatric procedural burn pain management, however further studies are needed to develop standardized algorithms to integrate nonpharmacologic treatments with pharmacologic therapies.


2010 ◽  
Vol 16 (10) ◽  
pp. 1097-1108 ◽  
Author(s):  
Gary N. Asher ◽  
Daniel E. Jonas ◽  
Remy R. Coeytaux ◽  
Aimee C. Reilly ◽  
Yen L. Loh ◽  
...  

2021 ◽  
Vol 12 (4) ◽  
pp. 961-966
Author(s):  
Pranesh Prakash Gaikwad ◽  
Mamta Nakade ◽  
Santosh Kamble ◽  
Abhijit Shekhar ◽  
Prashant Khade ◽  
...  

Background & Objectives: Pain in Sciatica can be incredibly painful and intolerable which seeks immediate medical attention. Various treatment modalities are widely used but have side effects too. One of them is Ghati Yantra Raktamokshana (Bloodletting with modified cupping). This systematic review provides an assessment on evidence of pain management of Gridhrasi (Sciatica) by Ghati Yantra Raktamokshana (Bloodletting with Modified Cupping). Methods: The databases of PubMed, Scopus, Cochrane Library, AYUSH portal, Shodhganga, Clinical trial registry of India, Google scholar were searched systematically (since inception to February 2021) for relevant articles about the effect of Ghati Yantra Raktamokshana in pain management of Gridhrasi. All randomized controlled trials as well as non-randomized controlled trials, before and after studies and single group clinical studies assessing the efficacy of Ghati Yantra Raktamokshana in pain management of Gridhrasi was included. Results: The original search yielded 774 articles of which only 6 articles (1-pilot study, 1-case study and 4-single arm studies) met the inclusion criteria and they showed the effectiveness of Ghati Yantra Raktamokshana in Pain management of Gridhrasi. Interpretation & Conclusions: Though review shows that the Ghati Yantra Raktamokshana is effective in Pain management of Gridhrasi but due to the methodological and clinical heterogeneity and risk of bias of the included trials requires more strong evidences in terms of RCT’s with larger sample size and for longer duration to definitely conclude its effectiveness.


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