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Clinical, Journal: Use of acupuncture as adjuvant analgesic technique in dogs undergoing thoracolumbar hemilaminectomy. (Pubmed Central) - Jan 26, 2021 Rescue intraoperative fentanyl was administered following a 20% increase in cardiovascular parameters compared to baseline values, measured before incision...The improvement in postoperative CPS score (P = 0.013), VAS score (P = 0.003) and MT (P = 0.001) compared to preoperative values was greater for group A than for group C, whereas the treatment assignment had no effect on postoperative changes in GCPS compared to baseline. Pre-operative acupuncture may help improving perioperative analgesia in dogs with intervertebral disc herniation undergoing thoracolumbar hemilaminectomy.
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Journal: Comparison of hemodynamic responses to laryngoscopy and intubation using Macintosh or McCoy or C-MAC laryngoscope during uniform depth of anesthesia monitored by entropy. (Pubmed Central) - Jan 26, 2021 General anesthesia was administered with glycopyrrolate 0.1 mg, fentanyl 2 ug/kg and intravenous thiopentone, 4 mg/kg...By titrating isoflurane concentration, Entropy maintained between 40 and 60, orotracheal intubation done, with Macintosh or McCoy or C-MAC blades according to simple randomisation...Hemodynamic responses during laryngoscopy and intubation using Macintosh or McCoy or C-MAC laryngoscope were statistically insignificant (p > 0.05) between the three groups, provided the depth of anesthesia is maintained constant. It is the depth of anesthesia that decides the magnitude of hemodynamic responses and not the choice of laryngoscope.
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Journal: A fentanyl vaccine constructed upon opsonizing antibodies specific for the Galα1-3Gal epitope. (Pubmed Central) - Jan 23, 2021 A double conjugation strategy was implemented to produce an anti-fentanyl vaccine, which was predicated upon preformed-antibody-assisted antigen presentation. The new vaccine was found to reduce the psychoactive effects of fentanyl without the addition of the immunostimulant CpG oligodeoxynucleotide.
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Journal: Perinatal fentanyl exposure leads to long-lasting impairments in somatosensory circuit function and behavior. (Pubmed Central) - Jan 22, 2021 These findings demonstrate the lasting sequelae of perinatal fentanyl exposure on sensory processing and function.Significance Statement This is the first study to show that exposure to fentanyl in the womb results in behavioral, circuitry, and synaptic effects that last at least to adolescence. We also show, for the first time, that this exposure has different, lasting effects on synapses in different cortical areas.
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Clinical, Journal: Opioid prescriptions in patients with osteoarthritis: a population-based cohort study. (Pubmed Central) - Jan 21, 2021 Oxycodone and fentanyl were increasingly prescribed, while prescriptions of paracetamol/codeine decreased. Since the benefit of opioids for OA pain is questionable and side effects are common, opioids should be prescribed with caution.
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Journal: Cancer Cachexia May Hinder Pain Control When Using Fentanyl Patch. (Pubmed Central) - Jan 21, 2021 Subsequently, to investigate whether dry skin was involved in poor pain control in the cancer cachexia group, transepidermal water loss (TEWL) was compared between 15 additional patients classified into cancer cachexia and non-cancer cachexia groups; the mean TEWL in the cancer cachexia group was found to be significantly lower. Our data suggest that cancer cachexia may be a risk factor for poor pain control in patients receiving FP treatment, and that uncontrolled pain in FP treatment may be caused by the inhibition of fentanyl transdermal absorption due to dry skin.
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Clinical, Journal: Women, opioid use and addiction. (Pubmed Central) - Jan 21, 2021 Thus, the public health crisis of opioid addiction has endured. This paper highlights the importance of understanding differences among women and men in opioid use and its biological and psychosocial effects to advance the gender-based treatment approaches and effective public health policy.
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Journal: Mass spectral similarity mapping applied to fentanyl analogs. (Pubmed Central) - Jan 20, 2021 When applied to a reference set of spectra for Type I fentanyl analogs (molecules differing from fentanyl by a single modification), the map illuminates clustering that is applicable to automated structure assignment of unidentified molecules. An open-source software implementation that generates mass spectral similarity mappings of unknowns against a library of Type I fentanyl analog spectra is available at http://github.com/asm3-nist/FentanylClassifier.
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Clinical, Journal: Deep Sedation for Pediatric Parotid Sialendoscopy in Juvenile Recurrent Parotitis. (Pubmed Central) - Jan 17, 2021 Effectiveness of sialendoscopy under deep sedation was subjectively attested by high positive scores obtained at post-operative standardized questionnaires administered to the patients and their parents, and objectively by the lack of clinical recurrences during the follow-up. The combination of propofol and fentanyl seems to be a reliable and safe means of sedating children with JRP undergoing sialendoscopy.
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Clinical, Journal: Pain, stress, analgesia and postpartum depression: Revisiting the controversy with a randomized controlled trial. (Pubmed Central) - Jan 16, 2021 CSE parturients received 0.5 ml of 0.5% hyperbaric bupivacaine intrathecally and PCEA with continuous infusion of 0.1% levobupivacaine and 2 μg/ml fentanyl @5 ml/h along with patient-controlled boluses with a lockout interval of 15 min...CSE analgesia in laboring parturients does not reduce PPD at 6 weeks. Instead, perceived high stress during pregnancy appears to be the most important factor.
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Clinical, Journal: Does Erector Spinae Plane Block Have a Visceral Analgesic Effect?: A Randomized Controlled Trial. (Pubmed Central) - Jan 15, 2021 The significantly reduced opioid consumption in ESPB group may imply that while preliminary and in need of confirmation, ESPB has potential visceral analgesic effect. Therefore, performing ESPB solely may be feasible in inducing both somatic and visceral analgesia.
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Journal: Effect of positive urine fentanyl screen on attitudes toward heroin use. (Pubmed Central) - Jan 13, 2021 This study suggests a novel clinical utility in toxicology screens to inform behavior in the setting of illicit fentanyl exposure. In addition to linkages to evidence-based treatment, linkages to harm-mitigating strategies associated with ongoing substance use may be critical to a comprehensive overdose prevention strategy in the clinical setting.
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Clinical, Retrospective data, Journal: Efficacy and safety of implantable cardioverter-defibrillator implantation in pediatric tachycardia cases (Pubmed Central) - Jan 13, 2021 ICD implantation is safe and effective in children and adolescent patients. The electric storm may happen after operation, which could be prevented by the comprehensive strategies including appropriate ICD parameter-setting, analgesics-sedatives treatment and psychological support.
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Journal: Detection and classification of fentanyl and its precursors by surface-enhanced Raman spectroscopy. (Pubmed Central) - Jan 9, 2021 The vibrational spectra of this family of analytes are very similar, making them difficult to distinguish by traditional means. In addition to taking advantage of the sensitivity provided by SERS, we developed a chemometric approach utilizing a hierarchical partial least squares-discriminant analysis algorithm that allowed us to distinguish spectra that possess many similar features.
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