morphine sulphate / Generic mfg. 
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  • ||||||||||  fentanyl citrate / Generic mfg.
    Review, Journal:  Mechanisms of Neurorespiratory Toxicity Induced by Fentanyl Analogs-Lessons from Animal Studies. (Pubmed Central) -  Mar 30, 2023   
    Due to the high affinities to the mu-opioid receptor, the need for more elevated naloxone doses than usually required in morphine overdose to reverse the neurorespiratory depression induced by fentanyl analogs has been questioned. This review on the neurorespiratory toxicity of fentanyl and analogs highlights the need for specific research focused on these agents to better understand the involved mechanisms of toxicity and develop dedicated strategies to limit the resulting fatalities.
  • ||||||||||  morphine sulphate / Generic mfg.
    Observational data, Journal:  Respiratory depression following cesarean section with single-shot spinal with 100 (Pubmed Central) -  Mar 29, 2023   
    This review on the neurorespiratory toxicity of fentanyl and analogs highlights the need for specific research focused on these agents to better understand the involved mechanisms of toxicity and develop dedicated strategies to limit the resulting fatalities. After cesarean section was performed with 0.1
  • ||||||||||  morphine sulphate / Generic mfg.
    Retrospective data, Review, Journal, Surgery:  Enhanced Recovery After Surgery Protocols for Head and Neck Cancer: Systematic Review and Meta-analysis. (Pubmed Central) -  Mar 28, 2023   
    Implementation of ERAS protocols can lead to decreases in length of stay and opioid drug utilization. However, further high-quality prospective studies of ERAS protocols are needed, especially with stratified analysis of outcomes based on the type of head and neck cancer surgery.
  • ||||||||||  morphine sulphate / Generic mfg.
    Review, Journal:  The latent phase of labor. (Pubmed Central) -  Mar 28, 2023   
    Both are equally effective in advancing the labor to active phase dilatation. A very long latent phase may be a harbinger of other labor dysfunctions.
  • ||||||||||  morphine sulphate / Generic mfg.
    Journal:  From bumps to binges: Overview of deaths associated with cocaine in England, Wales and Northern Ireland (2000-2019). (Pubmed Central) -  Mar 27, 2023   
    Deaths following cocaine use continue to rise despite its Class A drug listing in the UK. Whilst underlying and external risk factors including polydrug use, cardiac complications and mental health can all contribute to incidences of fatal drug toxicity following cocaine use, this study demonstrates that the risk of a cocaine overdose cannot be attributed to a specific blood concentration range.
  • ||||||||||  morphine sulphate / Generic mfg.
    Journal:  C(21)-fluorinated thevinol scaffold for opioid ligands. 21,21,21-Trifluoro-6-O-nororvinols: Design, synthesis and analgesic activity. (Pubmed Central) -  Mar 26, 2023   
    Whilst underlying and external risk factors including polydrug use, cardiac complications and mental health can all contribute to incidences of fatal drug toxicity following cocaine use, this study demonstrates that the risk of a cocaine overdose cannot be attributed to a specific blood concentration range. Pilot in vivo experiments in a model of acute pain (tail-flick test in mice) revealed that 6-O-desmethyl-21,21,21-trifluoro-20-methylorvinol at doses 1.0-10.0
  • ||||||||||  morphine sulphate / Generic mfg., bumetanide / Generic mfg., milrinone / Generic mfg.
    Ischemic Cardiomyopathy Post COVID-19 in a Young Patient (Walter E. Washington Convention Center, Area B, Hall C (Lower Level)) -  Mar 25, 2023 - Abstract #ATS2023ATS_8018;    
    Midsternal chest pain woke him from sleep which lasted for an hour until he was given morphine in the ER...He was treated with CPAP & bumetanide...Following the cath patient was started on a milrinone drip, his heart failure symptoms progressively improved, and he was discharged home after six days of hospitalization...Furthermore, evidence suggests that COVID-19 increases the risk of acute MI (4)(5) via various mechanisms like cytokine release syndrome, RAAS system dysregulation, plaque destabilization, and coagulation disorders (6). Conclusion Evidence of myocardial injury is common among hospitalized patients with COVID, but we should always consider myocardial injury as differential in young patients post-COVID.
  • ||||||||||  morphine sulphate / Generic mfg.
    Cerebrovascular CO 2 Responsiveness in Opioid-Associated Sleep Disordered Breathing (Walter E. Washington Convention Center, Area E, Hall C (Lower Level)) -  Mar 25, 2023 - Abstract #ATS2023ATS_5786;    
    Conclusion Evidence of myocardial injury is common among hospitalized patients with COVID, but we should always consider myocardial injury as differential in young patients post-COVID. We studied 7 individuals on prescription opioids with SDB (age: 53
  • ||||||||||  morphine sulphate / Generic mfg.
    SDB Is Associated With Worsened Pain and Poor Sleep in Patients Using Opioids (Walter E. Washington Convention Center, Room 103 A-B (Street Level)) -  Mar 25, 2023 - Abstract #ATS2023ATS_3421;    
    P2
    While opioid dose was not clearly associated with SDB indices, opioids might nonetheless affect SDB physiology. Ongoing interventional studies will help to clarify the complex relationships between opioids, pain, and SDB, including whether SDB treatment might improve outcomes in this high-risk population.
  • ||||||||||  doxycycline / Generic mfg.
    Doxycycline Pleurodesis, DoxyDo or DoxyDon't?: A Retrospective Study of Its Efficacy and Side Effects (Walter E. Washington Convention Center, Room 206 (Level 2)) -  Mar 25, 2023 - Abstract #ATS2023ATS_2725;    
    Doxycycline pleurodesis carries some increased side effect profiles in terms of pain and tachycardia but our data shows it has increasing efficacy over time. Further studies in terms of head-to-head comparison are needed to further delineate the ideal agent for pleurodesis.
  • ||||||||||  morphine sulphate / Generic mfg.
    Journal, Surgery:  Implementation of enhanced recovery in cardiac surgery: An experimental study with the control group. (Pubmed Central) -  Mar 24, 2023   
    Further work is needed to determine the role of analgosedation in acute respiratory failure patients requiring NIPPV. Enhanced Recovery After Cardiac Surgery protocols were seamlessly integrated into selected cardiac surgical patients, contingent on a high level of interprofessional communication and collaboration.
  • ||||||||||  morphine sulphate / Generic mfg.
    Journal:  Poppy seed consumption may be associated with codeine-only urine drug test resul. (Pubmed Central) -  Mar 24, 2023   
    In this context, guidance has suggested that codeine concentrations exceeding 300?ng/mL coupled with morphine-to-codeine ratios <2 are indicative of codeine consumption and, therefore, exclude poppy seed consumption as a legitimate explanation for the test result...This study adds to a small literature indicating that consumption of poppy seed-containing food products cannot reliably be distinguished from codeine administration based on previously published urinary opiate concentrations and ratios. An important caveat is that in none of these cases did maximum urinary codeine concentrations exceed 1,300 ng/mL.
  • ||||||||||  morphine sulphate / Generic mfg.
    Journal:  Beta-Glucuronidase Activity: Another Source of Ethyl Glucuronide. (Pubmed Central) -  Mar 24, 2023   
    An important caveat is that in none of these cases did maximum urinary codeine concentrations exceed 1,300 ng/mL. This study investigates GUSBs' activity in the presence of ethanol (0-70% by volume) using different ?-D-glucuronides (phenolphthalein-?-D-glucuronide, 4-nitrophenol-?-D-glucuronide, morphine-3-O-?-D-glucuronide, quercetin-3-O-?-D-glucuronide and 1-/2-propyl-?-D-glucuronide) as substrates...No abstract available
  • ||||||||||  morphine sulphate / Generic mfg., ropivacaine / Generic mfg.
    Clinical, Journal:  Liposomal bupivacaine nerve block provides better pain control post-total shoulder arthroplasty than continuous indwelling catheter. (Pubmed Central) -  Mar 24, 2023   
    This study investigates GUSBs' activity in the presence of ethanol (0-70% by volume) using different ?-D-glucuronides (phenolphthalein-?-D-glucuronide, 4-nitrophenol-?-D-glucuronide, morphine-3-O-?-D-glucuronide, quercetin-3-O-?-D-glucuronide and 1-/2-propyl-?-D-glucuronide) as substrates...No abstract available A single shot, liposomal bupivacaine interscalene nerve block provided better post-TSA pain control with less narcotic consumption, less time for administration and less healthcare system cost compared to interscalene nerve block using a continuous indwelling catheter.
  • ||||||||||  morphine sulphate / Generic mfg.
    Journal:  Postoperative opioid protocol: A 5-year resident-led effort to standardize prescribing patterns. (Pubmed Central) -  Mar 24, 2023   
    A single shot, liposomal bupivacaine interscalene nerve block provided better post-TSA pain control with less narcotic consumption, less time for administration and less healthcare system cost compared to interscalene nerve block using a continuous indwelling catheter. Through purposeful standardization, this 5-year resident led effort resulted in sustained changes to departmental wide prescribing practices yielding reduced variability, reduced cost, improved opioid management and superior pain control for postoperative patients.
  • ||||||||||  morphine sulphate / Generic mfg.
    Journal:  Association between prescribed opioid dose and risk of motor vehicle crashes. (Pubmed Central) -  Mar 24, 2023   
    We examined associations between daily prescription opioid dose, calculated in morphine milligram equivalents (MME) from filled prescription claims, and risk of motor vehicle crashes, assessed as diagnoses of motor vehicle injuries in claims for emergency visits, inpatient hospitalizations, and ambulance transportation...The negative control analysis supported the specificity of the results to opioids rather than to other processes associated with pharmacologic pain management. These findings suggest that receipt of prescription opioids, even at doses ?60 MME/day, is associated with an increased risk of motor vehicle crashes.
  • ||||||||||  morphine sulphate / Generic mfg.
    Journal:  Distinct and sex-specific expression of mu opioid receptors in anterior cingulate and somatosensory S1 cortical areas. (Pubmed Central) -  Mar 24, 2023   
    Injection of morphine in the ACC has been reported to be analgesic, and endogenous opioids in this area are required for pain relief...We also found that females had a greater density of MOR+ neurons compared to males in both areas. In summary, we conclude that MOR-dependent opioidergic signaling in the cortex displays sexual dimorphisms and likely evolved to meet the distinct function of pain-processing circuits in limbic and sensory cortical areas.
  • ||||||||||  morphine sulphate / Generic mfg., clonidine / Generic mfg.
    Journal:  Evaluation of 30-days stability of morphine hydrochloride and clonidine at high and low concentrations in polypropylene syringes. (Pubmed Central) -  Mar 24, 2023   
    In summary, we conclude that MOR-dependent opioidergic signaling in the cortex displays sexual dimorphisms and likely evolved to meet the distinct function of pain-processing circuits in limbic and sensory cortical areas. The admixture of clonidine and morphine HCl at low and high concentrations in polypropylene syringes appeared to be physically and chemically stable throughout the study period of 30 days at 5
  • ||||||||||  fentanyl citrate / Generic mfg., morphine sulphate / Generic mfg.
    Journal:  Nociception Level Index-Guided Intraoperative Analgesia for Improved Postoperative Recovery: A Randomized Trial. (Pubmed Central) -  Mar 24, 2023   
    Patients who underwent pulmonary resection under the ERAS program consumed fewer opioids than those who received conventional management while maintaining no significant differences in clinical outcomes. More intraoperative fentanyl was given in NOL-guided patients, but NOL guidance did not reduce initial postoperative pain scores.
  • ||||||||||  morphine sulphate / Generic mfg.
    FUNCTIONAL LUMEN IMAGING PROBE FINDINGS IN CHRONIC OPIOID USERS COMPARED TO SYMPTOMATIC NON-OPIOID USERS (South Hall A, Poster Hall - McCormick Place) -  Mar 23, 2023 - Abstract #DDW2023DDW_4720;    
    Our results suggest opioid users may present with lower EGJ DI, and that those with abnormal DI are receiving higher morphine-equivalent doses, but these differences did not reach statistical significance, possibly due to type II error. Future studies with increased sample size and power are needed to further evaluate these findings.
  • ||||||||||  morphine sulphate / Generic mfg.
    INTRAOPERATIVE VOLUME PREDICTS TIME TO START FEEDS AFTER ELECTIVE ABDOMINAL SURGERY IN NEONATES (S503 - McCormick Place) -  Mar 23, 2023 - Abstract #DDW2023DDW_1812;    
    61 patients (97%) received intraop narcotics (mean 1.3 +/- 1.3 morphine milliequivalents)...Conclusions : The amount of intraoperative volume administered during elective abdominal surgery significantly impacted the start of feeds in neonates. In our series, for each 10 mL/kg of additional volume administered at surgery, the start of feeds was extended by 1 day.