Download Free A Double Blinded Randomized Controlled Trial Of Acupuncture For The Control Of Intra Operative Dental Pain Book in PDF and EPUB Free Download. You can read online A Double Blinded Randomized Controlled Trial Of Acupuncture For The Control Of Intra Operative Dental Pain and write the review.

Background. Acupuncture analgesia (AA) has been reported for the control of pain during dental surgery in numerous case reports and largely uncontrolled studies. Rigorous, blinded, controlled trials are needed to confirm the utility of AA in dentistry. Current methodology for such studies remains inadequate. Objectives. These studies include (1) a case series ("Pilot Study") to determine the feasibility of electro-acupuncture for pain control during various dental procedures; (2) a double-blinded, randomized trial ("Validation Study") to develop credible, novel, non-invasive placebo acupuncture methods; and (3) a double-blinded, randomized trial ("Clinical Trial") to compare peak pain levels during tooth extraction in patients receiving either 1.8mL of 2% lidocaine with epinephrine 1:100,000 plus placebo electroacupuncture ("control" treatment), 1.8mL of plain 2% lidocaine plus true electroacupuncture ("experimental" treatment), or 1.8mL of 2% lidocaine with epinephrine 1:100,000 plus true electro-acupuncture ("combination" treatment). Results. In the pilot study (n = 12), AA was effective at controlling pain during extractions, fillings, scaling and root planing. Among pilot subjects, 58% reported moderate pain or less, without elective anesthetic. In the validation study, true acupuncture was virtually indistinguishable from sham acupuncture. Kappa statistics for agreement between actual and perceived treatment, for all subjects and personnel (n = 83 observations) were 0.25 for anesthetic type and 0.17 for acupuncture type. Similar observations for patients only (n = 15) were 0.22 and 0.03, respectively. In the clinical trial, peak pain and additional anesthetic usage were similar across treatment groups (p = 0.75 for peak pain, p = 0.17 for anesthetic). Combination subjects (n = 19) reported peak pain levels of 3.7 ± 2.8 (mean ± SD; 0-10 scale), while experimental and control subjects (n = 22 each) reported peak pain levels of 4.6 ± 3.2 and 4.1 ± 3.2, respectively. Combination subjects received 1.0 ± 1.5 mL of elective anesthetic on average, while experimental and control subjects received 1.3 ± 1.4 and 1.9 ± 1.6 mL, respectively. Conclusions. There was no difference in pain control during tooth extraction between an electro-acupuncture protocol and lidocaine with epinephrine, although trends suggest a small additive effect in those receiving both. Blinding methods developed for this study were effective throughout study procedures and are suitable for use in similar future studies, as well as trials of electro-acupuncture in general
Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.
Covering everything from historical and international perspectives to basic science and current clinical practice, Miller's Anesthesia, 9th Edition, remains the preeminent reference in the field. Dr. Michael Gropper leads a team of global experts who bring you the most up-to-date information available on the technical, scientific, and clinical issues you face each day – whether you're preparing for the boards, studying for recertification, or managing a challenging patient care situation in your practice. - Contains fully revised and updated content throughout, including numerous new videos online. - Includes four new chapters: Clinical Care in Extreme Environments: High Pressure, Immersion, and Hypo- and Hyperthermia; Immediate and Long-Term Complications; Clinical Research; and Interpreting the Medical Literature. - Addresses timely topics such as neurotoxicity, palliation, and sleep/wake disorders. - Streamlines several topics into single chapters with fresh perspectives from new authors, making the material more readable and actionable. - Features the knowledge and expertise of former lead editor Dr. Ronald Miller, as well as new editor Dr. Kate Leslie of the University of Melbourne and Royal Melbourne Hospital. - Provides state-of-the-art coverage of anesthetic drugs, guidelines for anesthetic practice and patient safety, new techniques, step-by-step instructions for patient management, the unique needs of pediatric patients, and much more – all highlighted by more than 1,500 full-color illustrations for enhanced visual clarity. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices, in addition to accessing regular updates, related websites, and an expanded collection of procedural videos. The initial printing of Miller's Anesthesia, 9e contained a dosage error in chapter 26, "Intravenous Drug Delivery Systems," on page 771, Table 26.5 (Manual Infusion Schemes). A maintenance infusion of Dexmedetomidine was mistakenly reported as 0.3 – 0.7 mcg/kg/min instead of 0.3 – 0.7 mcg/kg/hr (or 0.005-0.015 mcg/kg/min). As of October 2, 2020 all stock has been corrected. If you find that you have a book with this error please contact publisher for correction sticker.
In this issue of Dental Clinics, guest editor Dr. Harry Dym brings his considerable expertise to the topic of Controversies in Oral and Maxillofacial Surgery. Evidence-based dentistry based on high-quality research is essential to help develop new treatments and alternative options. This issue tackles clinically relevant controversial subjects and helps present cogent, clear information for the clinician to determine the best possible solution or approach. - Contains 14 relevant, practice-oriented topics, including short implants: their role in implant reconstruction; need for cone beam imaging in oral surgery and dentistry?; bisphosphonate therapy and its implications in dentistry and oral surgery; post-procedure analgesic management; controversies in the management of the sleep apnea patient; and more. - Provides in-depth clinical reviews on controversies in oral and maxillofacial surgery, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.
This is the first book to set out a full range of research strategies for evaluating the clinical practice of acupuncture. Leading acupuncturists and researchers with international reputations share their expertise. They illustrate their descriptions with practical examples of what has worked and what has not. It outlines many of the key challenges in the field. These challenges relate to the nature of acupuncture and the gap between current research evidence and the actual experiences of acupuncturists in the field. By focusing the chapters on key research questions, rather than methods, the book has a user-friendly feel. Each chapter is easily accessible with brief explanations of research designs as well as vignettes of relevant past research. The book is based on a deep understanding of acupuncture, with its inherent complexity in practice, whether based on traditional principles or more modern concepts. By incorporating a more sophisticated understanding of the field, this book details a range of strategies aiming to develop the evidence base with the utmost rigour. It is the first book on acupuncture research to take this unique view, integrating the very best of evidence-based medicine with a genuine sensitivity to the discipline of acupuncture, from its traditional and holistic roots to its more modern interpretations.
Written by many scientists and clinicians from China, USA, Canada and other countries, this monograph discusses translational research on acupuncture. Besides general topics on acupuncture practice (e.g., different styles and techniques of acupuncture), topics include some refractory diseases such as chronic fatigue syndrome, Parkinson’s disease, cardiovascular dysfunction, chronic pain, post-concussion syndrome and post-traumatic stress disorder and cancer-related symptoms. The factors influencing acupuncture research are comprehensively addressed in the final chapter. This unique book provides a translational perspective on modern acupuncture for not only acupuncturists, but also neuroscientists, neurologists, and other clinicians. For medical students and undergraduate and graduate students majoring in biology, this book is an advanced course for learning the progress in alternative and complementary Medicine.
Acupuncture for Pain Management is intended as the premier resource for learning the fundamentals of the art of medical acupuncture. Edited by top pain medicine specialists at Harvard and UCLA, and based on their popular annual workshop at the American Society for Anesthesiologists, the book is the perfect synthesis of Western and Chinese medicine. Anesthesiologists, pain medicine specialists, primary care physicians, osteopaths, neurologists, psychiatrists, physical medicine and rehabilitation specialists, and other health professionals looking to add acupuncture to their repertoire will benefit from the concise and practical approach of the book. Features: Each individual meridian discussed in detail Acupuncture for 25 clinical conditions, including headache, menstrual pain, low back pain, insomnia, and more Aimed at acupuncturists as well as practitioners who want to add acupuncture to their clinical armamentarium