MeSH: Analgesics, Opioid/tu [Therapeutic Use]
End of Life Outside of “Business Hours”: A Retrospective Review Evaluating Time of Death and Provider Time at End of Life
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Introduction: Pediatric palliative care (PPC) benefits patients and families, while potentially creating emotional and resource-management burdens for providers. This study’s purpose was to characterize the occurrence of deaths attended by PPC providers outside of “business hours.” Methods: N = 786 PPC patients at a single center died between 2008 and 2015. Descriptive statistics were prepared for all…
Buprenorphine for chronic pain in a pediatric patient with sickle-cell disease
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Sickle-cell disease (SCD) is an inherited hematologic disorder characterized by the presence of sickle-shaped red blood cells (RBC). 1 Misshapen RBCs are rigid, which leads to occlusion of blood vessels resulting in tissue ischemia and pain. Pain can manifest as acute, intermittent episodes (vaso-occlusive crises [VOC]), chronic pain, or acute-on-chronic pain. 1 Buprenorphine is a…