Adult dosage of opioid analgesic in a four-year-old with gastritis.
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Biomedical subjects
Publications and source records attributed to A G Rogers.
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Effective management of pain depends on sufficient knowledge of the pharmacology of analgesics, careful assessment of each patient's pain, and a change of attitude toward the use of potent opioid (narcotic) analgesics. Utilizing extensive experience and the results of studies at Memorial Sloan-Kettering Cancer Center, the author rebuts physician misconceptions, recommends strategies for 25 medication problems, and provides oral/parenteral equivalencies of the most common analgesics.
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One of the more rare complications after mitral valve replacement is the development of a left ventricular-coronary sinus fistula, which has been reported only twice before. In the reported cases a common feature has been multiple valve replacements. Our case was one of the late development (8 years) of a fistula in a patient who had only one previous replacement but in whom a murmur was detected 3 months after the operation.
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