AccessingTacitKnowledgeandLinkingittothePeer-.ppt

Accessing Tacit Knowledge and Linking it to the Peer-Reviewed Literature;Research Team;Overview;Pediatric Pain Discussion List;;Date: Wed, 04 Jan 1995 17:27:25 -0500 (EST) From: first reply Subject: re: opioids and meningitis Is there any periosteal involvement? If so an NSAID (ibuprofen or naproxen) may be much more effective than even opioid. ------------------------- ;Date: Wed, 04 Jan 1995 19:06:32 -0400 From: second reply Subject: Re: opioids and meningitis Poster writes: X is a 13 month (9.8kg) old boy suffering from acute meningitis... extreme painfull state: one could not handle or touch him without producing screaming.... The first day I have prescribed IV Nalbuphine ... succesfully relieved but not the mobilisation pain;... has moved spontaneously limbs 2 days later; nalbuphine has been stopped 4 days later. Neurological examination and CT scan have been still normal... I have used IV morphine for similar severe meningitis pain, with success. I wouldnt hesitate to use a pure opioid agonist (in conjunction with acetaminophen, NSAID, and/or tricyclics). However, it sounds like you have the situation under control. Second Reply, Associate Professor, Dept and University ------------------------- ;Date: Thu, 05 Jan 1995 18:58:32 -0800 (PST) From: Third Reply Subject: Re: opioids and meningitis I wonder if the problem is not due to severe arachnoiditis that is secondary to the inflammation. I would suggest a trial of steroids in this patient, perhaps in combination with a benzodiazepine to reduce the spasm. Narcotics may reduce the pain but I would not like to keep X on them for too long. Good luck Third Reply ------------------------- ? ;Tacit and Explicit Knowledge; Tacit Knowledge;Knowledge Transformation Processes;Research Questions;Mapping Tacit Knowledge to Explicit Knowledge in Medical Literature;Data Cleaning;Externalization: Creating Threads;Thread Representation;Data Set; term1 term2 term3 . . . term4111 thread1 w1,1 w1,2 . . .