The Global Anesthesia Workforce Survey: Updates and Trends in the Anesthesia Workforce
CONCLUSIONS: The overall size of the global anesthesia workforce has increased over time, although some countries have experienced a decrease. Population growth and differences in which provider types that are counted can have an important impact on provider density. More work is needed to define appropriate metrics for measuring changes in density, to describe anesthesia cadres, and to improve workforce data collection processes. Effort to scale up anesthesia provider training must urgently continue.PMID:38470828 | DOI:10.1213/ANE.0000000000006836 (Source: Pain Physician)
Source: Pain Physician - March 12, 2024 Category: Anesthesiology Authors: Tyler J Law Michael S Lipnick Wayne Morriss Adrian W Gelb Jannicke Mellin-Olsen Daniela Filipescu Jackie Rowles Pascal Rod Fauzia Khan Patrica Yazbeck Eugene Zoumenou Pedro Ibarra Kumudini Ranatunga Fred Bulamba Collaborators Source Type: research

Medicinal Use of Different Cannabis Strains: Results from a Large Prospective Survey in Germany
CONCLUSIONS: Patients self-reported very good efficacy and tolerability of MC. There was no evidence suggesting that specific MC strains are superior depending on the disease to be treated.PMID:38471525 | DOI:10.1055/a-2261-2269 (Source: Pain Physician)
Source: Pain Physician - March 12, 2024 Category: Anesthesiology Authors: Natalia Szejko Eva Becher Florian Heimann Franjo Grotenhermen Kirsten R M üller-Vahl Source Type: research

General practice care for patients with chronic non-cancer pain: A rapid review as part of the RELIEF project
CONCLUSION: Many of the identified recommendations for the treatment of patients with chronic non-tumor pain can also be considered relevant for the primary care setting. Specific guidelines and concepts for primary care physicians that include setting-specific characteristics at the physician, patient, and system levels would be desirable for a successful implementation of these recommendations.PMID:38472021 | DOI:10.1016/j.zefq.2024.01.005 (Source: Pain Physician)
Source: Pain Physician - March 12, 2024 Category: Anesthesiology Authors: Regina Po ß-Doering Sabrina Keller Marco Zugaj Hanna Seidling Cinara Paul Regina Stolz Petra Kaufmann-Kolle Cornelia Stra ßner Source Type: research

'We no longer experience the same pain': a cross-sectional study assessing the impact of Heart and Sole Africa's podoconiosis prevention education program
CONCLUSIONS: Our study demonstrated the value of community-based podoconiosis programming in improving the lives of patients. Practices such as regular feet washing, emollient application, shoe wearing and limb raising can result in a marked reduction of morbidity. Our findings support the argument for scaling up these management practices across Rwanda.PMID:38465481 | DOI:10.1093/trstmh/trae007 (Source: Pain Physician)
Source: Pain Physician - March 11, 2024 Category: Anesthesiology Authors: Agazi Fitsum Gebreselassie Natnael Shimelash Ahamed Kallon George Mkondo Tonya Huston Janna M Schurer Source Type: research

Micro-Fragmented Adipose Tissue demonstrates comparable clinical efficacy to other orthobiologics injections in treating symptomatic knee osteoarthritis. A systematic review of level I-IV clinical studies
CONCLUSION: MFAT injection therapy for the treatment of symptomatic knee osteoarthritis is effective and improves pain and functional outcomes. Moderate study quality combined with a moderate risk of bias, moderate certainty of evidence and moderate best synthesis evidence reduces external validity. Therefore, the results should be interpreted with a degree of caution.PMID:38467171 | DOI:10.1016/j.arthro.2024.03.002 (Source: Pain Physician)
Source: Pain Physician - March 11, 2024 Category: Anesthesiology Authors: Erik Hohmann Natalie Keough Rachel M Frank Scott Rodeo Source Type: research

US Medicare Hospice and Palliative Medicine Physician Workforce and Service Delivery in 2008-2020
CONCLUSION: Despite growth in Medicare HPM physician workforce, access is disproportionately concentrated in metropolitan and inpatient settings. This may limit receipt of early outpatient specialized palliative care, especially in non-metropolitan areas.PMID:38467348 | DOI:10.1016/j.jpainsymman.2024.03.006 (Source: Pain Physician)
Source: Pain Physician - March 11, 2024 Category: Anesthesiology Authors: Xin Hu Changchuan Jiang Qinjin Fan Kewei Sylvia Shi Ravi B Parikh Arif H Kamal Roger T Anderson K Robin Yabroff Xuesong Han Source Type: research

'We no longer experience the same pain': a cross-sectional study assessing the impact of Heart and Sole Africa's podoconiosis prevention education program
CONCLUSIONS: Our study demonstrated the value of community-based podoconiosis programming in improving the lives of patients. Practices such as regular feet washing, emollient application, shoe wearing and limb raising can result in a marked reduction of morbidity. Our findings support the argument for scaling up these management practices across Rwanda.PMID:38465481 | DOI:10.1093/trstmh/trae007 (Source: Pain Physician)
Source: Pain Physician - March 11, 2024 Category: Anesthesiology Authors: Agazi Fitsum Gebreselassie Natnael Shimelash Ahamed Kallon George Mkondo Tonya Huston Janna M Schurer Source Type: research

Micro-Fragmented Adipose Tissue demonstrates comparable clinical efficacy to other orthobiologics injections in treating symptomatic knee osteoarthritis. A systematic review of level I-IV clinical studies
CONCLUSION: MFAT injection therapy for the treatment of symptomatic knee osteoarthritis is effective and improves pain and functional outcomes. Moderate study quality combined with a moderate risk of bias, moderate certainty of evidence and moderate best synthesis evidence reduces external validity. Therefore, the results should be interpreted with a degree of caution.PMID:38467171 | DOI:10.1016/j.arthro.2024.03.002 (Source: Pain Physician)
Source: Pain Physician - March 11, 2024 Category: Anesthesiology Authors: Erik Hohmann Natalie Keough Rachel M Frank Scott Rodeo Source Type: research

US Medicare Hospice and Palliative Medicine Physician Workforce and Service Delivery in 2008-2020
CONCLUSION: Despite growth in Medicare HPM physician workforce, access is disproportionately concentrated in metropolitan and inpatient settings. This may limit receipt of early outpatient specialized palliative care, especially in non-metropolitan areas.PMID:38467348 | DOI:10.1016/j.jpainsymman.2024.03.006 (Source: Pain Physician)
Source: Pain Physician - March 11, 2024 Category: Anesthesiology Authors: Xin Hu Changchuan Jiang Qinjin Fan Kewei Sylvia Shi Ravi B Parikh Arif H Kamal Roger T Anderson K Robin Yabroff Xuesong Han Source Type: research

A 15% Trichloroacetic Acid + 3% Glycolic Acid Chemical Peel Series Improves Appearance of Hand Lentigines: An Evaluator-Blinded, Split-Hand Prospective Trial
CONCLUSION: A series of three 15% TCA + 3% GA peels are effective and safe in the treatment of hand lentigines.PMID:38460193 | DOI:10.1097/DSS.0000000000004114 (Source: Pain Physician)
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Ali Alajmi Ghassan Niaz Christine Chen Kachiu Lee Source Type: research

Exogenous Peptide Injection Causing Medical Thigh Compartment Syndrome
We present a case of a 43-year-old man who presented to the Emergency Department with worsening thigh pain. The patient had injected a "peptide cocktail" into his thigh 3 days prior. Physical examination revealed trace pitting edema of the left leg with moderate muscle spasm and tenderness of the medial aspect of the distal thigh with associated numbness along the medial aspect of the knee. Point-of-care ultrasound detected intramuscular edema and free fluid in the leg. He was found to have acute compartment syndrome of the thigh secondary to the peptide cocktail injection, causing a large hematoma posterior to the adducto...
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Daniella Lamour Tony W Bruno Richard D Shih Joshua J Solano Scott M Alter Source Type: research

Splenic Subcapsular Hematoma from Commercial Air Travel: Case Report of a Unique Incident of Altitude-Associated Splenic Syndrome
We present a case of a 41-year-old man with a history of SCT who developed severe epigastric pain and nearly lost consciousness while traveling on a commercial airplane. His twin brother, who also has SCT, had a similar episode in the past and required a splenectomy. A splenic subcapsular hematoma was found in a computed tomography scan of the abdomen and pelvis with intravenous contrast. He was admitted and managed conservatively until his symptoms resolved. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Though SCT is prevalent in our population, the complications that can arise, such as altitude-associated splenic ...
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Lauren Santucci Anthony Almeida Source Type: research

A 15% Trichloroacetic Acid + 3% Glycolic Acid Chemical Peel Series Improves Appearance of Hand Lentigines: An Evaluator-Blinded, Split-Hand Prospective Trial
CONCLUSION: A series of three 15% TCA + 3% GA peels are effective and safe in the treatment of hand lentigines.PMID:38460193 | DOI:10.1097/DSS.0000000000004114 (Source: Pain Physician)
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Ali Alajmi Ghassan Niaz Christine Chen Kachiu Lee Source Type: research

Exogenous Peptide Injection Causing Medical Thigh Compartment Syndrome
We present a case of a 43-year-old man who presented to the Emergency Department with worsening thigh pain. The patient had injected a "peptide cocktail" into his thigh 3 days prior. Physical examination revealed trace pitting edema of the left leg with moderate muscle spasm and tenderness of the medial aspect of the distal thigh with associated numbness along the medial aspect of the knee. Point-of-care ultrasound detected intramuscular edema and free fluid in the leg. He was found to have acute compartment syndrome of the thigh secondary to the peptide cocktail injection, causing a large hematoma posterior to the adducto...
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Daniella Lamour Tony W Bruno Richard D Shih Joshua J Solano Scott M Alter Source Type: research

Splenic Subcapsular Hematoma from Commercial Air Travel: Case Report of a Unique Incident of Altitude-Associated Splenic Syndrome
We present a case of a 41-year-old man with a history of SCT who developed severe epigastric pain and nearly lost consciousness while traveling on a commercial airplane. His twin brother, who also has SCT, had a similar episode in the past and required a splenectomy. A splenic subcapsular hematoma was found in a computed tomography scan of the abdomen and pelvis with intravenous contrast. He was admitted and managed conservatively until his symptoms resolved. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Though SCT is prevalent in our population, the complications that can arise, such as altitude-associated splenic ...
Source: Pain Physician - March 9, 2024 Category: Anesthesiology Authors: Lauren Santucci Anthony Almeida Source Type: research