Temporal characterization of acute pain and toxicity kinetics during radiation therapy for head and neck cancer. A retrospective study
CONCLUSION: This study provides insight on in-depth characterization and associations between dynamic pain, physiologic, and toxicity kinetics. Our findings support further needs of optimized pain control through temporal data-driven clinical decision support systems for acute pain management.PMID:38638130 | PMC:PMC11025722 | DOI:10.1016/j.oor.2023.100092 (Source: Pain Physician)
Source: Pain Physician - April 19, 2024 Category: Anesthesiology Authors: Vivian Salama Sara Youssef Tianlin Xu Kareem A Wahid Jaime Chen Jillian Rigert Anna Lee Katherine A Hutcheson Brandon Gunn Jack Phan Adam S Garden Steven J Frank William Morrison Jay P Reddy Michael T Spiotto Mohamed A Naser Cem Dede Renjie He Abdallah S Source Type: research

A Randomised Controlled Trial Comparing Ketamine < em > versus < /em > Fentanyl for Procedural Sedation in the Emergency Department for Adults with Isolated Extremity Injury
CONCLUSION: PSA is a safe and efficacious procedure for patients undergoing painful procedures in ED. Patients in both the groups maintained hemodynamic stability throughout the procedure. From our study, we were able to conclude that both ketamine and fentanyl are similar in efficacy for PSA in the ED for adults with isolated limb injuries. In addition, no significant cardiovascular adverse events were noted in either group in our study.PMID:38638669 | PMC:PMC11023337 | DOI:10.5704/MOJ.2403.015 (Source: Pain Physician)
Source: Pain Physician - April 19, 2024 Category: Anesthesiology Authors: M Srinivasarangan S Jagadeesh A Bheemanna A Sivasankar A Patil B Basavaraju A Sattur Source Type: research

Clinical practice, decision-making, and use of clinical decision support systems in invasive mechanical ventilation: a narrative review
Br J Anaesth. 2024 Apr 17:S0007-0912(24)00142-9. doi: 10.1016/j.bja.2024.03.011. Online ahead of print.ABSTRACTInvasive mechanical ventilation is a key supportive therapy for patients on intensive care. There is increasing emphasis on personalised ventilation strategies. Clinical decision support systems (CDSS) have been developed to support this. We conducted a narrative review to assess evidence that could inform device implementation. A search was conducted in MEDLINE (Ovid) and EMBASE. Twenty-nine studies met the inclusion criteria. Role allocation is well described, with interprofessional collaboration dependent on cu...
Source: Pain Physician - April 18, 2024 Category: Anesthesiology Authors: Mayur Murali Melody Ni Dan S Karbing Stephen E Rees Matthieu Komorowski Dominic Marshall Padmanabhan Ramnarayan Brijesh V Patel Source Type: research

The one cloud on a sunny day: Using emotional intelligence to manage emotions from negative written feedback
Proc (Bayl Univ Med Cent). 2024 Mar 4;37(3):501-502. doi: 10.1080/08998280.2024.2315871. eCollection 2024.ABSTRACTPhysician trainees receive anonymous written feedback about their clinical performance, which can be challenging to interpret. Negative written feedback can evoke a strong emotional response. An educational gap exists on how to handle receiving negative written feedback and the accompanying emotions. Teaching trainees the tenets of emotional intelligence, including emotional self-awareness and self-management, could be an avenue to improve the experience of receiving feedback. Face-to-face coaching may also hel...
Source: Pain Physician - April 17, 2024 Category: Anesthesiology Authors: Britlyn D Orgill Michael Warren Bobbie Ann Adair White Source Type: research

The one cloud on a sunny day: Using emotional intelligence to manage emotions from negative written feedback
Proc (Bayl Univ Med Cent). 2024 Mar 4;37(3):501-502. doi: 10.1080/08998280.2024.2315871. eCollection 2024.ABSTRACTPhysician trainees receive anonymous written feedback about their clinical performance, which can be challenging to interpret. Negative written feedback can evoke a strong emotional response. An educational gap exists on how to handle receiving negative written feedback and the accompanying emotions. Teaching trainees the tenets of emotional intelligence, including emotional self-awareness and self-management, could be an avenue to improve the experience of receiving feedback. Face-to-face coaching may also hel...
Source: Pain Physician - April 17, 2024 Category: Anesthesiology Authors: Britlyn D Orgill Michael Warren Bobbie Ann Adair White Source Type: research

Neutrophil/Lymphocyte Ratio as a Predictive Biomarker of NIV Failure in AECOPD: The Unveiled Facts [Letter]
Int J Chron Obstruct Pulmon Dis. 2024 Apr 11;19:905-906. doi: 10.2147/COPD.S465448. eCollection 2024.NO ABSTRACTPMID:38623318 | PMC:PMC11018122 | DOI:10.2147/COPD.S465448 (Source: Pain Physician)
Source: Pain Physician - April 16, 2024 Category: Anesthesiology Authors: Dipasri Bhattacharya Antonio M Esquinas Mohanchandra Mandal Source Type: research

What's important in a contract beyond the salary? A primer for pain physicians and trainees
Pain Pract. 2024 Apr 16. doi: 10.1111/papr.13377. Online ahead of print.ABSTRACTThis manuscript is designed to complement the previously published primer on salary structures for new pain physicians. The previous manuscript "Employment Contract Financial Models for the Pain Physician: A Primer" had a goal of increasing understanding of financial models by pain fellows when preparing for contract negotiations. This manuscript illustrates the many equally important considerations of "non-monetary" values that are a significant part of contract negotiation outside of salary. It contributes to the overall education for trainee...
Source: Pain Physician - April 16, 2024 Category: Anesthesiology Authors: Tetyana Marshall Maria Eibel Brett Marshall Andrew Clary Sergio Hickey Patrick Polsunas Alex Dresslor Neal Shah Cathy Zhang Danielle Zheng Trent Emerick Source Type: research

Acute Treatment Patterns, Migraine Burden, and Healthcare Resource Use in People With Migraine: Results From the OVERCOME (EU) Observational Study
CONCLUSION: High migraine-related burden levels were reported, despite use of acute medication. Although triptans are recommended for moderate to severe migraine attacks in Spanish and German guidelines, less than half of participants were using triptans; treatment satisfaction in those using triptans was generally poor. New tailored treatment options may help address unmet needs in current acute treatment.PMID:38625512 | DOI:10.1007/s40122-024-00589-3 (Source: Pain Physician)
Source: Pain Physician - April 16, 2024 Category: Anesthesiology Authors: Stefan Evers Grazia Dell'Agnello Diego Novick H Saygin Gonderten Tommaso Panni Julio Pascual Source Type: research

Healthcare experiences of fibromyalgia patients and their associations with satisfaction and pain relief. A patient survey
CONCLUSIONS: Our survey describes deficiencies in FM patients' pain-related healthcare and suggests areas for improvement to increase healthcare satisfaction and pain relief. (REC# 2019/845, 09.05.19).PMID:38625666 | DOI:10.1515/sjpain-2023-0141 (Source: Pain Physician)
Source: Pain Physician - April 16, 2024 Category: Anesthesiology Authors: Sigrid H ørven Wigers Marit B Veier ød Anne Marit Mengshoel Karin Øien Forseth Mina Piiksi Dahli Niels Gunnar Juel B ård Natvig Source Type: research

Adult Cancer Patients' Perceptions of Factors That Influence Hospital Admissions
CONCLUSIONS: These findings highlight opportunities for clinical nurse specialists to target these vulnerable patients and provide expert consultation to address potential barriers and gaps in utilization of appropriate supportive services that may reduce unplanned hospital admissions.PMID:38625801 | DOI:10.1097/NUR.0000000000000816 (Source: Pain Physician)
Source: Pain Physician - April 16, 2024 Category: Anesthesiology Authors: Patricia I Geddie Victoria W Loerzel Source Type: research

Top studies of 2023 relevant to primary care: From the PEER team
CONCLUSION: Research published in 2023 yielded several high-quality articles with topics relevant to primary care, including cardiovascular care, irritable bowel syndrome, care of the elderly, and acne management.PMID:38626998 | DOI:10.46747/cfp.7004245 (Source: Pain Physician)
Source: Pain Physician - April 16, 2024 Category: Anesthesiology Authors: Betsy S Thomas Danielle Perry Samantha S Moe Ricky D Turgeon Jen Potter Émélie Braschi Nicholas Dugr é Jessica E M Kirkwood G Michael Allan Source Type: research

Neutrophil/Lymphocyte Ratio as a Predictive Biomarker of NIV Failure in AECOPD: The Unveiled Facts [Letter]
Int J Chron Obstruct Pulmon Dis. 2024 Apr 11;19:905-906. doi: 10.2147/COPD.S465448. eCollection 2024.NO ABSTRACTPMID:38623318 | PMC:PMC11018122 | DOI:10.2147/COPD.S465448 (Source: Pain Physician)
Source: Pain Physician - April 16, 2024 Category: Anesthesiology Authors: Dipasri Bhattacharya Antonio M Esquinas Mohanchandra Mandal Source Type: research

What's important in a contract beyond the salary? A primer for pain physicians and trainees
Pain Pract. 2024 Apr 16. doi: 10.1111/papr.13377. Online ahead of print.ABSTRACTThis manuscript is designed to complement the previously published primer on salary structures for new pain physicians. The previous manuscript "Employment Contract Financial Models for the Pain Physician: A Primer" had a goal of increasing understanding of financial models by pain fellows when preparing for contract negotiations. This manuscript illustrates the many equally important considerations of "non-monetary" values that are a significant part of contract negotiation outside of salary. It contributes to the overall education for trainee...
Source: Pain Physician - April 16, 2024 Category: Anesthesiology Authors: Tetyana Marshall Maria Eibel Brett Marshall Andrew Clary Sergio Hickey Patrick Polsunas Alex Dresslor Neal Shah Cathy Zhang Danielle Zheng Trent Emerick Source Type: research

Acute Treatment Patterns, Migraine Burden, and Healthcare Resource Use in People With Migraine: Results From the OVERCOME (EU) Observational Study
CONCLUSION: High migraine-related burden levels were reported, despite use of acute medication. Although triptans are recommended for moderate to severe migraine attacks in Spanish and German guidelines, less than half of participants were using triptans; treatment satisfaction in those using triptans was generally poor. New tailored treatment options may help address unmet needs in current acute treatment.PMID:38625512 | DOI:10.1007/s40122-024-00589-3 (Source: Pain Physician)
Source: Pain Physician - April 16, 2024 Category: Anesthesiology Authors: Stefan Evers Grazia Dell'Agnello Diego Novick H Saygin Gonderten Tommaso Panni Julio Pascual Source Type: research

Healthcare experiences of fibromyalgia patients and their associations with satisfaction and pain relief. A patient survey
CONCLUSIONS: Our survey describes deficiencies in FM patients' pain-related healthcare and suggests areas for improvement to increase healthcare satisfaction and pain relief. (REC# 2019/845, 09.05.19).PMID:38625666 | DOI:10.1515/sjpain-2023-0141 (Source: Pain Physician)
Source: Pain Physician - April 16, 2024 Category: Anesthesiology Authors: Sigrid H ørven Wigers Marit B Veier ød Anne Marit Mengshoel Karin Øien Forseth Mina Piiksi Dahli Niels Gunnar Juel B ård Natvig Source Type: research