Patient reported outcome measures (PRO) in colorectal surgery
Surg Open Sci. 2024 Mar 28;19:66-69. doi: 10.1016/j.sopen.2024.03.013. eCollection 2024 Jun.ABSTRACTPatient reported outcomes refer to, "Any report of the status of a patient's health condition that comes directly from the patient, without interpretation of the patient's response by a clinician or anyone else" (US Food and Drug Administration, 2009) [1]. These outcomes can include anything that matters to patients including quality of life, pain, number of bowel movements. Patient reported outcome measures refer to tools or instruments that help to measure these outcomes. These measures can be done using validated tools, t...
Source: Pain Physician - April 10, 2024 Category: Anesthesiology Authors: Kathia E Nitsch Srinivas J Ivatury Source Type: research

Audio Distraction for Traction Pin Insertion: A Prospective Randomized Controlled Study
CONCLUSIONS: AD is a practical, low-cost intervention that may reduce patient anxiety during lower-extremity skeletal traction pin insertion.LEVEL OF EVIDENCE: Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.PMID:38598604 | DOI:10.2106/JBJS.23.01143 (Source: Pain Physician)
Source: Pain Physician - April 10, 2024 Category: Anesthesiology Authors: Melissa Albersheim Fernando A Huyke-Hern ández Stephen A Doxey Harsh R Parikh Allison L Boden Roberto C Hern ández-Irizarry Patrick B Horrigan Stephen M Quinnan Brian P Cunningham Source Type: research

Using Artificial Intelligence to Predict Mechanical Ventilation Weaning Success in Patients with Respiratory Failure, Including Those with Acute Respiratory Distress Syndrome
J Clin Med. 2024 Mar 5;13(5):1505. doi: 10.3390/jcm13051505.ABSTRACTThe management of mechanical ventilation (MV) remains a challenge in intensive care units (ICUs). The digitalization of healthcare and the implementation of artificial intelligence (AI) and machine learning (ML) has significantly influenced medical decision-making capabilities, potentially enhancing patient outcomes. Acute respiratory distress syndrome, an overwhelming inflammatory lung disease, is common in ICUs. Most patients require MV. Prolonged MV is associated with an increased length of stay, morbidity, and mortality. Shortening the MV duration has ...
Source: Pain Physician - April 9, 2024 Category: Anesthesiology Authors: Tamar Stivi Dan Padawer Noor Dirini Akiva Nachshon Baruch M Batzofin Stephane Ledot Source Type: research

Using Artificial Intelligence to Predict Mechanical Ventilation Weaning Success in Patients with Respiratory Failure, Including Those with Acute Respiratory Distress Syndrome
J Clin Med. 2024 Mar 5;13(5):1505. doi: 10.3390/jcm13051505.ABSTRACTThe management of mechanical ventilation (MV) remains a challenge in intensive care units (ICUs). The digitalization of healthcare and the implementation of artificial intelligence (AI) and machine learning (ML) has significantly influenced medical decision-making capabilities, potentially enhancing patient outcomes. Acute respiratory distress syndrome, an overwhelming inflammatory lung disease, is common in ICUs. Most patients require MV. Prolonged MV is associated with an increased length of stay, morbidity, and mortality. Shortening the MV duration has ...
Source: Pain Physician - April 9, 2024 Category: Anesthesiology Authors: Tamar Stivi Dan Padawer Noor Dirini Akiva Nachshon Baruch M Batzofin Stephane Ledot Source Type: research

Opioid-induced respiratory depression suspected of drug interaction in a prostate cancer patient: a case report
CONCLUSIONS: The cause of respiratory depression in this case was thought to be a combination of factors, including drug interactions between oxycodone and antiemetics, and oxycodone accumulation due to renal dysfunction.PMID:38584476 | DOI:10.21037/apm-23-581 (Source: Pain Physician)
Source: Pain Physician - April 8, 2024 Category: Anesthesiology Authors: Hiroshi Hamada Eisuke Suzuki Mitsufumi Endo Yukiko Mihara Sayaka Iketani Miki Ishida Akime Miyasato Kanako Miyazaki Source Type: research

Tuberculosis treatment delay and contributing factors within tuberculosis patients in Ethiopia: A systematic review and meta-analysis
CONCLUSION AND RECOMMENDATION: The tuberculosis treatment delay in Ethiopia was considerably unexpected and basic personal variables and facility related variables were statistically associated with treatment. Therefore, Ethiopian TB control programs have to recognize and tackle the problem, obstacles, and vulnerability across the continuum patient care taking down and connecting to treatment post-diagnosis. This can be achieved by capacitating both government and non-governmental service provision centers and minimizing unfilled difference across professional awareness and skill, which will contribute further to minimizin...
Source: Pain Physician - April 8, 2024 Category: Anesthesiology Authors: Getahun Fetensa Dessalegn Wirtu Belachew Etana Bizuneh Wakuma Tadesse Tolossa Jilcha Gugsa Dabesa Gobena Ginenus Fekadu Misganu Teshoma Ragasa Eshetu Ejeta Source Type: research

Medical Cannabis Use and Its Impact on Health Among Older Adults: Recent Research Findings and Future Directions
Curr Addict Rep. 2023 Dec;10(4):837-843. doi: 10.1007/s40429-023-00519-x. Epub 2023 Sep 26.ABSTRACTPURPOSE OF REVIEW: With the rapidly changing landscape of state level legalization of cannabis, older adults have become one of the fastest growing populations seeking medical cannabis (MC). However, research evidence on the risks and benefits of MC use in this population remains limited. This review aims to synthesize recent literature on the impacts of MC use in older adults and identify critical knowledge gaps to be addressed in future research.RECENT FINDINGS: Recent literature showed that older adults often face financia...
Source: Pain Physician - April 8, 2024 Category: Anesthesiology Authors: Yan Wang Kendall R Robinson Hannah Fechtel Alexis Hartog Source Type: research

Reconstruction of the Talus and Calcaneus Using a Three-Dimensional (3D)-Printed Custom Implant Following a Shotgun Wound: A Case Report
We present a case detailing the successful reconstruction of the hindfoot in a 15-year-old male patient who suffered a self-inflicted shotgun wound. The patient had multiple complex fractures in these bones, resulting in considerable bone loss and the destruction of the articular surface. Considering the extent of the injuries and the failure of prior intervention from an outside surgeon, traditional reconstruction methods would not have adequately addressed the severity of the damage. Consequently, the treating physician opted to address the deformity using a three-dimensional (3D)-printed custom implant to salvage the li...
Source: Pain Physician - April 8, 2024 Category: Anesthesiology Authors: Christian Guevara Samantha Trynz Dino Fanfan Cary Chapman Source Type: research

Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021
Lancet. 2024 Apr 3:S0140-6736(24)00367-2. doi: 10.1016/S0140-6736(24)00367-2. Online ahead of print.ABSTRACTBACKGROUND: Regular, detailed reporting on population health by underlying cause of death is fundamental for public health decision making. Cause-specific estimates of mortality and the subsequent effects on life expectancy worldwide are valuable metrics to gauge progress in reducing mortality rates. These estimates are particularly important following large-scale mortality spikes, such as the COVID-19 pandemic. When systematically analysed, mortality rates and life expectancy allow comparisons of the consequences of...
Source: Pain Physician - April 6, 2024 Category: Anesthesiology Authors: GBD 2021 Causes of Death Collaborators Source Type: research

Healthcare Utilization and Direct Costs Prior to Subspecialty Care in Children with Chronic Pain Compared with Other Chronic Childhood Diseases: A Cohort Study
CONCLUSION: Compared with chronic inflammatory and endocrinologic conditions, pediatric CP and anxiety were associated with substantial burden on the healthcare system prior to subspecialty care, suggesting a need to assess gaps and resources in the management of CP and mental health conditions in the primary care setting.PMID:38582149 | DOI:10.1016/j.jpeds.2024.114046 (Source: Pain Physician)
Source: Pain Physician - April 6, 2024 Category: Anesthesiology Authors: Kerstin Gerhold Saeed Al-Azazi Wael El-Matary Laurence Y Katz Lily Sh Lim Seth D Marks Lisa M Lix Source Type: research

Global burden of 288 causes of death and life expectancy decomposition in 204 countries and territories and 811 subnational locations, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021
Lancet. 2024 Apr 3:S0140-6736(24)00367-2. doi: 10.1016/S0140-6736(24)00367-2. Online ahead of print.ABSTRACTBACKGROUND: Regular, detailed reporting on population health by underlying cause of death is fundamental for public health decision making. Cause-specific estimates of mortality and the subsequent effects on life expectancy worldwide are valuable metrics to gauge progress in reducing mortality rates. These estimates are particularly important following large-scale mortality spikes, such as the COVID-19 pandemic. When systematically analysed, mortality rates and life expectancy allow comparisons of the consequences of...
Source: Pain Physician - April 6, 2024 Category: Anesthesiology Authors: GBD 2021 Causes of Death Collaborators Source Type: research

Healthcare Utilization and Direct Costs Prior to Subspecialty Care in Children with Chronic Pain Compared with Other Chronic Childhood Diseases: A Cohort Study
CONCLUSION: Compared with chronic inflammatory and endocrinologic conditions, pediatric CP and anxiety were associated with substantial burden on the healthcare system prior to subspecialty care, suggesting a need to assess gaps and resources in the management of CP and mental health conditions in the primary care setting.PMID:38582149 | DOI:10.1016/j.jpeds.2024.114046 (Source: Pain Physician)
Source: Pain Physician - April 6, 2024 Category: Anesthesiology Authors: Kerstin Gerhold Saeed Al-Azazi Wael El-Matary Laurence Y Katz Lily Sh Lim Seth D Marks Lisa M Lix Source Type: research

Boosting Confidence: Enhancing Spinal Cord Stimulator Needle and Lead Placement Through Simulation Training
Conclusions This pilot study shows that the utilization of simulated neuromodulation training is a viable means of augmenting neuromodulation education by increasing physician's confidence in aspects of the SCS placement procedure. The extent to which simulator training improves procedural skills in a real-life SCS placement needs to be investigated further.PMID:38576678 | PMC:PMC10993637 | DOI:10.7759/cureus.55550 (Source: Pain Physician)
Source: Pain Physician - April 5, 2024 Category: Anesthesiology Authors: Shan Ali Mark Friedrich Hurdle Salim M Ghazi Sahil Gupta Source Type: research

Triage-initiated intranasal fentanyl for hip fractures in an Emergency Department - Results from introduction of an analgesic guideline
CONCLUSION: Use of triage-initiated INF significantly decreased time to analgesic administration, time to imaging and overall length of stay in ED.PMID:38579496 | DOI:10.1016/j.ienj.2024.101445 (Source: Pain Physician)
Source: Pain Physician - April 5, 2024 Category: Anesthesiology Authors: Jennifer Smith Danny Soo Antonio Celenza Source Type: research

Boosting Confidence: Enhancing Spinal Cord Stimulator Needle and Lead Placement Through Simulation Training
Conclusions This pilot study shows that the utilization of simulated neuromodulation training is a viable means of augmenting neuromodulation education by increasing physician's confidence in aspects of the SCS placement procedure. The extent to which simulator training improves procedural skills in a real-life SCS placement needs to be investigated further.PMID:38576678 | PMC:PMC10993637 | DOI:10.7759/cureus.55550 (Source: Pain Physician)
Source: Pain Physician - April 5, 2024 Category: Anesthesiology Authors: Shan Ali Mark Friedrich Hurdle Salim M Ghazi Sahil Gupta Source Type: research