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

Understanding providers' perspectives using patient-reported outcomes in a pain management setting: a pilot study
Conclusion: Despite the importance of measuring the impact of chronic pain on quality of life, there are significant limitations to the real-world use of PRO that may limit the patient's assessment and care.PMID:38573070 | DOI:10.2217/pmt-2023-0084 (Source: Pain Physician)
Source: Pain Physician - April 4, 2024 Category: Anesthesiology Authors: Lisa R Witkin Abha Kasubhai Silis Y Jiang Ruth Gotian Source Type: research

Moving Biosurveillance Beyond Coded Data Using AI for Symptom Detection From Physician Notes: Retrospective Cohort Study
CONCLUSIONS: This study establishes the value of AI-based NLP as a highly effective tool for real-time COVID-19 symptom detection in pediatric patients, outperforming traditional ICD-10 methods. It also reveals the evolving nature of symptom prevalence across different virus variants, underscoring the need for dynamic, technology-driven approaches in infectious disease surveillance.PMID:38573752 | DOI:10.2196/53367 (Source: Pain Physician)
Source: Pain Physician - April 4, 2024 Category: Anesthesiology Authors: Andrew J McMurry Amy R Zipursky Alon Geva Karen L Olson James R Jones Vladimir Ignatov Timothy A Miller Kenneth D Mandl Source Type: research

Remote Delivery of Psychological Therapies May Improve Chronic Pain
Am Fam Physician. 2024 Mar;109(3):Online.NO ABSTRACTPMID:38574207 (Source: Pain Physician)
Source: Pain Physician - April 4, 2024 Category: Anesthesiology Authors: D Jason Frasca Michael Lustig Soquel Rey Source Type: research

Diabetic Peripheral Neuropathy: Prevention and Treatment
Am Fam Physician. 2024 Mar;109(3):226-232.ABSTRACTDiabetic peripheral neuropathy occurs in up to 50% of patients with diabetes mellitus and increases the risk of diabetic foot ulcers and infections. Consistent screening and clear communication are essential to decrease disparities in assessment of neuropathic symptoms and diagnosis. Physicians should address underlying risk factors such as poor glycemic control, vitamin B12 deficiency, elevated blood pressure, and obesity to reduce the likelihood of developing neuropathy. First-line drug therapy for painful diabetic peripheral neuropathy includes duloxetine, gabapentin, am...
Source: Pain Physician - April 4, 2024 Category: Anesthesiology Authors: Scott Bragg Sarah Tucker Marrison Sean Haley Source Type: research

Chronic Low Back Pain in Adults: Evaluation and Management
Am Fam Physician. 2024 Mar;109(3):233-244.ABSTRACTChronic low back pain, defined as lumbar pain persisting for 12 weeks or more, occurs in about 13% of U.S. adults. Patients with chronic low back pain should have a history and physical examination to identify red flags that may indicate serious conditions that warrant immediate intervention or yellow flags (i.e., psychological, environmental, and social factors) that indicate risk of disability. The examination should include an evaluation for radicular symptoms. Routine imaging is not recommended but is indicated when red flags are present, there is a neuromuscular defici...
Source: Pain Physician - April 4, 2024 Category: Anesthesiology Authors: Donald Clinton Maharty Shaun C Hines Regina Bray Brown Source Type: research

Pancreatic Cancer: Rapid Evidence Review
Am Fam Physician. 2024 Mar;109(3):245-250.ABSTRACTPancreatic cancer is relatively uncommon and carries a poor prognosis because patients often develop signs or symptoms at a late stage of illness. Patients with a family history, especially those with genetic syndromes, are at a significantly increased risk of pancreatic cancer. Modifiable risk factors include smoking, heavy alcohol use, and obesity. Although patients at increased risk should be screened, screening is not recommended for asymptomatic people at average risk. The differential diagnosis for a symptomatic patient is broad, including gastroesophageal reflux dise...
Source: Pain Physician - April 4, 2024 Category: Anesthesiology Authors: Carl Bryce Merima Bucaj Source Type: research

Temporomandibular Disorders, Bruxism and Headaches
Neurol Clin. 2024 May;42(2):573-584. doi: 10.1016/j.ncl.2023.12.010. Epub 2024 Jan 13.ABSTRACTTemporomandibular disorders (TMDs) and headache disorders are highly prevalent in the population. TMDs can present headache symptoms as a secondary headache and, in addition, be comorbid with primary headache disorders. This overlap has significant clinical implications for which it is essential for the physician to be aware, and they should screen for the potential presence of TMDs in a headache patient. Bruxism is a parafunctional behavior also prevalent in the population which has a role in TMDs and may influence headache sympt...
Source: Pain Physician - April 4, 2024 Category: Anesthesiology Authors: Marcela Romero-Reyes Jennifer P Bassiur Source Type: research

Implementation of an intervention aimed at deprescribing benzodiazepines in a large US healthcare system using patient education materials: a pre/post-observational study with a control group
CONCLUSIONS: Results from this non-randomised QI initiative indicate that patient education programmes using the EMPOWER brochures have the potential to promote cessation of benzodiazepines in primary care.PMID:38569687 | DOI:10.1136/bmjopen-2023-080109 (Source: Pain Physician)
Source: Pain Physician - April 3, 2024 Category: Anesthesiology Authors: Tammy M Le Scott Campbell Alexa Andraos Pedro Ahlmark Ha Hoang Sean Isserman Caroline L Goldzweig Allison M Mays Kristin Bradley Michelle S Keller Source Type: research

Building Blocks-A Block-by-Block Approach to Better Emergency Care in Children
CONCLUSION: We describe a set of nerve blocks performed by emergency medicine physicians in the pediatric population in an ED setting. In suitable settings, this is a safe and effective tool for procedural analgesia or for pain management. In such cases, performing an ultrasound-guided nerve block in the ED is a viable alternative for repeated doses of opiates, deep procedural sedation, or the operating theater. We propose this set of regional anesthesia procedures as a pediatric-adapted toolkit for the emergency physician to be performed in children in the ED setting. Adopting this set of procedures ensures better and saf...
Source: Pain Physician - April 2, 2024 Category: Anesthesiology Authors: Yair Katzir Lior Ganor Ron Berant Keren Shahar-Nissan Source Type: research

Building Blocks-A Block-by-Block Approach to Better Emergency Care in Children
CONCLUSION: We describe a set of nerve blocks performed by emergency medicine physicians in the pediatric population in an ED setting. In suitable settings, this is a safe and effective tool for procedural analgesia or for pain management. In such cases, performing an ultrasound-guided nerve block in the ED is a viable alternative for repeated doses of opiates, deep procedural sedation, or the operating theater. We propose this set of regional anesthesia procedures as a pediatric-adapted toolkit for the emergency physician to be performed in children in the ED setting. Adopting this set of procedures ensures better and saf...
Source: Pain Physician - April 2, 2024 Category: Anesthesiology Authors: Yair Katzir Lior Ganor Ron Berant Keren Shahar-Nissan Source Type: research

Updated guidelines for prescribing opioids to treat patients with chronic non-cancer pain in Korea: developed by committee on hospice and palliative care of the Korean Pain Society
Korean J Pain. 2024 Apr 1;37(2):119-131. doi: 10.3344/kjp.24022.ABSTRACTThere are growing concerns regarding the safety of long-term treatment with opioids of patients with chronic non-cancer pain. In 2017, the Korean Pain Society (KPS) developed guidelines for opioid prescriptions for chronic non-cancer pain to guide physicians to prescribe opioids effectively and safely. Since then, investigations have provided updated data regarding opioid therapy for chronic non-cancer pain and have focused on initial dosing schedules, reassessment follow-ups, recommended dosage thresholds considering the risk-benefit ratio, dose-reduc...
Source: Pain Physician - April 1, 2024 Category: Anesthesiology Authors: Minsoo Kim Sun Kyung Park Woong Mo Kim Eunsoo Kim Hyuckgoo Kim Jun-Mo Park Seong-Soo Choi Eun Joo Choi Source Type: research

Spontaneous Idiopathic Bilateral Sagittal Band Rupture: A Case Report
CONCLUSION: Upon examination, she was found to have bilateral dislocation of the extensor tendons at the level of the (MCPJ) of the third and fourth digits. Any underlying cause was excluded, and the diagnosis was confirmed with a dynamic ultrasound study.PMID:38560310 | PMC:PMC10976532 | DOI:10.13107/jocr.2024.v14.i03.4302 (Source: Pain Physician)
Source: Pain Physician - April 1, 2024 Category: Anesthesiology Authors: Fatema H Madan Huda Saeed Alsahlawi Batool B Mohamed Sayed Mohamed Hasan Yusuf Omran Hasan Source Type: research

An Evaluation of the Clinical Tools Used to Monitor Illicit Methamphetamine Use Among Chronic Pain Patients: A Cross Sectional Retrospective Study
Discussion: Confirmatory testing with mass spectrometry can detect illicit drugs, such as methamphetamine, with high sensitivity and specificity and should be used with all samples given the low sensitivity of screening immunoassay. It is of utmost importance that opioid pain medicine prescribers know the many possible interpretations of these results so that they are equipped to make appropriate clinical decisions to ensure the safety of the patient, prescriber, and practice.PMID:38560537 | PMC:PMC10977063 | DOI:10.1177/00185787231174752 (Source: Pain Physician)
Source: Pain Physician - April 1, 2024 Category: Anesthesiology Authors: Danielle R Schalk Jamie L Lewis Source Type: research