Effect of Intraoperative Handovers of Anesthesia Care on Mortality, Readmission, or Postoperative Complications Among Adults: The HandiCAP Randomized Clinical Trial
CONCLUSIONS AND RELEVANCE: Among adults undergoing extended surgical procedures, there was no significant difference between the patients randomized to receive handover of anesthesia care from one clinician to another, compared with the no handover group, in the composite primary outcome of mortality, readmission, or serious postoperative complications within 30 days.TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT04016454.PMID:35665794 | DOI:10.1001/jama.2022.9451 (Source: Pain Physician)
Source: Pain Physician - June 6, 2022 Category: Anesthesiology Authors: Melanie Meersch Raphael Weiss Mira K ├╝llmar Lars Bergmann Astrid Thompson Leonore Griep Desiree Kusmierz Annika Buchholz Alexander Wolf Hartmuth Nowak Tim Rahmel Michael Adamzik Jan Gerrit Haaker Carina Goettker Matthias Gruendel Andre Hemping-Bovenkerk Source Type: research

Comparison of Opioid-Based Patient-Controlled Analgesia with Physician-Directed Analgesia in Acute Pancreatitis: A Retrospective Cohort Study
CONCLUSION: The use of PCA in AP may be associated with poorer outcomes including longer LOS, time to enteral intake and a higher likelihood of being discharged with opioids.PMID:35666365 | DOI:10.1007/s10620-022-07573-x (Source: Pain Physician)
Source: Pain Physician - June 6, 2022 Category: Anesthesiology Authors: Supisara Tintara Ishani Shah William Yakah John J Kowalczyk Cristina Sorrento Cinthana Kandasamy Awais Ahmed Steven D Freedman Darshan J Kothari Sunil G Sheth Source Type: research

Characterizing anxiety, pain, sleep, and quality of life among patients in a state Medical Marijuana Program
CONCLUSION: Despite mixed evidence regarding cannabis' efficacy for anxiety, 36.7% of the current sample were certified by a physician for anxiety. Lower QoL was associated with more self-reported comorbid medical conditions, higher total symptom count, and reported use of an opioid and/or benzodiazepine. Future longitudinal data will provide critical information regarding the trajectory of these symptoms and QoL.PMID:35667225 | DOI:10.1016/j.ctcp.2022.101612 (Source: Pain Physician)
Source: Pain Physician - June 6, 2022 Category: Anesthesiology Authors: Rebecca L Ashare Erin Kelly Emily R Hajjar Swechhya Pant Salimah H Meghani Brooke Worster Source Type: research

Influence of kinesiophobia on pain intensity, disability, muscle endurance, and position sense in patients with chronic low back pain-a case-control study
DISCUSSION: The finding from this study can be generalized as this study has adequate sample size and subgroup analysis by adjusting the variables to draw a valid conclusion. The finding of this study will help the working physician to include assessment of kinesiophobia as part of musculoskeletal evaluation for patient with CLBP in a prospective diagnostic intervention.TRIAL REGISTRATION: ClinicalTrials.gov NCT05079893 . Registered on 14 October 2021.PMID:35668498 | DOI:10.1186/s13063-022-06406-6 (Source: Pain Physician)
Source: Pain Physician - June 6, 2022 Category: Anesthesiology Authors: Praveen Kumar Kandakurti Watson Arulsingh Sharad S Patil Source Type: research

The Wicked Problem of Physician Well-Being
Anesthesiol Clin. 2022 Jun;40(2):213-223. doi: 10.1016/j.anclin.2022.01.001. Epub 2022 May 4.ABSTRACTThe collective threat to physician well-being is a complex issue with no clear solution. Even before the coronavirus disease 2019 pandemic, physicians suffered from widespread burnout and moral injury, with negative consequences for patient care, physician health, and the health care system. Initial clinician well-being efforts leaned heavily on individual-focused interventions. However, workplace culture and environment are key factors that affect burnout, and therefore clinician well-being efforts require both individual-...
Source: Pain Physician - June 6, 2022 Category: Anesthesiology Authors: Jina L Sinskey Rebecca D Margolis Amy E Vinson Source Type: research

It Takes a Village: A Narrative Review of Anesthesiology Mentorship
Anesthesiol Clin. 2022 Jun;40(2):301-313. doi: 10.1016/j.anclin.2022.01.005. Epub 2022 May 5.ABSTRACTMentorships play a critical role in the development of physician careers and should be tailored within a structured, evidence-based mentoring program to ensure mutual benefit and avoidance of pitfalls. We offer a narrative review of the current literature and commentary on mentoring at the medical student, GME trainee, and early career faculty levels within anesthesiology, and propose a framework on which an effective mentoring program can be implemented.PMID:35659402 | DOI:10.1016/j.anclin.2022.01.005 (Source: Pain Physician)
Source: Pain Physician - June 6, 2022 Category: Anesthesiology Authors: Albert H Tsai Natalie J Bodmer Kush Gupta Thomas J Caruso Source Type: research

Physician Coaching
Anesthesiol Clin. 2022 Jun;40(2):337-348. doi: 10.1016/j.anclin.2022.01.007. Epub 2022 May 7.ABSTRACTThe practice of anesthesiology requires both clinical skills and the ability to navigate complex social situations. Leadership skills such as emotional intelligence, adaptability, conflict management, and negotiation are crucial for success but infrequently taught. Coaching is a thought-provoking process that enhances self-awareness and inspires the maximization of personal and professional potential. It has been used in the business world for personal and professional development for decades, and evidence now exists that c...
Source: Pain Physician - June 6, 2022 Category: Anesthesiology Authors: Laura K Berenstain Scott D Markowitz Stephanie I Byerly Source Type: research

Well-being in the Intensive Care Unit: Looking Beyond COVID-19
Anesthesiol Clin. 2022 Jun;40(2):373-382. doi: 10.1016/j.anclin.2022.01.010. Epub 2022 Jan 31.ABSTRACTBurnout among critical care personnel has increased due to the additional psychological and physical demands of caring for critically ill patients with limited resources. Factors that increase the risk of burnout include compassion fatigue, lack of control over the work environment, difficult interpersonal relationships, and constant exposure to end-of-life issues. Organizational commitment to physician wellbeing depends on improving workplace efficiency, recognizing stressors in the critical care environment, and providin...
Source: Pain Physician - June 6, 2022 Category: Anesthesiology Authors: Sheela Pai Cole Shahla Siddiqui Source Type: research

Unacceptable pain in oncology: The patients' perspective on reasons for absence of pain interventions
CONCLUSION: In conclusion, a variety of reasons for absence of pain intervention are reported by patients, including patient-related and health professional-related reasons. Improvements can be made by promoting regular discussion of pain during hospital visits and empowerment of patients.PMID:35662290 | DOI:10.1111/ecc.13628 (Source: Pain Physician)
Source: Pain Physician - June 6, 2022 Category: Anesthesiology Authors: Hester Stoorvogel Jolanda van Haastregt Maurice Theunissen Janna Schoenmaekers Ann Hoeben Marieke van den Beuken-van Everdingen Source Type: research

External jugular vein aneurysm presenting as submandibular neck mass
J Surg Case Rep. 2022 May 31;2022(5):rjac244. doi: 10.1093/jscr/rjac244. eCollection 2022 May.ABSTRACTExternal jugular vein aneurysms presenting as neck masses is very rare in the literature. This case report presents an 80-year-old female, who was referred to the office due to an incidental finding of a left submandibular neck mass. The patient presented to her primary care physician initially complaining of bilateral intermittent ear pain that was present for several years. After extensive workup, the patient was diagnosed with a left external jugular vein aneurysm. When asymptomatic, this rare condition can be followed ...
Source: Pain Physician - June 6, 2022 Category: Anesthesiology Authors: Matthew I Saleem Tristan Tham Anise M Diaz Patrick Keating Alexandros Georgolios Source Type: research

Effect of Intraoperative Handovers of Anesthesia Care on Mortality, Readmission, or Postoperative Complications Among Adults: The HandiCAP Randomized Clinical Trial
CONCLUSIONS AND RELEVANCE: Among adults undergoing extended surgical procedures, there was no significant difference between the patients randomized to receive handover of anesthesia care from one clinician to another, compared with the no handover group, in the composite primary outcome of mortality, readmission, or serious postoperative complications within 30 days.TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT04016454.PMID:35665794 | DOI:10.1001/jama.2022.9451 (Source: Pain Physician)
Source: Pain Physician - June 6, 2022 Category: Anesthesiology Authors: Melanie Meersch Raphael Weiss Mira K ├╝llmar Lars Bergmann Astrid Thompson Leonore Griep Desiree Kusmierz Annika Buchholz Alexander Wolf Hartmuth Nowak Tim Rahmel Michael Adamzik Jan Gerrit Haaker Carina Goettker Matthias Gruendel Andre Hemping-Bovenkerk Source Type: research

Comparison of Opioid-Based Patient-Controlled Analgesia with Physician-Directed Analgesia in Acute Pancreatitis: A Retrospective Cohort Study
CONCLUSION: The use of PCA in AP may be associated with poorer outcomes including longer LOS, time to enteral intake and a higher likelihood of being discharged with opioids.PMID:35666365 | DOI:10.1007/s10620-022-07573-x (Source: Pain Physician)
Source: Pain Physician - June 6, 2022 Category: Anesthesiology Authors: Supisara Tintara Ishani Shah William Yakah John J Kowalczyk Cristina Sorrento Cinthana Kandasamy Awais Ahmed Steven D Freedman Darshan J Kothari Sunil G Sheth Source Type: research

Characterizing anxiety, pain, sleep, and quality of life among patients in a state Medical Marijuana Program
CONCLUSION: Despite mixed evidence regarding cannabis' efficacy for anxiety, 36.7% of the current sample were certified by a physician for anxiety. Lower QoL was associated with more self-reported comorbid medical conditions, higher total symptom count, and reported use of an opioid and/or benzodiazepine. Future longitudinal data will provide critical information regarding the trajectory of these symptoms and QoL.PMID:35667225 | DOI:10.1016/j.ctcp.2022.101612 (Source: Pain Physician)
Source: Pain Physician - June 6, 2022 Category: Anesthesiology Authors: Rebecca L Ashare Erin Kelly Emily R Hajjar Swechhya Pant Salimah H Meghani Brooke Worster Source Type: research

Influence of kinesiophobia on pain intensity, disability, muscle endurance, and position sense in patients with chronic low back pain-a case-control study
DISCUSSION: The finding from this study can be generalized as this study has adequate sample size and subgroup analysis by adjusting the variables to draw a valid conclusion. The finding of this study will help the working physician to include assessment of kinesiophobia as part of musculoskeletal evaluation for patient with CLBP in a prospective diagnostic intervention.TRIAL REGISTRATION: ClinicalTrials.gov NCT05079893 . Registered on 14 October 2021.PMID:35668498 | DOI:10.1186/s13063-022-06406-6 (Source: Pain Physician)
Source: Pain Physician - June 6, 2022 Category: Anesthesiology Authors: Praveen Kumar Kandakurti Watson Arulsingh Sharad S Patil Source Type: research

Psychometric Properties of the Persian Version of the ID-Pain Questionnaire
CONCLUSION: The IDPQ-P can be used in the clinical setting as an accurate and quick screening tool to diagnose patients with neuropathic pain. Sufficient test-retest reliability, construct validity, discriminant validity, and high diagnostic accuracy were found for the IDPQ-P.PMID:35655734 | PMC:PMC9117901 | DOI:10.22038/ABJS.2021.53348.2647 (Source: Pain Physician)
Source: Pain Physician - June 3, 2022 Category: Anesthesiology Authors: Behzad Khodabandeh Erfan Shafiee Maryam Farzad Amirreza Smaeel Beygi Source Type: research