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

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

Can concentrated growth factor prevent postoperative complications of impacted third molar surgery? A split-mouth randomized double-blind trial
CONCLUSION: The study has demonstrated the effect of CGF on relieving the severity of pain after the third molar extraction.CLINICAL RELEVANCE: Placement of CGF in the extraction socket could relieve postoperative pain and reduce patient discomfort after the third molar extraction. CGF is recommended during the third molar extraction due to its good biological effects, low cost and simple preparation procedures.TRIAL REGISTRATION NUMBER: ChiCTR2300077819.PMID:38556559 | DOI:10.1007/s00784-024-05638-x (Source: Pain Physician)
Source: Pain Physician - March 31, 2024 Category: Anesthesiology Authors: Cheng Huang Yuanzhi Xu Source Type: research

Pain types and risk factors in post-COVID-19
CONCLUSION: In the evaluation of post-COVID-19 pain, neuropathic pain and central sensitization should be also considered in addition to nociceptive pain and the severity of pain, systemic diseases and physical activity should be questioned.PMID:38549834 | PMC:PMC10966756 | DOI:10.5606/tftrd.2024.13828 (Source: Pain Physician)
Source: Pain Physician - March 29, 2024 Category: Anesthesiology Authors: Ay şegül Ketenci Mert Zure Fatma Merih Akp ınar Yelda Soluk Özdemir Özlem Balbaloğlu Mazlum Serdar Akaltun Ender Erden Ayla Çağlıyan Türk Merve Damla Korkmaz Burcu Metin Ökmen Özlem Altındağ Feray Soyupek Elif Yak şi Dil şad Sindel Nalan S Source Type: research

Remote Therapeutic Monitoring in Rheumatic and Musculoskeletal Diseases: Opportunities and Implementation
Med Res Arch. 2023 Jul;11(7.2):3957. doi: 10.18103/mra.v11i7.2.3957.ABSTRACTTherapeutic Monitoring (RTM) is a new program in the United States that began in 2022 allowing electronic patient-reported outcomes (ePRO) and other patient-generated data to be reviewed by clinical staff between visits so that patients can receive clinical attention as needed. Remote Therapeutic Monitoring simultaneously enhances the capacity to generate prospective longitudinal data that may be useful for secondary research purposes. As many governmental and private insurance programs in the United States now provide reimbursement for Remote Ther...
Source: Pain Physician - March 29, 2024 Category: Anesthesiology Authors: W Benjamin Nowell Jeffrey R Curtis Source Type: research

Icosapent ethyl modulates circulating vascular regenerative cell content: The IPE-PREVENTION CardioLink-14 trial
CONCLUSIONS: IPE-PREVENTION CardioLink-14 provides the first translational evidence that IPE can modulate VR cell content and suggests a novel mechanism that may underlie the cardioprotective effects observed with IPE in REDUCE-IT.FUNDING: HLS Therapeutics provided the IPE in kind and had no role in the study design, conduct, analyses, or interpretation.PMID:38552629 | DOI:10.1016/j.medj.2024.03.009 (Source: Pain Physician)
Source: Pain Physician - March 29, 2024 Category: Anesthesiology Authors: Ehab Bakbak Aishwarya Krishnaraj Deepak L Bhatt Adrian Quan Brady Park Asaad I Bakbak Basel Bari Kristin A Terenzi Yi Pan Elizabeth J Fry Daniella C Terenzi Pankaj Puar Tayyab S Khan Ori D Rotstein C David Mazer Lawrence A Leiter Hwee Teoh David A Hess Su Source Type: research

Identifying factors associated with disparities in access to integrative oncology program
CONCLUSION: Patients' ethno-national origin and immigration status (primary language, Arabic and Russian), male gender and older age were associated with lower rates of referral to and attendance of the IP consultation, with reduced adherence to weekly IO treatments. These findings require further study to identify barriers toward diversity, equity and inclusion in IO care, increasing awareness among healthcare professionals regarding the benefits of these services for improving patient wellbeing.PMID:38552747 | DOI:10.1016/j.jpainsymman.2024.03.018 (Source: Pain Physician)
Source: Pain Physician - March 29, 2024 Category: Anesthesiology Authors: Eran Ben-Arye Ana Maria Lopez Nihaya Daoud Lilach Zoller Eleanor Walker Michal Davidescu Katerina Shulman Orit Gressel Nili Stein Shani Brosh Elad Schiff Noah Samuels Source Type: research

Ultrasound guidance for real-time management of acute ischemic priapism
We present a 44-year-old male presenting with a painful erection lasting for eight hours. Penile doppler ultrasound was performed concurrent with medical management of priapism, with successful detumescence and discharge.PMID:38553386 | DOI:10.1016/j.ajem.2024.03.024 (Source: Pain Physician)
Source: Pain Physician - March 29, 2024 Category: Anesthesiology Authors: Robert Stenberg James Sun Brian Makowski Jessica Krizo Source Type: research

Pain types and risk factors in post-COVID-19
CONCLUSION: In the evaluation of post-COVID-19 pain, neuropathic pain and central sensitization should be also considered in addition to nociceptive pain and the severity of pain, systemic diseases and physical activity should be questioned.PMID:38549834 | PMC:PMC10966756 | DOI:10.5606/tftrd.2024.13828 (Source: Pain Physician)
Source: Pain Physician - March 29, 2024 Category: Anesthesiology Authors: Ay şegül Ketenci Mert Zure Fatma Merih Akp ınar Yelda Soluk Özdemir Özlem Balbaloğlu Mazlum Serdar Akaltun Ender Erden Ayla Çağlıyan Türk Merve Damla Korkmaz Burcu Metin Ökmen Özlem Altındağ Feray Soyupek Elif Yak şi Dil şad Sindel Nalan S Source Type: research

Remote Therapeutic Monitoring in Rheumatic and Musculoskeletal Diseases: Opportunities and Implementation
Med Res Arch. 2023 Jul;11(7.2):3957. doi: 10.18103/mra.v11i7.2.3957.ABSTRACTTherapeutic Monitoring (RTM) is a new program in the United States that began in 2022 allowing electronic patient-reported outcomes (ePRO) and other patient-generated data to be reviewed by clinical staff between visits so that patients can receive clinical attention as needed. Remote Therapeutic Monitoring simultaneously enhances the capacity to generate prospective longitudinal data that may be useful for secondary research purposes. As many governmental and private insurance programs in the United States now provide reimbursement for Remote Ther...
Source: Pain Physician - March 29, 2024 Category: Anesthesiology Authors: W Benjamin Nowell Jeffrey R Curtis Source Type: research