Factors Associated With Rebound Pain After Patient-controlled Epidural Analgesia in Patients Undergoing Major Abdominal Surgery: A Retrospective Study
This study evaluated the incidence of rebound pain related to PCEA and explored potential associated risk factors.
Materials and Methods:
We performed a retrospective review of 236 patients using PCEA following hepatobiliary and pancreas surgery between 2018 and 2020 in a tertiary hospital in South Korea. Rebound pain was defined as an increase from well-controlled pain (numeric rating scale (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - September 20, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Development and Testing of a Communication Intervention to Improve Chronic Pain Management in Primary Care: A Pilot Randomized Clinical Trial
This study developed a novel framework and intervention for teaching clinician pain-related communications skills. Although the intervention showed promise, more intensive or multicomponent interventions may be needed to have a significant impact on clinicians’ pain-related communication and pain outcomes. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - September 20, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
The Association Between Sleep Disturbance and Health Outcomes in Chronic Whiplash-associated Disorders: A Series of Mediation Analyses
Discussion:
Sleep disturbance in chronic WAD was associated with worse health outcomes and demonstrated both direct and indirect effects on both chronic pain and function. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - September 20, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Identifying Chronic Pain Subgroups in Pediatric Sickle Cell Disease: A Cluster-Analytic Approach
This study aimed to (1) empirically derive chronic pain subgroups based on pain characteristics among youth with chronic SCD pain; and (2) investigate derived subgroups for differences in sociodemographics, clinical characteristics, and psychosocial and functional outcomes.
Materials and Methods:
Youth with chronic SCD pain (n=62, Mage=13.9, SD=2.5, 10 to 18 y; 58% female, 60% HbSS) completed a battery of questionnaires. Clinical characteristics (eg, medications, treatments) and health care utilization were abstracted from electronic medical records. Hierarchical cluster analysis informed the number of clusters at ...
Source: The Clinical Journal of Pain - September 20, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Exploring the Relationship Between Endogenous Pain Modulation, Pain Intensity, and Depression in Patients Using Opioids for Chronic Low Back Pain
Introduction:
Endogenous pain modulatory processes appear to play an important role in shaping pain-related outcomes, but we know relatively little about the influence of psychosocial factors on those pain modulatory processes. The primary objective of this study was to explore associations between endogenous pain modulation (ie, conditioned pain modulation, CPM; temporal summation, TS), chronic pain, and negative affective factors (ie, depression, anxiety symptoms) in a sample of participants with chronic low back pain (CLBP) treated with long-term daily opioids.
Methods:
Adults with opioid-treated CLBP (N=107)...
Source: The Clinical Journal of Pain - September 20, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Authors’ Response to Letters to the Editor of Tian Tian et al Titled “Is Really Pectointercostal Fascial Plane Block an Effective Technique For Poststernotomy Pain Control?”
No abstract available (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - August 20, 2022 Category: Anesthesiology Tags: Letters to the Editor Source Type: research
Is Really Pectointercostal Fascial Plane Block an Effective Technique For Poststernotomy Pain Control?
No abstract available (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - August 20, 2022 Category: Anesthesiology Tags: Letters to the Editor Source Type: research
Authors’ Response to Letters to the Editor of Alexander Schnabel et al Titled “It Is Not Only the Heart That Hurts!”
No abstract available (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - August 20, 2022 Category: Anesthesiology Tags: Letters to the Editor Source Type: research
The Analgesic Efficacy of Ultrasound-guided Quadratus Lumborum Block Transmuscular or Posterior Approach After Hip Surgery: A Systematic Review and Meta-analysis with Trial Sequential Analysis
Background:
No review or meta-analysis exists to elucidate the efficacy and safety of quadratus lumborum block (QLB) on the pain intensity, opioid requirement, and mobilization in patients undergoing hip surgery. This systematic review and meta-analysis of randomized controlled trials were designed to compare QLB with no block or placebo (without other nerve/plexus blocks) for patients undergoing hip surgery.
Methods:
Two individual researchers conducted the platform searches on the PubMed, Cochrane Library, and Embase databases from inception to June 12, 2021. Only English publications were included. The pain a...
Source: The Clinical Journal of Pain - August 20, 2022 Category: Anesthesiology Tags: Review Article Source Type: research
Adding Dexamethasone to Adductor Canal Block Combined With iPACK Block Improve Postoperative Analgesia of Total Knee Arthroplasty
Conclusions:
Compared with using ropivacaine alone, ultrasonic-guided ACB combined with iPACK using ropivacaine and dexamethasone could prolong the duration of postoperative analgesia and strength analgesic intensity and promote the early rehabilitation exercise of patients undergoing TKA. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - August 20, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Comparing Effect of Adding Ketamine Versus Dexmedetomidine to Bupivacaine in Pecs-ⅠⅠ Block on Postoperative Pain Control in Patients Undergoing Breast Surgery
Conclusion:
Adding dexmedetomidine to bupivacaine provides more effective postoperative pain control than adding ketamine during Pecs-II blocks for breast cancer surgery. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - August 20, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Microtemporal Relationships in the Fear Avoidance Model: An Ecological Momentary Assessment Study
Discussion:
The current study suggests that the ways in which the FAM is related to various aspects of pain functioning differs on a state-level, which adds new clinical and research opportunities. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - August 20, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Childhood Adversity Among Adults With Chronic Pain: Prevalence and Association With Pain-related Outcomes
Conclusion:
Findings suggest that the number and the type of self-reported ACE(s) are associated with pain-related variables and psychosocial functioning in adults with chronic pain. The results highlight the importance of assessment of ACEs and trauma-informed care with patients with chronic pain. (Source: The Clinical Journal of Pain)
Source: The Clinical Journal of Pain - August 20, 2022 Category: Anesthesiology Tags: Original Articles Source Type: research
Relationship Between Attitudes and Beliefs About Sleep, Sleep Disturbance, and Pain Interference in Patients With Spinal Pain
Objectives:
Sleep impairments are a strong predictor of pain, making sleep a potential interest when treating patients with spine pain. Typical beliefs about the importance of sleep in patients seeking care for spinal pain are unknown. The purpose of this study was to describe the beliefs and attitudes about sleep in patients seeking care for spinal pain and to examine the relationships between dysfunctional beliefs and attitudes about sleep (DBAS), disordered sleep, and pain interference.
Materials and Methods:
This cross-sectional study included patients presenting to physical therapy with spine pain. Particip...
Source: The Clinical Journal of Pain - July 15, 2022 Category: Anesthesiology Tags: Review Articles Source Type: research
Phenotypes and Genotypes in Postherpetic Neuralgia Drug Therapy: A Narrative Mini-review
Neuropathic pain is a debilitating symptom reported by patients presenting with postherpetic neuralgia (PHN). Efforts to alleviate this pain have been projected to lie in individualization of pharmacological treatment through pain phenotyping and subsequent investigations into the genetic basis of PHN therapy. Understanding the various mechanisms related to these phenotypes can aid in improvement of available treatment options and discovery of new ones. Knowledge and application of genetic variations in PHN, structural proteins, and genes can aid in ascertaining risk, susceptibility to, severity of, and protection from PHN...
Source: The Clinical Journal of Pain - July 15, 2022 Category: Anesthesiology Tags: Review Articles Source Type: research
