Variations in reporting of nurse involvement in end-of-life practices in intensive care units worldwide (ETHICUS-2): A prospective observational study
CONCLUSION: There is large variability in nurse involvement in end-of-life decision-making in the ICU. The most concerning findings were that in some regions, according to physicians, nurses were not involved in EOL decisions and did not initiate the decision-making process. There is a need to develop the collaboration between nurses and physicians. Nurses have valuable contributions for best possible patient-centered decisions and should be respected as important parts of the interdisciplinary team.TWEETABLE ABSTRACT: Wide global differences were found in nurse end of life decision involvement, with low involvement in Nor...
Source: Pain Physician - April 24, 2024 Category: Anesthesiology Authors: Julie Benbenishty Freda DeKeyser Ganz Alexandre Lautrette Ulrich Jaschinski Avneep Aggarwal Eldar S øreide Manfred Weiss Knut Dybwik Elif Ay şe Çizmeci Roberto Carlos Miranda Ackerman Bel én Estebanez-Montiel Bara Ricou Annette Robertsen Charles L Spr Source Type: research
Eosinophilic Pleural Effusion Secondary to Trichinella spiralis Infection in a Patient with Systemic Sclerosis: A Case Report
CONCLUSIONS This report highlights the possibility of developing rare or even not-until-now seen complications when 2 etiologically different diseases are associated. The physician should carefully assess the situation to find and resolve the underlying causes.PMID:38652711 | DOI:10.12659/AJCR.943420 (Source: Pain Physician)
Source: Pain Physician - April 23, 2024 Category: Anesthesiology Authors: M ădălina Ștefania Vulcan Andrei-Daniel Dragne Camelia Georgeta Badea Source Type: research
Phase 1/2 Randomized Clinical Trial of In-clinic acupuncture Prior to Bacillus Calmette-Gu érin in Patients with High-risk Non-muscle-invasive Bladder Cancer
CONCLUSIONS: Acupuncture prior to induction BCG treatments is feasible and safe. In this phase 1/2 trial, improved urinary function scores were observed among patients undergoing acupuncture. Patients receiving acupuncture reported high degrees of satisfaction with treatments.PATIENT SUMMARY: We evaluated the safety and feasibility of delivering acupuncture in a urology clinic prior to weekly intravesical bladder cancer treatments with bacillus Calmette-Guérin (BCG) in a randomized controlled trial. We found that acupuncture could be delivered safely prior to weekly BCG instillations and that the use of acupuncture was as...
Source: Pain Physician - April 23, 2024 Category: Anesthesiology Authors: Sarah P Psutka Susan Veleber Jonathan Siman Sarah K Holt Samia Jannat Jonathan L Wright Daniel W Lin John L Gore George R Schade Zachary Annen Heather Greenlee Source Type: research
Discordance between pain specialists and patients on the perception of dependence on pain medication: A multi-centre cross-sectional study
CONCLUSION: Medical shared-decision for changing pain treatment could be improved by taking into account the perception of patient dependence on medications for pain relief and or psychoactive effects, particularly in nociplastic pain for which the treatment is challenging.PMID:38653623 | DOI:10.1016/j.therap.2024.01.008 (Source: Pain Physician)
Source: Pain Physician - April 23, 2024 Category: Anesthesiology Authors: Anne Roussin Z énab Cissé Vanessa Rousseau Guillaume Roche C écile Lestrade Alexandre Cauchie No émie Delage Anne Donnet Elise Van Obberghen Chantal Wood Maryse Lapeyre-Mestre Nathalie Cantagrel Source Type: research
Development and internal validation of an algorithm for estimating mortality in patients encountered by physician-staffed helicopter emergency medical services
CONCLUSIONS: Based on 11 demographic, mission-specific, and physiologic variables, we developed and internally validated a novel severity of illness algorithm for use with patients encountered by physician-staffed helicopter emergency medical services, which may help in future quality improvement.PMID:38654337 | DOI:10.1186/s13049-024-01208-y (Source: Pain Physician)
Source: Pain Physician - April 23, 2024 Category: Anesthesiology Authors: Emil Reitala Mitja L ääperi Markus B Skrifvars Tom Silfvast Hanna Vihonen Pamela Toivonen Miretta Tommila Lasse Raatiniemi Jouni Nurmi Source Type: research
Eosinophilic Pleural Effusion Secondary to Trichinella spiralis Infection in a Patient with Systemic Sclerosis: A Case Report
CONCLUSIONS This report highlights the possibility of developing rare or even not-until-now seen complications when 2 etiologically different diseases are associated. The physician should carefully assess the situation to find and resolve the underlying causes.PMID:38652711 | DOI:10.12659/AJCR.943420 (Source: Pain Physician)
Source: Pain Physician - April 23, 2024 Category: Anesthesiology Authors: M ădălina Ștefania Vulcan Andrei-Daniel Dragne Camelia Georgeta Badea Source Type: research
Application of a user experience design approach for an EHR-based clinical decision support system
CONCLUSION: A UX approach can drive design to help understand physician-users and meet their needs; ultimately with the goal of increased uptake.PMID:38646110 | PMC:PMC11032728 | DOI:10.1093/jamiaopen/ooae019 (Source: Pain Physician)
Source: Pain Physician - April 22, 2024 Category: Anesthesiology Authors: Emily Gao Ilana Radpavar Emma J Clark Gery W Ryan Mindy K Ross Source Type: research
A Case of Palmoplantar Keratoderma in the Constellation of Connective Tissue Diseases
Cureus. 2024 Mar 20;16(3):e56531. doi: 10.7759/cureus.56531. eCollection 2024 Mar.ABSTRACTOverlap syndrome is a clinical challenge and brings together a wide range of treatment options for the treating physician. Addressing each and every complaint of the patient is crucial. A 50-year-old female patient presented with skin thickening, blackening, and hyperkeratosis; dysphagia; joint pain; features of myopathy; Raynaud's phenomenon; and dry mouth. Inflammatory markers were raised along with a positive antinuclear antibody (ANA) with Golgi apparatus pattern, anti-Sjögren's-syndrome-related antigen A (anti-SSA)/Ro60 3+, anti...
Source: Pain Physician - April 22, 2024 Category: Anesthesiology Authors: Ishan Verma Amol H Dube Sunita Kumbhalkar Keshao Nagpure Gitesh Sawatkar Sachin R Chuadhari Ashwini Umredkar Source Type: research
Provider Perspectives on Analgesic Use in Intrauterine Device Insertion Procedures: A Mixed Methods Analysis
CONCLUSIONS: Our study has identified a significant amount of variation in practices regarding analgesic use for IUD insertion procedures and highlighted some underlying causes of these inconsistencies. Future studies should further investigate trends in analgesic administration in IUD insertion procedures with a larger sample size and delve into factors such as provider education and barriers to access.PMID:38646269 | PMC:PMC11031185 | DOI:10.7759/cureus.56580 (Source: Pain Physician)
Source: Pain Physician - April 22, 2024 Category: Anesthesiology Authors: Camryn Daidone Kaitlyn Morris James Colquitt Gwenn Jackson Source Type: research
Peripheral Nerve Sheath Tumor: A Diagnostic and Therapeutic Challenge
CONCLUSIONS: Early diagnosis and referral to a specialist center are needed to achieve satisfactory outcomes while treating peripheral nerve tumors. Proliferative lesions should be treated surgically in specialist centers by experienced doctors with appropriate skills and equipment for microsurgical procedures to ensure full recovery.PMID:38646284 | PMC:PMC11031624 | DOI:10.7759/cureus.56601 (Source: Pain Physician)
Source: Pain Physician - April 22, 2024 Category: Anesthesiology Authors: Deviprasad Sulli Chandni Shankar Shruti G Raikar Source Type: research
Low Back Pain in Children, CVD and Obstetric History, Sarcoidosis, Penicillin Allergies, Myocardial Infarction, Venous Ulcers
Am Fam Physician. 2024 Apr;109(4):312.NO ABSTRACTPMID:38648827 (Source: Pain Physician)
Source: Pain Physician - April 22, 2024 Category: Anesthesiology Source Type: research
Remotely Delivered Psychotherapy for Treating Chronic Pain
Am Fam Physician. 2024 Apr;109(4):314-315.NO ABSTRACTPMID:38648829 (Source: Pain Physician)
Source: Pain Physician - April 22, 2024 Category: Anesthesiology Authors: John Laird Brandon Joa Source Type: research
Lumbar Spinal Stenosis: Diagnosis and Management
Am Fam Physician. 2024 Apr;109(4):350-359.ABSTRACTLumbar spinal stenosis is a clinical syndrome that affects more than 200,000 people in the United States annually. It is a common cause of chronic insidious low back pain, especially in older patient populations (mean age = 64 years). Lumbar spinal stenosis is a degenerative condition of the spine leading to narrowing in the spaces around the neurovascular bundles and the classic symptom of low back pain that radiates to the buttocks and lower extremities bilaterally. It is typically a progressive waxing and waning process that may deteriorate over years. The pain is typica...
Source: Pain Physician - April 22, 2024 Category: Anesthesiology Authors: Charles W Webb Kenneth Aguirre Peter H Seidenberg Source Type: research
Pain Management After Orthopedic Trauma: Guidelines From the Eastern Association for the Surgery of Trauma and the Orthopaedic Trauma Association
Am Fam Physician. 2024 Apr;109(4):376-377.NO ABSTRACTPMID:38648845 (Source: Pain Physician)
Source: Pain Physician - April 22, 2024 Category: Anesthesiology Authors: Pamela R Hughes Gregorio Climaco Source Type: research
Utility of Applying Pressure Dressing Following Parotidectomy Compared to Conventional Dressing: A Benefit or Not?
CONCLUSION AND RELEVANCE: Pressure dressing does not provide significant benefits over conventional dressing after parotidectomy concerning drain output, duration of drain placement, or surgical complications.PMID:38648860 | DOI:10.1016/j.joms.2024.03.038 (Source: Pain Physician)
Source: Pain Physician - April 22, 2024 Category: Anesthesiology Authors: Pattamaporn Kruatreepradit Napadon Tangjaturonrasme Wisarut Samuckkeethum Source Type: research
