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In Pain Medicine (in + pain_medicine)
Selected AbstractsProof or Consequences: Who Shall Pay for the Evidence in Pain Medicine?PAIN MEDICINE, Issue 1 2010FFPM(ANZCA), Nikolai Bogduk MD No abstract is available for this article. [source] Assessing Evidence in Pain Medicine: Clarifications and MisconceptionsPAIN MEDICINE, Issue 2 2009Roger Chou MD No abstract is available for this article. [source] Psychology, Psychiatry, and Brain Neuroscience in Pain Medicine: New Tools for a New SciencePAIN MEDICINE, Issue 8 2008Ajay Wasan MD No abstract is available for this article. [source] Program Requirements for Graduate Medical Education in Pain MedicinePAIN MEDICINE, Issue 4 2008Article first published online: 19 MAY 200 First page of article [source] Debate That Strengthens: Evaluating New Technologies in Pain MedicinePAIN MEDICINE, Issue 5 2006Rollin M. Gallagher MD No abstract is available for this article. [source] Do Patient Expectations and Diagnostic Specificity Affect Outcomes in Pharmacological Trials in Pain MedicinePAIN MEDICINE, Issue 5 2005Rollin M. Gallagher MD No abstract is available for this article. [source] Educating Medical Students in Pain Medicine and Palliative CarePAIN MEDICINE, Issue 3 2002Hui-Ming Chang MD No abstract is available for this article. [source] Ethics in Pain Medicine: Good for Our Health, Good for the Public HealthPAIN MEDICINE, Issue 2 2001Rollin M. Gallagher MD No abstract is available for this article. [source] Why an "Ethics" Forum in Pain Medicine?PAIN MEDICINE, Issue 2 2000Michel Y. Dubois M.D. No abstract is available for this article. [source] Ultrasonography in Pain Medicine: A Sneak Peak at the FuturePAIN PRACTICE, Issue 4 2008Samer Narouze MD No abstract is available for this article. [source] POST-SURGICAL NEUROPATHIC PAINANZ JOURNAL OF SURGERY, Issue 7 2008Edward Shipton Surgeons and anaesthetists are involved in Pain Medicine, as they have a responsibility to contribute to postoperative pain management and are often consulted about longer-term pain problems as well. A large component of persistent pain after surgery can be defined as neuropathic pain (NP). Nerves are injured during surgery and pain can persist after the surgical wound has healed. NP is because of a primary lesion or dysfunction of the peripheral or central nervous system. Prevalence estimates indicate that 2,3% of the population in the developed world experience NP. Persistent post-surgical NP is a mostly unrecognized clinical problem. The chronicity and persistence of post-surgical NP is often severely debilitating and impinges on the psychosocial, physical, economic and emotional well-being of patients. Options for treatment of any neuropathic factors are based on understanding the pain mechanisms involved. The current understandings of the mechanisms involved are presented. There is reasonable evidence for the efficacy of pharmacological management for NP. The aim of this article was to appraise the prevention, diagnostic work-up, the physical and particularly the pharmacological management of post-surgical NP and to provide a glimpse of advances in the field. It is a practical approach to post-surgical NP for all surgeons and anaesthetists. The take-home message is that prevention is better than waiting for post-surgical NP to become persistent. [source] (216) Pain and Addiction: Screening Patients at RiskPAIN MEDICINE, Issue 3 2001Victor Li Introduction: Addictive disease is a common co-morbidity in chronic pain patients [1]. 26% of patients on methadone treatment believed that prescribed opioids led to their addiction [2]. We report initial validation of a Screening Tool for Addiction Risk (STAR). Methods: Questions based on prior studies of pain and addiction, addiction-screening tools [3,4], discussions with clinicians experienced in pain medicine and addiction, and our clinical experience were used to develop the STAR. After obtaining IRB approval, chronic pain patients completed the 14-item STAR questionnaire. 14 patients with chronic pain and history of drug addiction (DSM-IV Criteria) and 34 additional chronic pain patients completed the survey as part of their initial clinical evaluation. Patient responses were compared to determine which were questions accounted for statistically significant differences. Results: Questions related to respondent classification of addict based on chi-square analysis and Fisher's exact test were: prior treatment in a drug rehabilitation facility (p < 0.00001), nicotine use (p < 0.0032), feeling of excessive nicotine use (p < 0.0007), and treatment in another pain clinic (p < 0.018). A factor analysis linked addiction to first three questions mentioned above. Question: "Have you ever been treated in a drug or alcohol rehabilitation facility?" had a positive predictive value of 93% for addiction. Responses to recreational substance use, alcohol abuse, recent anxiety or depression, unemployment, emergency room visits, family history of drug or alcohol abuse, multiple physicians prescribing pain medication, or a prior history of physical or emotional abuse were not different between either patient group. Discussion: Screening for addiction is an important part of management of chronic pain patients. A history of treatment in drug or alcohol rehabilitation facility and questions related to cigarette smoking may be useful to screen for potential risk of addiction. Further investigations needed to validate results of this study. [source] Ultrasound in regional anaesthesiaANAESTHESIA, Issue 2010J. Griffin Summary Ultrasound guidance is rapidly becoming the gold standard for regional anaesthesia. There is an ever growing weight of evidence, matched with improving technology, to show that the use of ultrasound has significant benefits over conventional techniques, such as nerve stimulation and loss of resistance. The improved safety and efficacy that ultrasound brings to regional anaesthesia will help promote its use and realise the benefits that regional anaesthesia has over general anaesthesia, such as decreased morbidity and mortality, superior postoperative analgesia, cost-effectiveness, decreased postoperative complications and an improved postoperative course. In this review we consider the evidence behind the improved safety and efficacy of ultrasound-guided regional anaesthesia, before discussing its use in pain medicine, paediatrics and in the facilitation of neuraxial blockade. The Achilles' heel of ultrasound-guided regional anaesthesia is that anaesthetists are far more familiar with providing general anaesthesia, which in most cases requires skills that are achieved faster and more reliably. To this ends we go on to provide practical advice on ultrasound-guided techniques and the introduction of ultrasound into a department. [source] | ||||||||||