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Total 3027 results found since Jan 2013.

Consensus Guidelines on the Use of Intravenous Ketamine Infusions for Acute Pain Management From the American Society of Regional Anesthesia and Pain Medicine, the American Academy of Pain Medicine, and the American Society of Anesthesiologists
Conclusions Evidence supports the use of ketamine for acute pain in a variety of contexts, including as a stand-alone treatment, as an adjunct to opioids, and, to a lesser extent, as an intranasal formulation. Contraindications for acute pain are similar to those for chronic pain, partly based on the observation that the dosage ranges are similar. Larger studies evaluating different acute pain conditions are needed to enhance patient selection, determine the effectiveness of nonparenteral ketamine alternatives, define optimal treatment parameters, and develop protocols optimizing safety and access to care.
Source: Regional Anesthesia and Pain Medicine - June 23, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Special Article Source Type: research

Acute Pain in the African Prehospital Setting: A Scoping Review.
Conclusions: Only six publications addressing prehospital acute pain care in Africa could be identified, possibly indicative of a knowledge gap. Future research is indicated to enable a better understanding of the epidemiology of acute pain and barriers and enablers of acute pain care and to develop evidence-based clinical practice guidelines (CPGs) catering for all EMS systems in Africa. Additionally, educational initiatives should be implemented to improve the quality of acute pain care and to monitor quality through continuous quality improvement (CQI) programs. PMID: 31149317 [PubMed - in process]
Source: Pain Research and Management - June 4, 2019 Category: Anesthesiology Authors: Lourens A, McCaul M, Parker R, Hodkinson P Tags: Pain Res Manag Source Type: research

Chronic pain in the 11th Revision of the International Classification of Diseases: users' questions answered
For the first time, the upcoming International Classification of Diseases and Related Health Problems, Eleventh Revision (ICD-11) will include a comprehensive classification of chronic pain, which is based on the biopsychosocial definition of chronic pain. This presents a great opportunity for pain research and clinical practice. The new classification consists of 7 main diagnostic categories of chronic pain, which are further divided into increasingly specific levels of diagnoses. Each diagnosis is characterized by clearly defined operationalized criteria. Future users will need to familiarize themselves with the new syst...
Source: Pain - August 27, 2022 Category: Anesthesiology Tags: Special Article: ICD-11 and Chronic Pain Source Type: research

Opioids for chronic pain: a knowledge assessment of nonpain specialty providers
Conclusion: Health care providers demonstrated gaps in knowledge about the use of opioids for chronic pain. Lower scores on clinically based opioid questions may indicate an opportunity to provide focused educational content about this area of practice. This information could be helpful in designing future educational modules for nonpain providers. Keywords: chronic pain, opioids, prescription, continuing medical education
Source: Journal of Pain Research - March 10, 2016 Category: Anesthesiology Tags: Journal of Pain Research Source Type: research

Upgrading a Social Media Strategy to Increase Twitter Engagement During the Spring Annual Meeting of the American Society of Regional Anesthesia and Pain Medicine.
Abstract Microblogs known as "tweets" are a rapid, effective method of information dissemination in health care. Although several medical specialties have described their Twitter conference experiences, Twitter-related data in the fields of anesthesiology and pain medicine are sparse. We therefore analyzed the Twitter content of 2 consecutive spring meetings of the American Society of Regional Anesthesia and Pain Medicine using publicly available online transcripts. We also examined the potential contribution of a targeted social media campaign on Twitter engagement during the conferences. The original Twitter mee...
Source: Pain Physician - March 5, 2017 Category: Anesthesiology Authors: Schwenk ES, Jaremko KM, Gupta RK, Udani AD, McCartney CJ, Snively A, Mariano ER Tags: Reg Anesth Pain Med Source Type: research

Upgrading a Social Media Strategy to Increase Twitter Engagement During the Spring Annual Meeting of the American Society of Regional Anesthesia and Pain Medicine
Abstract: Microblogs known as “tweets” are a rapid, effective method of information dissemination in health care. Although several medical specialties have described their Twitter conference experiences, Twitter-related data in the fields of anesthesiology and pain medicine are sparse. We therefore analyzed the Twitter content of 2 consecutive spring meetings of the American Society of Regional Anesthesia and Pain Medicine using publicly available online transcripts. We also examined the potential contribution of a targeted social media campaign on Twitter engagement during the conferences. The original Twitter meeting...
Source: Regional Anesthesia and Pain Medicine - April 20, 2017 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Special Article Source Type: research

I don't feel your pain - Ideas - The Boston Globe
IF YOU STOPPED the average person in an emergency room and asked why she's there—not just her guess at the problem, but what really motivated her to show up—the number one answer would be "pain." For all that modern medicine has learned about disease and treatment, it's alleviating pain that still lies at the heart of the profession. And in recent years, the notion of treating "pain" as its own entity has been rising to the forefront in medicine. Pain management now has its own journals, conferences, clinics, and specialists, and pain relief is sometimes referred to as a human right. The In...
Source: Psychology of Pain - June 18, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Roger Chou ’s Undisclosed Conflicts of Interest: How the CDC’s 2016 Guideline for Prescribing Opioids for Chronic Pain Lost Its Clinical and Professional Integrity
by Chad D. Kollas MD, Terri A. Lewis PhD, Beverly Schechtman and Carrie Judy“I ' m present. Uh … I do have a conflict. I receive funding to conduct reviews on opioids, and I ' ll be recusing myself after the um, director ' s, uh, um, um, uh … update.”- Dr. Roger Chou, Center for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control (NCIPC) Board of Scientific Counselors (BSC) Meeting Friday, July 16, 2021.IntroductionFor those familiar with the controversial relationship between the anti-opioid advocacy group, Physicians for Responsible Opioid Prescribing (PROP, recently renamed, He...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 17, 2021 Category: Palliative Care Tags: CDC judy kollas lewis opioid pain schechtman Source Type: blogs

Roger Chou s Undisclosed Conflicts of Interest: How the CDCs 2016 Guideline for Prescribing Opioids for Chronic Pain Lost Its Clinical and Professional Integrity
by Chad D. Kollas MD, Terri A. Lewis PhD, Beverly Schechtman and Carrie JudyI ' m present. Uh I do have a conflict. I receive funding to conduct reviews on opioids, and I ' ll be recusing myself after the um, director ' s, uh, um, um, uh update.- Dr. Roger Chou, Center for Disease Control and Prevention (CDC) National Center for Injury Prevention and Control (NCIPC) Board of Scientific Counselors (BSC) Meeting Friday, July 16, 2021.IntroductionFor those familiar with the controversial relationship between the anti-opioid advocacy group, Physicians for Responsible Opioid Prescribing (PROP, recently renamed, Health Pro...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 17, 2021 Category: Palliative Care Tags: CDC judy kollas lewis opioid pain schechtman Source Type: blogs

Managing pain is an experiment
I’ve been thinking a lot about clinical reasoning recently.  There’s been a lot written about clinical reasoning, but not as often applied to pain management, which is a shame.  One definition of clinical reasoning is that it is a “complex process that uses cognition, metacognition, and discipline-specific knowledge to gather and analyse patient information, evaluate its significance, and weigh alternative actions” (Simmons, 2009).  It’s often used synonymously with with decision-making and clinical judgment. It’s not diagnosis alone, although it includes diagnostic reasoning, and it ...
Source: HealthSkills Weblog - June 29, 2014 Category: Occupational Therapists Authors: adiemusfree Tags: Clinical reasoning Professional topics Chronic pain healthcare pain management Source Type: blogs

A Five-Dimensional View of Pain | Pain Research Forum
Leaders of a major effort to systematically classify all common chronic pain conditions expect to have the first stage completed by mid-July 2014. The Pain Taxonomy, a project of the ACTTION public-private partnership, and the American Pain Society is one of two independent initiatives launched last spring to fill a widely perceived need for an updated evidence-based approach to improve diagnosis, treatment, and research of chronic pain (seePRF related news story). Key issues and decisions of the initial consensus meeting held in May 2013 are summed up in the March 2014 issue of The Journal of Pain. The paper also des...
Source: Psychology of Pain - April 8, 2014 Category: Psychiatrists and Psychologists Source Type: blogs

Proposed cdc guidelines for opioid prescribing could unintendedly make the burden of chronic pain greater for millions of americans
Myra ChristopherSeveral months ago the Centers for Disease Control (CDC) announced that it was their plan to develop guidelines for opioid prescribing. Since then there has been much speculation and concern about this initiative among those advocating for a comprehensive chronic pain management approach. In mid-September a draft of the guidelines was posted on the Pain News Network’s website.  http://www.painnewsnetwork.org/stories/2015/9/16/cdc-opioids-not-preferred-treatment-for-chronic-painFor more than a decade, the Center for Practical Bioethics has focused significant resources on the under-treatment of ch...
Source: blog.bioethics.net - December 15, 2015 Category: Medical Ethics Authors: Practical Bioethics Tags: Health Care chronic pain Guidelines for Opioid Prescribing opioids syndicated Source Type: blogs

Panel cites need for individualized, patient-centered approach to treat and monitor chronic pain - NIH
An independent panel convened by the National Institutes of Health concluded that individualized, patient-centered care is needed to treat and monitor the estimated 100 million Americans living with chronic pain. To achieve this aim, the panel recommends more research and development around the evidence-based, multidisciplinary approaches needed to balance patient perspectives, desired outcomes, and safety."Persons living with chronic pain have often been grouped into a single category, and treatment approaches have been generalized with little evidence to support this practice," said Dr. David B. Reuben, panel chair and p...
Source: Psychology of Pain - January 17, 2015 Category: Psychiatrists and Psychologists Source Type: blogs

Pharmacological and non-pharmacological strategies in the integrated treatment of pain in neurorehabilitation. Evidence and recommendations from the Italian Consensus Conference on Pain in Neurorehabilitation.
(ICCPN) Abstract The interplay between pain and neurorehabilitation is very complex, in that pain may be a target for treatment, but can also have negative effects on neurorehabilitation procedures. Moreover, side effects of drugs, which are currently used to treat pain, may negatively influence rehabilitation outcomes. Because of the lack of guidelines or consensus, the Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) was aimed to answer some open questions on the treatment of pain in this setting. To this aim, we collected evidence on the pharmacological and non-pharmacological strategies and ...
Source: European Journal of Physical and Rehabilitation Medicine - August 30, 2016 Category: Rehabilitation Authors: Tamburin S, Lacerenza MR, Castelnuovo G, Agostini M, Paolucci S, Bartolo M, Bonazza S, Federico A, Formaglio F, Giusti EM, Manzoni GM, Mezzarobba S, Pietrabissa G, Polli A, Turolla A, Sandrini G, Italian Consensus Conference on Pain in Neurorehabilitation Tags: Eur J Phys Rehabil Med Source Type: research

Diagnosing and assessing pain in neurorehabilitation: from translational research to the clinical setting. Evidence and recommendations from the Italian Consensus conference on pain in neurorehabilitation.
Abstract Pain is very common in neurorehabilitation, where it may be a target for treatment and have a negative effect on rehabilitation procedures and outcomes. Promising preliminary preclinical data support some therapeutic approaches to pain, but there is a strong need of adequate preclinical models, experimental settings, outcome measures, and biomarkers that could be more relevant for pain within the neurorehabilitation field. Data on diagnosis and assessment of nociceptive and neuropathic pain (NP) are very scanty in neurorehabilitation, but those from other contexts can be adapted and translated in this spe...
Source: European Journal of Physical and Rehabilitation Medicine - August 30, 2016 Category: Rehabilitation Authors: Porro CA, Sandrini G, Truini A, Tugnoli V, Alfonsi E, Berliocchi L, Cacciatori C, LA Cesa S, Magrinelli F, Sacerdote P, Valeriani M, Italian Consensus Conference on Pain in Neurorehabilitation (ICCPN) Tags: Eur J Phys Rehabil Med Source Type: research