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Prescription and Administration of Opioids to Hospital In-patients, and Barriers to Effective UseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. The majority of participants had incomplete pain relief and the maximum prescribed doses of opioids were not administered. Reported barriers included staff knowledge of opioid dose titration and opioid preparations, and time constraints. Identified barriers included poor knowledge of opioid preparations. (Source: Pain Medicine)
Source: Pain Medicine - November 18, 2009 Category: Anesthesiology Authors: Bridin P. Murnion, Danijela Gnjidic, Sarah N. Hilmer Source Type: journals

American Academy of Pain Medicine Ethics Council Statement on Conflicts of Interest: Interaction between Physicians and Industry in Pain MedicineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
New concerns have appeared recently in regard to the increasingly complex relationship between physicians and the pharmaceutical or devices industry. The American Academy of Pain Medicine (AAPM) Council on Ethics has discussed the issue, especially focusing on the implication of conflicts of interest for Pain Medicine, and published several recommendations for specific professional situations that the Pain Medicine physician may encounter. (Source: Pain Medicine)
Source: Pain Medicine - November 17, 2009 Category: Anesthesiology Authors: Michel Y. Dubois Source Type: journals

The Role of Catastrophizing in the Prediction of Postoperative PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. The present study findings suggest that it is possible to preoperatively identify patients at risk for experiencing more severe pain in the postoperative recovery period. In such cases, consideration might be given to utilizing a variety of resources to ameliorate or prevent pain. (Source: Pain Medicine)
Source: Pain Medicine - October 27, 2009 Category: Anesthesiology Authors: Marianna Papaioannou, Petros Skapinakis, Dimitris Damigos, Venetsanos Mavreas, Georgios Broumas, Androniki Palgimesi Source Type: journals

Postdural Puncture Headache in Complex Regional Pain Syndrome: A Retrospective Observational StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Our observations may suggest that other mechanisms besides intracranial hypotension play a role in the initiation and maintenance of PDPH in CRPS and stimulate new directions of research on this topic. (Source: Pain Medicine)
Source: Pain Medicine - October 26, 2009 Category: Anesthesiology Authors: Alexander G. Munts, Joan H. C. Voormolen, Johan Marinus, Elmar M. Delhaas, Jacobus J. van Hilten Source Type: journals

Paraplegia Following Image-Guided Transforaminal Lumbar Spine Epidural Steroid Injection: Two Case ReportsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. These cases consolidate a pattern emerging in the literature. Distal cord and conus injury can occur following transforaminal injections at lumbar levels, whether injection is on the left or right. This conforms with the probability of radicular-medullary arteries forming an arteria radicularis magna at lumbar levels. All cases used particulate corticosteroids, which promotes embolization in a radicular artery as the likely mechanism of injury. The risk of this complication can be reduced, and potentially eliminated, by the utilization of particulate free steroids, testing for intra-arterial injection with digi...
Source: Pain Medicine - October 26, 2009 Category: Anesthesiology Authors: David J. Kennedy, Paul Dreyfuss, Charles N. Aprill, Nikolai Bogduk Source Type: journals

SUNCT Syndrome Successfully Treated with the Combination of Oxcarbazepine and GabapentinEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT) is a syndrome of intermittent, brief, unilateral, severe paroxysms of orbital-temporal pain recurring multiple times per day. The pain modulation is often very difficult. The reported SUNCT patient is the first who responded to a combination treatment of oxcarbazepine and gabapentin. (Source: Pain Medicine)
Source: Pain Medicine - October 26, 2009 Category: Anesthesiology Authors: Martin Marziniak, Regina Breyer, Stefan Evers Source Type: journals

Pain Following Battlefield Injury and Evacuation: A Survey of 110 Casualties from the Wars in Iraq and AfghanistanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Our findings underscore the value of early aggressive pain management after major combat injuries. Increased pain was associated with increased anxiety, distress, and worry during transport, suggesting the need for psychological management along with analgesia. Regional anesthesia techniques while at LRMC contributed to better pain outcomes. (Source: Pain Medicine)
Source: Pain Medicine - October 14, 2009 Category: Anesthesiology Authors: Chester C. Buckenmaier III, Christine Rupprecht, Geselle McKnight, Brian McMillan, Ronald L. White, Rollin M. Gallagher, Rosemary Polomano Source Type: journals

The Prevalence and Significance of Cannabis Use in Patients Prescribed Chronic Opioid Therapy: A Review of the Extant LiteratureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Cannabis use is prevalent in patients prescribed chronic opioid therapy and is associated with opioid misuse. Further research is necessary to clarify the strength and the nature of the association between cannabis use and opioid misuse, and to address additional questions about the consequences of cannabis use in the context of chronic opioid therapy. (Source: Pain Medicine)
Source: Pain Medicine - September 29, 2009 Category: Anesthesiology Authors: Gary M. Reisfield, Ajay D. Wasan, Robert N. Jamison Source Type: journals

Danish Pain Specialists' Rationales behind the Choice of Fentanyl Transdermal Patches and Oral Transmucosal Systems—A Delphi StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. The study had shown that the rationales behind the choice of administration form with fentanyl reported by a panel of Danish pain specialists partly differed from those overviewed in the literature and those thought to be important while developing fentanyl patches and OTFC. (Source: Pain Medicine)
Source: Pain Medicine - September 28, 2009 Category: Anesthesiology Authors: Ramune Jacobsen, Claus Møldrup, Lona Christrup Source Type: journals

A Study of Triggers of Migraine in IndiaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. The triggers in the Indian migraine patients are similar to other populations but for dietary factors. (Source: Pain Medicine)
Source: Pain Medicine - September 28, 2009 Category: Anesthesiology Authors: Rama K. Yadav, Jayantee Kalita, Usha K. Misra Source Type: journals

What Is the Evidence for Chronic Pain Being Etiologically Associated with the DSM-IV Category of Sleep Disorder Due to a General Medical Condition? A Structured Evidence-Based ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. The results of this evidence-based structured review indicate that for the pain[ndash]sleep studies defined by the DSM-IV category of sleep disorder due to a general medical condition,chronic pain may be etiologically related to that sleep problem. However, these results do not preclude this relationship from being bidirectional. (Source: Pain Medicine)
Source: Pain Medicine - September 25, 2009 Category: Anesthesiology Authors: David A. Fishbain, Brandly Cole, John E. Lewis, Jinrun Gao Source Type: journals

Intravenous Immunoglobulin for the Treatment of Diabetic Lumbosacral Radiculoplexus NeuropathyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. IVIg may rapidly reduce pain and improve motor function in DLRPN despite previous negative response to corticosteroids. IVIg may be repeated in those patients who experience disease relapse. Future double-blind trials are needed to evaluate the role of IVIg in DLRPN. (Source: Pain Medicine)
Source: Pain Medicine - September 24, 2009 Category: Anesthesiology Authors: Stefano Tamburin, Giampietro Zanette Source Type: journals

Contralateral Stimulation, Using TENS, of Phantom Limb Pain: Two Confirmatory CasesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Both patients showed a significant improvement in their perception of phantom limb pain and sensations that was maintained at one-year follow-up. A randomized blinded controlled trial to confirm these positive outcomes is required. (Source: Pain Medicine)
Source: Pain Medicine - September 24, 2009 Category: Anesthesiology Authors: Orazio Giuffrida, Lyn Simpson, Peter W. Halligan Source Type: journals

Blood-Stained Combat Boots and Acute Pain MedicineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pain Medicine)
Source: Pain Medicine - September 9, 2009 Category: Anesthesiology Authors: Chester"Trip" Buckenmaier III Source Type: journals

Editor's NoteEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pain Medicine)
Source: Pain Medicine - September 8, 2009 Category: Anesthesiology Authors: Rollin M. Gallagher Source Type: journals

A Unique Presentation of Complex Regional Pain Syndrome Type I Treated with a Continuous Sciatic Peripheral Nerve Block and Parenteral Ketamine Infusion: A Case ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. This case suggests therapeutic benefit from aggressive treatment of both the peripheral and central components of CRPS. (Source: Pain Medicine)
Source: Pain Medicine - September 8, 2009 Category: Anesthesiology Authors: Adam Everett, Brian Mclean, Anthony Plunkett, Chester Buckenmaier Source Type: journals

Radiofrequency Neurotomy for a Patient with Deep Brain Stimulators: Proposed Safety GuidelinesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Radiofrequency medial branch neurotomy was performed on a patient with two deep brain stimulators with a satisfactory clinical outcome, and no adverse sequelae. Additional study is warranted regarding the safety and compatibility of brain neurostimulators and radiofrequency interventions. (Source: Pain Medicine)
Source: Pain Medicine - September 8, 2009 Category: Anesthesiology Authors: Michael D. Osborne Source Type: journals

Re: Neurogenetics Can Help Turn Pain Concepts More ObjectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pain Medicine)
Source: Pain Medicine - September 8, 2009 Category: Anesthesiology Authors: Claudia M. Campbell, Robert R. Edwards Source Type: journals

Pain, Exercise and Employment Status in Patients with Chronic Fatigue Syndrome: Research Priorities—Response to the Letter by T. KindlonEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pain Medicine)
Source: Pain Medicine - September 8, 2009 Category: Anesthesiology Authors: Jo Nijs, Jessica Van Oosterwijck, Mira Meeus Source Type: journals

Neurogenetics Can Help Turn Pain Concepts More ObjectiveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pain Medicine)
Source: Pain Medicine - September 8, 2009 Category: Anesthesiology Authors: Francisco Hélder Cavalcante Félix, Juvenia Bezerra Fontenele Source Type: journals

Response to: Exercise Performance and Chronic Pain in Chronic Fatigue Syndrome: The Role of Pain CatastrophizingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pain Medicine)
Source: Pain Medicine - September 8, 2009 Category: Anesthesiology Authors: Tom Kindlon Source Type: journals

Advanced Regional Anesthesia Morbidity and Mortality Grading System: Regional Anesthesia Outcomes Reporting (ROAR)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. The value of the ROAR system is that it identifies important issues in risk management in regional anesthesia, thereby providing opportunities for further investigation and clinical practice refinement. Furthermore, it provides for a common language when reporting outcomes in the regional anesthesia literature. Use of the ROAR system will provide consistency in outcomes reporting and facilitate comparisons between methods and procedures. (Source: Pain Medicine)
Source: Pain Medicine - September 8, 2009 Category: Anesthesiology Authors: Chester C. Buckenmaier III, Scott M. Croll, Cynthia H. Shields, Sean M. Shockey, Lisa L. Bleckner, Greg Malone, Anthony Plunkett, Geselle M. McKnight, Kyung H. Kwon, Richard Joltes, Alexander Stojadinovic Source Type: journals

2009 anzca annual scientific meeting abstractsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pain Medicine)
Source: Pain Medicine - September 8, 2009 Category: Anesthesiology Source Type: journals

Chronic Pain, Smoking, and Obesity: A Pain Physician's Perspective on Patient SelectionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pain Medicine)
Source: Pain Medicine - September 8, 2009 Category: Anesthesiology Authors: Gerald Aronoff Source Type: journals

Jayantilal Govind MB, ChB, DPH, MMed (Pain Med), FAFOM, FAFMMEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pain Medicine)
Source: Pain Medicine - September 8, 2009 Category: Anesthesiology Authors: Nikolai Bogduk Source Type: journals

The Evolution of Pain Medicine: Residency Training for Health Care ReformEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pain Medicine)
Source: Pain Medicine - September 8, 2009 Category: Anesthesiology Authors: Rollin M. Gallagher Source Type: journals

Evolving Pharmacological Management of Persistent Pain in Older PersonsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pain Medicine)
Source: Pain Medicine - September 8, 2009 Category: Anesthesiology Authors: Joseph T. Hanlon, Misha Backonja, Debra Weiner, Charles Argoff Source Type: journals

Pharmacological Management of Persistent Pain in Older PersonsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
(Source: Pain Medicine)
Source: Pain Medicine - September 8, 2009 Category: Anesthesiology Source Type: journals

Systematic Review and Meta-analysis of Cannabis Treatment for Chronic PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Currently available evidence suggests that cannabis treatment is moderately efficacious for treatment of chronic pain, but beneficial effects may be partially (or completely) offset by potentially serious harms. More evidence from larger, well-designed trials is needed to clarify the true balance of benefits to harms. (Source: Pain Medicine)
Source: Pain Medicine - September 1, 2009 Category: Anesthesiology Authors: Eva Martín-Sánchez, Toshiaki A. Furukawa, Julian Taylor, Jose Luis R. Martin Source Type: journals

Patient-Centered Perspective on Treatment Outcomes in Chronic PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Results highlight the importance of assessing the patient's view of successful outcome. Both fibromyalgia and back pain patients appear to have stringent criteria for success that existing treatments are often unlikely to meet. Comparison across groups indicated fibromyalgia patients have higher usual levels of pain, fatigue, distress, and interference. Interestingly, fibromyalgia patients also require greater changes across domains in order to consider treatment successful, despite rating higher levels of pain, fatigue, distress, and interference as successful. Recognizing patients' success criteria and treat...
Source: Pain Medicine - August 31, 2009 Category: Anesthesiology Authors: Erin M. O'Brien, Roland M. Staud, Alisa D. Hassinger, Robert C. McCulloch, Jason G. Craggs, James W. Atchison, Donald D. Price, Michael E. Robinson Source Type: journals

Do Children Undergoing Cancer Procedures under Pharmacological Sedation Still Report Pain and Anxiety? A Preliminary StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Sedation is effective in lowering levels of fear and pain in children during procedures, but they still anticipate fear before the procedures. Parents are anxious for their children. Future hypnotic intervention could be helpful for children as well as parents to cope with anxiety during procedures. (Source: Pain Medicine)
Source: Pain Medicine - August 31, 2009 Category: Anesthesiology Authors: Alexandra Dufresne, Marc-André Dugas, Yvan Samson, Patrick Barré, Lucile Turcot, Isabelle Marc Source Type: journals

Sex Differences in Characteristics of Smokers with Chronic Pain Undergoing Multidisciplinary Pain RehabilitationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. The effects of smoking status on the immediate treatment outcomes of multidisciplinary pain treatment are not modified by sex. However, women experienced significantly greater improvement in depression than men and male smokers consumed significantly greater quantities of opioids compared with female smokers at admission. (Source: Pain Medicine)
Source: Pain Medicine - August 31, 2009 Category: Anesthesiology Authors: W. Michael Hooten, Cynthia O. Townsend, Barbara K. Bruce, Yu Shi, David O. Warner Source Type: journals

A Narrative Review of Lumbar Medial Branch Neurotomy for the Treatment of Back PainEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion. Negative results have been reported only in studies that selected inappropriate patients or used surgically inaccurate techniques. All valid studies showed positive outcomes that cannot be attributed to placebo. Inappropriate conclusions have been drawn by systematic reviews that misrepresent invalid studies as providing evidence against the efficacy of lumbar medial branch neurotomy. (Source: Pain Medicine)
Source: Pain Medicine - August 18, 2009 Category: Anesthesiology Authors: Nikolai Bogduk, Paul Dreyfuss, Jayantilal Govind Source Type: journals

Quality of Reporting of Regional Anesthesia Outcomes in the LiteratureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Consistent and comparative regional anesthesia outcome data are lacking in peer-reviewed journals. A graded regional anesthetic morbidity and mortality system according to the intensity of therapy required for the treatment of the defined complication is proposed, along with a structured format for the reporting of regional anesthesia complications according to defined reporting standards. (Source: Pain Medicine)
Source: Pain Medicine - August 7, 2009 Category: Anesthesiology Authors: Alexander Stojadinovic, Sean M. Shockey, Scott M. Croll, Chester C. Buckenmaier III Source Type: journals

Women with Pain due to Osteoarthritis: The Efficacy and Safety of a Once-Daily Formulation of TramadolEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. For moderate-to-severe pain due to osteoarthritis of the knee, women experience significant analgesia and improvement of physical function over time with treatment with Tramadol Contramid® OAD. (Source: Pain Medicine)
Source: Pain Medicine - August 6, 2009 Category: Anesthesiology Authors: Walter F. Kean, Sylvie Bouchard, E. Roderich Gossen Source Type: journals

Electroconvulsive Stimulation (ECS) Increases the Expression of Neuropeptide Y (NPY) in Rat Brains in a Model of Neuropathic Pain: A Quantitative Real-Time Polymerase Chain Reaction (RT-PCR) StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Symptoms of neuropathic pain improved and expression of NPY in the brain was increased in CCI model rats after ECS, suggesting that changes in the expression of NPY in the brain may be related to the mechanism of action of ECT in treating neuropathic pain. (Source: Pain Medicine)
Source: Pain Medicine - August 6, 2009 Category: Anesthesiology Authors: Tadashi Okabe, Chiyo Sato, Keisuke Matsumoto, Hitoshi Ozawa, Atsuhiro Sakamoto Source Type: journals

Do Pain Patients at High Risk for Substance Misuse Experience More Pain?: A Longitudinal Outcomes StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. Differences in subjective pain intensity were found between those who are high risk for opioid misuse compared with those at low risk for medication misuse, implying that higher-risk patients may experience more subjective pain. Consequently, these patients may be more challenging to treat. (Source: Pain Medicine)
Source: Pain Medicine - August 6, 2009 Category: Anesthesiology Authors: Robert N. Jamison, Carol L. Link, Lisa D. Marceau Source Type: journals

Cognitive–Affective and Somatic Side Effects of Morphine and Pentazocine: Side-Effect Profiles in Healthy AdultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. These findings have implications for decisions regarding opioid management of acute, chronic, and malignant pain conditions. (Source: Pain Medicine)
Source: Pain Medicine - August 6, 2009 Category: Anesthesiology Authors: Joseph L. Riley III, Barbara A. Hastie, Toni L. Glover, Roger B. Fillingim, Roland Staud, Claudia M. Campbell Source Type: journals

Respiratory Effects on Experimental Heat Pain and Cardiac ActivityEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Slow deep breathing and HR biofeedback had analgesic effects and increased vagal cardiac activity. Distraction also produced analgesia; however, these effects were not accompanied by concomitant changes in cardiac activity. This suggests that the neurobiology underlying respiratory-induced analgesia and distraction are different. Clinical implications are discussed, as are the possible cardiorespiratory processes responsible for mediating breathing-induced analgesia. (Source: Pain Medicine)
Source: Pain Medicine - August 6, 2009 Category: Anesthesiology Authors: Philippe Chalaye, Philippe Goffaux, Sylvie Lafrenaye, Serge Marchand Source Type: journals

Risk for Five Forms of Suicidality in Acute Pain Patients and Chronic Pain Patients vs Pain-Free Community ControlsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Rehabilitation CPPs are at greater risk for some forms of suicidality than community pain-free controls. This risk is increased by variables such as worker's compensation status, litigation status, and personal injury status. However, it is yet unclear if these variables actually predict suicidality as this requires further analysis. (Source: Pain Medicine)
Source: Pain Medicine - August 6, 2009 Category: Anesthesiology Authors: David A. Fishbain, Daniel Bruns, John Mark Disorbio, John E. Lewis Source Type: journals

Botulinum Neurotoxin-A for Treatment of Refractory Neck Pain: A Randomized, Double-Blind StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Administration of BoNT-A into the neck and shoulder muscles for treatment of chronic refractory neck pain met one of the two primary outcomes: reduction in pain intensity. More ERs were noted in the Botox group. (Source: Pain Medicine)
Source: Pain Medicine - July 6, 2009 Category: Anesthesiology Authors: Diana Miller, Diana Richardson, Mahmood Eisa, Rizma Jalees Bajwa, Bahman Jabbari Source Type: journals

A Case Series of Pulsed Radiofrequency Treatment of Myofascial Trigger Points and Scar NeuromasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion. Our review suggests that PRF could be a minimally invasive, less neurodestructive treatment modality for these painful conditions and that further systematic evaluation of this treatment approach is warranted. (Source: Pain Medicine)
Source: Pain Medicine - July 5, 2009 Category: Anesthesiology Authors: Mazin Al Tamimi, Michael H. McCeney, Jason Krutsch Source Type: journals

Intranasal Ketorolac for Postoperative Pain: A Phase 3, Double-blind, Randomized StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. IN ketorolac was well tolerated and effective in treating moderate-to-severe postoperative pain in inpatients; the convenience of IN dosing suggests that its usefulness in the ambulatory care setting should be evaluated. (Source: Pain Medicine)
Source: Pain Medicine - July 5, 2009 Category: Anesthesiology Authors: Colin Brown, John Moodie, Eileen Bisley, Lincoln Bynum Source Type: journals

Overriding the Jehovah's Witness Patient's Refusal of Blood: A Reply to Cahana, Weibel, and HurstEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is a response to a survey on moral reasoning among Swiss health professionals that appeared in a recent issue of this journal. The authors of that survey inquired whether or not their respondents would give a blood transfusion to a Jehovah's Witness patient who clearly refused it. A substantial number of the respondents answered that they would override the patient's refusal and give the transfusion. The present article examines the two ethical rationales that were offered to explain the overriding respondents' answers and argues that neither one is ethically acceptable. It concludes with an account of the phe...
Source: Pain Medicine - July 5, 2009 Category: Anesthesiology Authors: John D. Banja Source Type: journals

Age-Related Patterns in Adaptation to Cancer Pain: A Mixed-Method StudyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Older and younger cancer patients described different adaptations to cancer pain despite reporting comparable pain intensity and interference. Older patients adapted by employing accommodative strategies. Younger patients were less likely to use these strategies and struggled with accepting the losses associated with cancer pain. These findings may guide future research into age-related patterns in cancer pain and the development of psychosocial interventions tailored to patients' life stage challenges. (Source: Pain Medicine)
Source: Pain Medicine - July 5, 2009 Category: Anesthesiology Authors: Lucia Gagliese, Melissa Jovellanos, Camilla Zimmermann, Cindy Shobbrook, David Warr, Gary Rodin Source Type: journals

"I Can't Be What I Want to Be": Children's Narratives of Chronic Pain Experiences and Treatment OutcomesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. The authors suggest that physicians and parents who take the initiative to elicit the child's narrative can help the child to rewrite the story to promote therapeutic change, a better outcome, and higher satisfaction. (Source: Pain Medicine)
Source: Pain Medicine - July 5, 2009 Category: Anesthesiology Authors: Marcia L. Meldrum, Jennie C.-I. Tsao, Lonnie K. Zeltzer Source Type: journals

Serial Therapeutic Sacroiliac Joint Injections: A Practice AuditEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. SIJ corticosteroid injections appear to be an effective palliative treatment for selected patients with SIJ pain. Most patients whose pain is responsive to SIJ steroid injections improved sufficiently and remained well after 1 to 3 injections, but some required frequent injections on a long-term basis. (Source: Pain Medicine)
Source: Pain Medicine - July 5, 2009 Category: Anesthesiology Authors: James Hawkins, Jerome Schofferman Source Type: journals

Documenting and Improving Opioid Treatment: The Prescription Opioid Documentation and Surveillance (PODS) SystemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. PODS should improve patient care, refine pain control, and reduce the incidence of opioid abuse. Research to determine how PODS affects clinical care is underway. Specially, the effectiveness and efficiency of providing care utilizing PODS will be evaluated in future studies. (Source: Pain Medicine)
Source: Pain Medicine - July 5, 2009 Category: Anesthesiology Authors: Barth L. Wilsey, Scott M. Fishman, Carlos Casamalhuapa, Asha Gupta Source Type: journals

Do Opioids Induce Hyperalgesia in Humans? An Evidence-Based Structured ReviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions. There is not sufficient evidence to support or refute the existence of OIH in humans except in the case of normal volunteers receiving opioid infusions. Prospective CPP clinical studies measuring ptrs and tolerances pre- and post-opioid placement with CPP non-opioid control groups are required. (Source: Pain Medicine)
Source: Pain Medicine - July 5, 2009 Category: Anesthesiology Authors: David A. Fishbain, Brandly Cole, John E. Lewis, Jinrun Gao, R. Steele Rosomoff Source Type: journals

The Prevalence and Impact of Chronic Pain with Neuropathic Pain Symptoms in the General PopulationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion. Despite limitations of the DN4Q, symptoms of NeP may be more prevalent in the general population than expected and has a greater impact upon patients' lives than non-NeP. Limitations of the DN4Q may relate to the concept of a spectrum of NeP existent amongst heterogenous NeP and non-NeP syndromes. (Source: Pain Medicine)
Source: Pain Medicine - July 5, 2009 Category: Anesthesiology Authors: Cory Toth, Janice Lander, Samuel Wiebe Source Type: journals