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Dr Earl Stuart Russell.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dr Earl Russell, a physician who dedicated most of his professional life to the alleviation of pain, passed away peacefully in his home on October 12, 2008, at the age of 88 years. Over the past 10 years, he donated more than $2.5 million to the University of Western Ontario Schulich School of Medicine and Dentistry (London, Ontario) to endow the Earl Russell Chair in Pain Management. PMID: 19225600 [PubMed - as supplied by publisher] (Source: Pain Research and Management)
Source: Pain Research and Management - February 21, 2009 Category: Anesthesiology Authors: Morley-Forster P Tags: Pain Res Manag Source Type: journals

Do we care about people with chronic pain?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Canadian Medical Association and other members of the Canadian Wait Time Alliance have identified national benchmarks for the management of pain. They recommend maximum wait times of six months for adults with chronic pain and shorter benchmarks for specific types of pain that are potentially reversible if treated early (1). Unfortunately, we are not achieving these objectives. A national survey (2) indicated that wait times for treatment at publicly funded pain clinics across Canada substantially exceeded these benchmarks. Wait times exceeded one year at over 30% of the clinics surveyed and ranged up to five years...
Source: Pain Research and Management - February 21, 2009 Category: Anesthesiology Authors: Lynch ME Tags: Pain Res Manag Source Type: journals

Knowledge translation and the science of pain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Current preoccupation with the magnitude, severity, misery and economic challenges of chronic pain has led to diverse demands. On one hand, the recognition that persisting high levels of suffering reflect inadequacies in our understanding of acute and chronic pain leads to calls for improved support of scientific investigation capable of penetrating the mysteries and advancing knowledge. At the same time, it is appreciated that striking advances in understanding pain over the past several decades have not been adequately translated into substantial reductions in the suffering and costs that are attached to pain. In con...
Source: Pain Research and Management - February 21, 2009 Category: Anesthesiology Authors: Craig KD Tags: Pain Res Manag Source Type: journals

The need for knowledge translation in chronic pain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
One in five Canadians suffers from some form of persistent or chronic pain. The impact on individual lives, families and friends, the health services sector and the economy is huge. Reliable evidence is available that the burden of persistent pain can be markedly reduced when available knowledge is applied. Bridging the quality chasm between chronic pain and the care process will require a unique confluence of opinion from all stakeholders committed within a focused community of practice to address the impact of pain. Various levels of success in this regard have been demonstrated when there is exchange, synthesis and ...
Source: Pain Research and Management - February 21, 2009 Category: Anesthesiology Authors: Henry JL Tags: Pain Res Manag Source Type: journals

Fibromyalgia: Presentation and management with a focus on pharmacological treatment.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fibromyalgia is a condition with widespread muscle pain. Prevalence studies showed that 2% to 7% of the population have fibromyalgia, which affects approximately one million Canadians. Fibromyalgia is most common in women, but it also involves men and children. As with most chronic illnesses, the causes of fibromyalgia are unknown. However, recent research supports underlying abnormalities in the central nervous system, which supports fibromyalgia as a chronic disease state and valid clinical entity. Pain is the primary symptom, often accompanied by overwhelming fatigue, sleep dysfunction and cognitive impairment. In 1...
Source: Pain Research and Management - February 21, 2009 Category: Anesthesiology Authors: Sumpton JE, Moulin DE Tags: Pain Res Manag Source Type: journals

Role of health care professionals in multidisciplinary pain treatment facilities in Canada.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Different health care professionals play a variety of important roles in MPTF in Canada. However, few of them are involved on a full-time basis and the extent to which pain is assessed and treated in a truly multidisciplinary manner is questionable. PMID: 19225605 [PubMed - as supplied by publisher] (Source: Pain Research and Management)
Source: Pain Research and Management - February 21, 2009 Category: Anesthesiology Authors: Peng P, Stinson JN, Choiniere M, Dion D, Intrater H, Lefort S, Lynch M, Ong M, Rashiq S, Tkachuk G, Veillette Y, Tags: Pain Res Manag Source Type: journals

Understanding caregiver judgments of infant pain: Contrasts of parents, nurses and pediatricians.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Paralleling the original findings on pain judgments, these findings suggest that parents differ from pediatricians in their pain beliefs and the cues they use to make pain judgments. Moreover, some similarities were found between parents and nurses, and between nurses and pediatricians. Finally, caution must be taken when interpreting research pertaining to beliefs about infant pain because question wording appears to influence interpretation. PMID: 19225606 [PubMed - as supplied by publisher] (Source: Pain Research and Management)
Source: Pain Research and Management - February 21, 2009 Category: Anesthesiology Authors: Pillai Riddell RR, Horton RE, Hillgrove J, Craig KD Tags: Pain Res Manag Source Type: journals

French translation of the Multidimensional Pain Inventory: L'inventaire multidimensionnel de la douleur.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Although three items were removed from the original version of the MPI, the three sections of the Inventaire multidimensionnel de la douleur had good psychometric properties. The results concerning the questionnaire's structure were very similar to those obtained with the original tool and during its translation into other languages. People wishing to evaluate pain in French-speaking populations now have access to a French-language version of the MPI. PMID: 19225607 [PubMed - as supplied by publisher] (Source: Pain Research and Management)
Source: Pain Research and Management - February 21, 2009 Category: Anesthesiology Authors: Laliberté S, Lamoureux J, Sullivan MJ, Miller JM, Charron J, Bouthillier D Tags: Pain Res Manag Source Type: journals

Five-year follow-up of a cordotomy.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Percutaneous cervical cordotomy is an invasive procedure to treat severe, opioid-resistant cancer pain. It is usually proposed for patients with a limited life expectancy. As a consequence, objective quantification of the long-term effects of this procedure is lacking. The present report describes a patient who was treated with a right-sided percutaneous cervical cordotomy for refractory cancer pain. Afterward, disseminated seminoma was diagnosed, which was cured with chemotherapy. Five years after the procedure, a qualitative and quantitative evaluation of the long-term effects was performed. Sensory dysfunction was o...
Source: Pain Research and Management - February 21, 2009 Category: Anesthesiology Authors: Meeuse JJ, Vervest AC, van der Hoeven JH, Reyners AK Tags: Pain Res Manag Source Type: journals

Working out the kinks: Testing the feasibility of an electronic pain diary for adolescents with arthritis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Feasibility testing is a crucial first step in the development of electronic pain measures before use in clinical and research practice. PMID: 18958308 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - September 1, 2008 Category: Anesthesiology Authors: Stinson JN, Petroz GC, Stevens BJ, Feldman BM, Streiner D, McGrath PJ, Gill N Tags: Pain Res Manag Source Type: journals

Chronic pain and fatigue: Associations with religion and spirituality.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
BACKGROUND: Conditions with chronic, non-life-threatening pain and fatigue remain a challenge to treat, and are associated with high health care use. Understanding psychological and psychosocial contributing and coping factors, and working with patients to modify them, is one goal of management. An individual's spirituality and/or religion may be one such factor that can influence the experience of chronic pain or fatigue. METHODS: The Canadian Community Health Survey (2002) obtained data from 37,000 individuals 15 years of age or older. From these data, four conditions with chronic pain and fatigue were analyzed toget...
Source: Pain Research and Management - September 1, 2008 Category: Anesthesiology Authors: Baetz M, Bowen R Tags: Pain Res Manag Source Type: journals

Pain characteristics of adults 65 years of age and older referred to a tertiary care pain clinic.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The older pain patients are a distinct group. Factors affecting the delayed presentation of older pain patients to the pain clinic and limitations of the present study are discussed. PMID: 18958310 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - September 1, 2008 Category: Anesthesiology Authors: Mailis-Gagnon A, Nicholson K, Yegneswaran B, Zurowski M Tags: Pain Res Manag Source Type: journals

Prevalence of opioid dispensings and concurrent gastrointestinal medications in Quebec.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Although the GI side effects of opioids are well known, these side effects appear to increase with age and duration of opioid use. Opioid-related side effects, particularly OBD, should be effectively managed so as not to lead to the cessation of opioid therapy. PMID: 18958311 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - September 1, 2008 Category: Anesthesiology Authors: Williams RE, Bosnic N, Sweeney CT, Duncan AW, Levine KB, Brogan M, Cook SF Tags: Pain Res Manag Source Type: journals

Pain catastrophizing in borderline morbidly obese and morbidly obese individuals with osteoarthritic knee pain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Pain catastrophizing is related to pain and adjustment in borderline morbidly obese and morbidly obese OA patients. Clinicians working with this population should consider assessing pain catastrophizing in the patients they treat. PMID: 18958312 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - September 1, 2008 Category: Anesthesiology Authors: Somers TJ, Keefe FJ, Carson JW, Pells JJ, Lacaille L Tags: Pain Res Manag Source Type: journals

Pain and self-reported health in Canadian children.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DISCUSSION: These findings indicate that common childhood pains are associated with childhood health. Further studies are needed to assess the causal relationship between pain and health in children, to obtain a more comprehensive understanding of the personal and economic impact of childhood pain, and to monitor changes in the lives of children living with chronic pain. PMID: 18958313 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - September 1, 2008 Category: Anesthesiology Authors: van Dijk A, McGrath PA, Pickett W, Van Den Kerkhof EG Tags: Pain Res Manag Source Type: journals

A review of systematic reviews on pain interventions in hospitalized infants.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: There is a growing number of high-quality reviews supporting procedural pain management in infants. Ongoing research of single, repeated and combined pharmacological and nonpharmacological interventions is required to provide the highest quality evidence to clinicians for decision-making on optimal pain management. PMID: 18958314 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - September 1, 2008 Category: Anesthesiology Authors: Yamada J, Stinson J, Lamba J, Dickson A, McGrath PJ, Stevens B Tags: Pain Res Manag Source Type: journals

Lidocaine infusion as a rescue analgesic in the perioperative setting.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In the present case series, three patients for whom regional anesthesia may have been the optimum technique for controlling postoperative pain are discussed. However, due to prevailing circumstances, regional anesthesia could not be provided. An intravenous infusion of lidocaine at 4 mg/min was administered perioperatively as an alternative 'rescue' analgesic technique. This infusion rate, based on previous extensive pharmacokinetic studies, is widely considered to be safe. Postoperative pain was lower than expected for the type of surgery. Anecdotal experience suggests that hospital length of stay may also be reduced,...
Source: Pain Research and Management - September 1, 2008 Category: Anesthesiology Authors: Clarke C, McConachie I, Banner R Tags: Pain Res Manag Source Type: journals

Re: Beaulieu AD, Peloso PM, Haraoui B, et al. Once-daily, controlled-release tramadol and sustained-release diclofenac relieve chronic pain to to osteoarthritis: a randomized controlled trial. Pain Res Manage 2008; 13:103-10, and Thorne C, Beaulieu AD, Callaghan DJ, et. al. A randomized, double-blind, crossover comparison of the efficacy and safety of oral controlled-release tramadol and placebo in patients with painful osteoarthritis. Pain Res Manage 2008; 13:93-102.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18816899 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - July 1, 2008 Category: Anesthesiology Authors: Champion P Tags: Pain Res Manag Source Type: journals

Chronic pain assessment: A seven-factor model.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Seven meaningful dimensions of the pain experience were reliably and systematically extracted. Implications and future directions for this work are discussed. PMID: 18719712 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - July 1, 2008 Category: Anesthesiology Authors: Davidson MA, Tripp DA, Fabrigar LR, Davidson PR Tags: Pain Res Manag Source Type: journals

Use of pain threshold reports to satisfy social needs.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Across studies, results suggested that postmanipulation pain threshold reports of individuals with high baseline pain thresholds were particularly responsive to social exclusion. The form of the response was dependent on the level of anxious attachment. The present studies provide evidence that variance in pain threshold reports not accounted for by pain intensity may reflect the use of pain reports to satisfy social needs. This work also suggests that baseline measures of pain thresholds may, in interaction with psychological variables, have predictive power beyond serving as a control variable. PMID: 187...
Source: Pain Research and Management - July 1, 2008 Category: Anesthesiology Authors: Macdonald G Tags: Pain Res Manag Source Type: journals

Achieving organizational change in pediatric pain management.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The review process identified deficiencies in the management of pain in children, and barriers to its effective management. With institutional support, the present review has guided improvement. PMID: 18719714 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - July 1, 2008 Category: Anesthesiology Authors: Dowden S, McCarthy M, Chalkiadis G Tags: Pain Res Manag Source Type: journals

Validation of a French-Canadian version of the Pain Disability Index.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The results suggest that the PDI-CF is a reliable and valid measure of self-reported disability that is psychometrically similar to the original scale. PMID: 18719715 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - July 1, 2008 Category: Anesthesiology Authors: Gauthier N, Thibault P, Adams H, Sullivan MJ Tags: Pain Res Manag Source Type: journals

Prospective relation between catastrophizing and residual pain following knee arthroplasty: Two-year follow-up.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The number of comorbidities predicted the presence of pain at 24 months follow-up and, for the first time, preoperative PCS scores were shown to predict chronic postoperative pain. This may enable the identification of knee arthroplasty patients at risk for persistent postoperative pain, thus allowing for efficient administration of preoperative interventions to improve arthroplasty outcomes. PMID: 18719716 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - July 1, 2008 Category: Anesthesiology Authors: Forsythe ME, Dunbar MJ, Hennigar AW, Sullivan MJ, Gross M Tags: Pain Res Manag Source Type: journals

Pain in women.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 18700319 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - May 1, 2008 Category: Anesthesiology Authors: Unruh A Tags: Pain Res Manag Source Type: journals

[Review of the literature on the psychoemotional reality of women with vulvodynia: difficulties met and strategies developed]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The psychological and relational difficulties experienced by women with vulvodynia are not only due to the physical pain but also to the meaning they attribute to it, often influenced by social expectations related to heterosexuality and femininity. Hence, it is important to assist these women by increasing their knowledge on the psychosocial aspects of their experience while taking into account influences from the social context. PMID: 18592063 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - May 1, 2008 Category: Anesthesiology Authors: Cantin-Drouin M, Damant D, Turcotte D Tags: Pain Res Manag Source Type: journals

The meaning and process of pain acceptance. Perceptions of women living with arthritis and fibromyalgia.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: The implications of these findings, distinctions between the diagnostic groups and recommendations regarding how health professionals can facilitate the process of acceptance are discussed. PMID: 18592056 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - May 1, 2008 Category: Anesthesiology Authors: Lachapelle DL, Lavoie S, Boudreau A Tags: Pain Res Manag Source Type: journals

Relationship of child perceptions of maternal pain to children's laboratory and non-laboratory pain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Previous research has established links between parent and child pain. However, little is known about sex-specific parent-child pain relationships in a nonclinical population. A sample of 186 children aged eight to 18 years (49% female) provided information on maternal and self bodily pain, assessed by asking children about the presence and location of bodily pain experienced. Children also completed three laboratory pain tasks and reported on cold pressor pain intensity, pressure pain intensity and heat pain intensity. The presence of child-reported maternal pain was consistently correlated with daughters' bodily and ...
Source: Pain Research and Management - May 1, 2008 Category: Anesthesiology Authors: Evans S, Tsao JC, Zelter LK Tags: Pain Res Manag Source Type: journals

Enhancing the sexual function of women living with chronic pain: A cognitive-behavioural treatment group.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: The sexual function of women with chronic pain can be significantly enhanced by a cognitive-behavioural treatment group delivered within an interdisciplinary rehabilitation pain program. PMID: 18592058 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - May 1, 2008 Category: Anesthesiology Authors: Breton A, Miller CM, Fisher K Tags: Pain Res Manag Source Type: journals

Sex differences in parent and child pain ratings during an experimental child pain task.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Research in the field of pediatric pain has largely ignored the role of fathers in their children's pain experiences. The first objective of the present study was to examine the effect of the presence of mothers versus fathers on children's subjective ratings, facial expressions and physiological responses to acute pain. The second objective was to examine whether child and parent sex influence parents' proxy ratings of their children's pain. The final objective was to compare levels of agreement between mothers' and fathers' assessments of their children's pain. Participants included 73 children (37 boys, 36 girls), f...
Source: Pain Research and Management - May 1, 2008 Category: Anesthesiology Authors: Moon EC, Chambers CT, Larochette AC, Hayton K, Craig KD, McGrath PJ Tags: Pain Res Manag Source Type: journals

Effects of smoke exposure and other lifestyle factors on pain response to electrical stimulation in women.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Background: A relationship between smoking and development of pain syndromes has been suggested in the literature. The present study examined associations between smoke exposure and other related variables, and pain response to suprathreshold electrical stimulation. Methods: Subjects were prospectively recruited from a population referred to an electrodiagnostic clinic. Information about age, smoke exposure, caffeine and alcohol consumption was obtained, as well as documented objective signs of stress through physical assessment. One investigator applied two standardized 0.1 ms electrical stimulations (50 mA followed b...
Source: Pain Research and Management - May 1, 2008 Category: Anesthesiology Authors: Wee JY, Hopman WM Tags: Pain Res Manag Source Type: journals

Depression augments activity-related pain in women but not in men with chronic musculoskeletal conditions.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The present discussion addresses the mechanisms through which depression may differentially affect pain in women and men. It also addresses the potential clinical implications of pain-augmenting effects of depression in women. PMID: 18592061 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - May 1, 2008 Category: Anesthesiology Authors: Adams H, Thibault P, Davidson N, Simmonds M, Velly A, Sullivan MJ Tags: Pain Res Manag Source Type: journals

Dyspareunia in postmenopausal women: A critical review.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Postmenopausal dyspareunia occurring concurrently with vaginal atrophy is strongly associated with a lack of estrogen in the genital tract. However, a significant percentage of postmenopausal women experience dyspareunic pain that is not caused by hypoestrogenism. It is likely that other types of dyspareunia that occur premenopausally are also occurring in postmenopausal women. Research is needed to adequately address this issue. A change in perspective toward a multiaxial pain-focused approach is proposed for future research concerning dyspareunia in postmenopausal women. PMID: 18592062 [PubMed - in proce...
Source: Pain Research and Management - May 1, 2008 Category: Anesthesiology Authors: Kao A, Binik YM, Kapuscinski A, Khalife S Tags: Pain Res Manag Source Type: journals

[Une recension des écrits concernant la réalité psychoaffective des femmes ayant une vulvodynie : Difficultes rencontrées et stratégies développées.]Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: The psychological and relational difficulties experienced by women with vulvodynia are not only due to the physical pain but also to the meaning they attribute to it, often influenced by social expectations related to heterosexuality and femininity. Hence, it is important to assist these women by increasing their knowledge on the psychosocial aspects of their experience while taking into account influences from the social context. PMID: 18592063 [PubMed - as supplied by publisher] (Source: Pain Research and Management)
Source: Pain Research and Management - May 1, 2008 Category: Anesthesiology Authors: Cantin-Drouin M, Damant D, Turcotte D Tags: Pain Res Manag Source Type: journals

A randomized, double-blind, crossover comparison of the efficacy and safety of oral controlled-release tramadol and placebo in patients with painful osteoarthritis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: CR tramadol is effective for the management of painful osteoarthritis. PMID: 18443671 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - March 1, 2008 Category: Anesthesiology Authors: Thorne C, Beaulieu AD, Callaghan DJ, O'Mahony WF, Bartlett JM, Knight R, Kraag GR, Akhras R, Piraino PS, Eisenhoffer J, Harsanyi Z, Darke AC Tags: Pain Res Manag Source Type: journals

Once-daily, controlled-release tramadol and sustained-release diclofenac relieve chronic pain due to osteoarthritis: A randomized controlled trial.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: CR tramadol is as effective as SR diclofenac in the treatment of pain due to knee or hip osteoarthritis, with the potential for fewer of the serious side effects that characterize nonsteroidal anti-inflammatory drug administration. PMID: 18443672 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - March 1, 2008 Category: Anesthesiology Authors: Beaulieu AD, Peloso PM, Haraoui B, Bensen W, Thomson G, Wade J, Quigley P, Eisenhoffer J, Harsanyi Z, Darke AC Tags: Pain Res Manag Source Type: journals

Pharmacokinetics of cannabinoids.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Delta-9-tetrahydrocannabinol (Delta-9-THC) is the main psychoactive ingredient of cannabis (marijuana). The present review focuses on the pharmacokinetics of THC, but also includes known information for cannabinol and cannabidiol, as well as the synthetic marketed cannabinoids, dronabinol (synthetic THC) and nabilone. The variability of THC in plant material (0.3% to 30%) leads to variability in tissue THC levels from smoking, which is, in itself, a highly individual process. THC bioavailability averages 30%. With a 3.55% THC cigarette, a peak plasma level of 152&mnplus;86.3 ng/mL occured approximately 10 min after...
Source: Pain Research and Management - February 13, 2008 Category: Anesthesiology Authors: McGilveray IJ Tags: Pain Res Manag Source Type: journals

DSM-IV-TR "pain disorder associated with psychological factors" as a nonhysterical form of somatization.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: These findings suggest that whereas a pattern of high Hs and Hy scores together with a normal K score might characterize patients with a pain disorder associated with psychological factors, elevated Hy scores per se do not indicate hysterical traits. In the pain disorder group, elevated Hy scores reflected the Ad subscale alone, indicating a strikingly high frequency of distressing somatic symptoms. They tend not to repress or deny the emotional malaise linked to symptoms, as the hysterical construct expects. The pain disorder designation should be considered a nonhysterical form of somatization. PMID: 183...
Source: Pain Research and Management - January 1, 2008 Category: Anesthesiology Authors: Aragona M, Tarsitani L, De Nitto S, Inghilleri M Tags: Pain Res Manag Source Type: journals

Pain catastrophizing scale for francophone adolescents: A preliminary validation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The results suggest that the PCS-Ado is valid and reliable with francophone adolescents. Further research is required to assess the validity of the PCS-Ado in clinical settings. PMID: 18301812 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - January 1, 2008 Category: Anesthesiology Authors: Tremblay I, Beaulieu Y, Bernier A, Crombez G, Laliberté S, Thibault P, Velly AM, Sullivan MJ Tags: Pain Res Manag Source Type: journals

Pain in hospitalized children: A prospective cross-sectional survey of pain prevalence, intensity, assessment and management in a Canadian pediatric teaching hospital.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Two hundred forty-one (83%) of the 290 inpatients or their carergivers were interviewed. It was found that 27% of patients usually had pain before admission, and 77% experienced pain during admission. Of these, 23% had moderate or severe pain at interview and 64% had moderate or severe pain sometime in the previous 24 h. Analgesics were largely intermittent and single-agent, although 90% of patients found these helpful. Fifty-eight per cent of those with pain received analgesics in the preceding 24 h but only 25% received regular analgesia. Only 27% of children had any pain score documented in the preceding 24...
Source: Pain Research and Management - January 1, 2008 Category: Anesthesiology Authors: Taylor EM, Boyer K, Campbell FA Tags: Pain Res Manag Source Type: journals

Attachment dimensions and young children's response to pain.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: Results are discussed in terms of Bowlby's theory of attachment relationships and pain as an important distress signal to children. PMID: 18301814 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - January 1, 2008 Category: Anesthesiology Authors: Walsh TM, McGrath PJ, Symons DK Tags: Pain Res Manag Source Type: journals

Central poststroke pain: An abstruse outcome.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Central poststroke pain (CPSP), formerly known as thalamic pain syndrome of Déjerine and Roussy, is a central neuropathic pain occurring in patients affected by stroke. It is one manifestation of central pain, which is broadly defined as central neuropathic pain caused by lesions or dysfunction in the central nervous system. Thalamic pain was first described 100 years ago by Déjerine and Roussy and has been described as "among the most spectacular, distressing, and intractable of pain syndromes". CPSP is characterized by constant or intermittent pain and is associated with sensory abnormalities, particularly ...
Source: Pain Research and Management - January 1, 2008 Category: Anesthesiology Authors: Henry JL, Lalloo C, Yashpal K Tags: Pain Res Manag Source Type: journals

Review of systematic reviews on acute procedural pain in children in the hospital setting.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: There is growing evidence of rigorous evaluations of both pharmacological and nonpharmacological strategies for acute procedure-related pain in children; however, the evidence underlying some commonly used strategies is limited. The present review will enable the creation of a future research plan to facilitate clinical decision making and to develop clinical policy for managing acute procedure-related pain in children. PMID: 18301816 [PubMed - in process] (Source: Pain Research and Management)
Source: Pain Research and Management - January 1, 2008 Category: Anesthesiology Authors: Stinson J, Yamada J, Dickson A, Lamba J, Stevens B Tags: Pain Res Manag Source Type: journals

Pharmacological management of chronic neuropathic pain - consensus statement and guidelines from the Canadian Pain Society.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
GB, Velly A, Neuropathic pain (NeP), generated by disorders of the peripheral and central nervous system, can be particularly severe and disabling. Prevalence estimates indicate that 2% to 3% of the population in the developed world suffer from NeP, which suggests that up to one million Canadians have this disabling condition. Evidence-based guidelines for the pharmacological management of NeP are therefore urgently needed. Randomized, controlled trials, systematic reviews and existing guidelines focusing on the pharmacological management of NeP were evaluated at a consensus meeting. Medications are recommended in the...
Source: Pain Research and Management - January 1, 2007 Category: Anesthesiology Authors: Moulin DE, Clark AJ, Gilron I, Ware MA, Watson CP, Sessle BJ, Coderre T, Morley-Forster PK, Stinson J, Boulanger A, Peng P, Finley GA, Taenzer P, Squire P, Dion D, Cholkan A, Gilani A, Gordon A, Henry J, Jovey R, Lynch M, Mailis-Gagnon A, Panju A, Rollman Tags: Pain Res Manag Source Type: journals

Data equivalency of an interactive voice response system for home assessment of back pain and function.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The results provided no evidence of information or selection bias associated with IVR use; however, IVR must be supplemented with other data collection options to maintain high response rates. PMID: 17372631 [PubMed - indexed for MEDLINE] (Source: Pain Research and Management)
Source: Pain Research and Management - January 1, 2007 Category: Anesthesiology Authors: Shaw WS, Verma SK Tags: Pain Res Manag Source Type: journals

Painful neuropathic disorders: an analysis of the Régie de l'Assurance Maladie du Québec database.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: PNDs are associated with a higher level of comorbidities, higher medical resources utilization and higher health care costs than non-PND conditions. PMID: 17372632 [PubMed - indexed for MEDLINE] (Source: Pain Research and Management)
Source: Pain Research and Management - January 1, 2007 Category: Anesthesiology Authors: Lachaine J, Gordon A, Choinière M, Collet JP, Dion D, Tarride JE Tags: Pain Res Manag Source Type: journals

Chronic pain in Canada: have we improved our management of chronic noncancer pain?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
DISCUSSION: The patient-reported prevalence of CNCP within Canada has not markedly changed since 2001 but the duration of suffering has decreased. There have been minor changes in regional distribution and generally more patients receive medical treatment, which includes prescription analgesics. Physicians continue to demonstrate opiophobia in their prescribing practices; however, although this is lessened relating to addiction, abuse remains an important concern to PCPs. Canadian PCPs, in general, are implementing standard assessments, treatment approaches, evaluation of treatment success and tools to prevent abuse and di...
Source: Pain Research and Management - January 1, 2007 Category: Anesthesiology Authors: Boulanger A, Clark AJ, Squire P, Cui E, Horbay GL Tags: Pain Res Manag Source Type: journals

Whiplash injuries can be visible by functional magnetic resonance imaging.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 17424658 [PubMed - indexed for MEDLINE] (Source: Pain Research and Management)
Source: Pain Research and Management - January 1, 2007 Category: Anesthesiology Authors: Clifford JC Tags: Pain Res Manag Source Type: journals

Whiplash injuries can be visible by functional magnetic resonance imaging.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 17424659 [PubMed - indexed for MEDLINE] (Source: Pain Research and Management)
Source: Pain Research and Management - January 1, 2007 Category: Anesthesiology Authors: Watson JD Tags: Pain Res Manag Source Type: journals

Use of gabapentin for perioperative pain control -- a meta-analysis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Gabapentin improves the analgesic efficacy of opioids both at rest and with movement, reduces analgesic consumption and opioid-related adverse effects, but is associated with an increased incidence of sedation and dizziness. PMID: 17505569 [PubMed - indexed for MEDLINE] (Source: Pain Research and Management)
Source: Pain Research and Management - January 1, 2007 Category: Anesthesiology Authors: Peng PW, Wijeysundera DN, Li CC Tags: Pain Res Manag Source Type: journals

Pain characteristics and demographics of patients attending a university-affiliated pain clinic in Toronto, Ontario.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSIONS: The relevance of the data in relation to other pain clinics is discussed, as well as waiting lists and other barriers faced by chronic pain patients, pain practitioners and pain facilities in Ontario and Canada. PMID: 17505570 [PubMed - indexed for MEDLINE] (Source: Pain Research and Management)
Source: Pain Research and Management - January 1, 2007 Category: Anesthesiology Authors: Mailis-Gagnon A, Yegneswaran B, Lakha SF, Nicholson K, Steiman AJ, Ng D, Papagapiou M, Umana M, Cohodarevic T, Zurowski M Tags: Pain Res Manag Source Type: journals