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The Critical-Care Pain Observation Tool (CPOT) and the Behavioral Pain Scale (BPS) may not be optimal tools to assess pain levels in agitated or sedated patients in intensive care units (ICU) but may be useful in a regular clinical setting, according to an observational prospective cohort study published in the Journal of Cardiothoracic and Vascular Anesthesia. […]
Read MoreWritten by Julie Spitzer On average, patients have 11 seconds to explain the reasons for their visit before physicians interrupt, according to a recent study in the Journal of General Internal Medicine. A group of researchers led by Naykky Singh Ospina, MD, of the University of Florida in Gainesville analyzed the first few minutes of tape recorded […]
Read MoreIn a survey of 146 U.S. C-suite hospital executives, reducing costs rose to the top of corporate concerns, the Advisory Board Company found. Nearly two-thirds (62%) of respondents said they were concerned about preparing their organization for sustainable cost control, while 56% cited innovative approaches to expense reduction. Following costs, executives were concerned about exploring diversified, […]
Read MoreAccording to an anatomic comparison recently published in Pain Medicine, bipolar sacroiliac joint (SIJ) radiofrequency ablation (RFA) techniques might better capture sacral lateral branches (LBs) than monopolar techniques. The cadaveric fluoroscopy study compared the percentage of LBs captured when lesions were created in 40 cadaveric SIJs using 4 bipolar and 3 monopolar RFA techniques. In total, 17 […]
Read MoreAddition of a stellate ganglion block (SGB) to a cervical paravertebral block (CPVB) during arthroscopic shoulder surgery may not result in improved analgesia, according to a prospective double-blind randomized controlled trial published in Pain Medicine. A total of 20 adult patients who were scheduled to undergo arthroscopy for non-chronic shoulder disease and non-fractured shoulders were randomly […]
Read MoreMagnetic-resonance-guided focused ultrasound (MRgFUS) is non-inferior to external-beam radiation therapy (EBRT) for the treatment of patients with painful bone metastases, according to results of a randomised, controlled trial presented at the 2018 European Congress of Radiology (ECR). Although MRgFUS is limited to non-spinal locations, it is a radiation-free, single-session procedure. High-intensity focused ultrasound as an […]
Read MoreAuthors: Lichtman JH et al. Circulation 2018 Feb 20. Beyond identifying differences between the sexes, this study highlights the need for clinicians to include AMI in the differential diagnosis of young adults. It has been reported that women and men suffering acute myocardial infarction (AMI) present with different symptomatology. To ascertain this in adults aged ≤55, […]
Read MorePatients with tension-type headache (TTH) experience benefit from acupuncture and stretching, especially in combination with pressure pain threshold (PPT) physiotherapy hands-on techniques, according to a new study conducted in Athens, Greece. The researchers undertook the study because, despite “weak to moderate evidence,” nonpharmacologic therapies for TTH and cervicogenic cephalalgia remain a treatment choice for many patients. Therefore, […]
Read MoreClinical best practice recommendations for the use of buprenorphine in the perioperative management of patients undergoing interventional pain procedures and other surgeries were recently published in Pain Physician.1 Buprenorphine can prevent the binding of additional opioid medications to opioid receptors during surgery and was found to have a ceiling effect for analgesia.2 The goal of this literature […]
Read MoreAUTHORS: Leal R et al World Neurosurgery (Feb 2018) BACKGROUND Brain tumor surgery near or within eloquent regions is increasingly common and is associated with a high risk of neurological injury. Awake craniotomy with mapping has been shown to be a valid method to preserve neurological function while increasing the extent of resection. However, the […]
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