Articles: pain-management.
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Pediatric emergency care · Aug 2023
Adolescent and Caregiver Perspectives on Living With a Limb Fracture: A Qualitative Study.
Fractures occur in up to half of children by age 16 years. After initial emergency care for a fracture, function is universally impaired in children, and impacts extend to the immediate family. Knowledge of expected functional limitations is key to providing proper discharge instructions and anticipatory guidance to families. ⋯ Overall, caregivers' perspectives were congruent with the self-described experiences of adolescents. Key messages for optimized discharge instructions include pain and sleep management, allowing extra time to complete tasks independently, considering impact on siblings, preparing for changes in activities and social dynamics, and normalizing frustration. These themes highlight an opportunity to better tailor discharge instructions for adolescents with fractures.
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Reg Anesth Pain Med · Aug 2023
Needs-based novel digital curriculum for the neuromodulation training deficit: Pain Rounds.
This study reports the needs-based development, effectiveness and feasibility of a novel, comprehensive spinal cord stimulation (SCS) digital curriculum designed for pain medicine trainees. The curriculum aims to address the documented systematic variability in SCS education and empower physicians with SCS expertise, which has been linked to utilization patterns and patient outcomes. Following a needs assessment, the authors developed a three-part SCS e-learning video curriculum with baseline and postcourse knowledge tests. ⋯ Self-reported prior SCS experience had low to moderate positive correlations with Part I and Part III pretest scores (r=0.25, p=0.006; r=0.37, p<0.001, respectively). Initial evidence suggests that Pain Rounds provides an innovative and effective solution to the SCS curriculum deficit. A future controlled study should examine this digital curriculum's long-term impact on SCS practice and treatment outcomes.
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J Pain Symptom Manage · Aug 2023
Using design thinking to promote goals of care conversations with seriously ill patients.
Goals of care (GOC) conversations can improve serious illness outcomes such as pain and symptom management and patient satisfaction. ⋯ We found that design thinking techniques offered a useful bridge between RE-AIM strategy and clinical.
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Chronic penile pain causes significant suffering in men, yet the management of chronic penile pain is not described in current literature. A patient presented with penile pain for 3 months following a tick bite. ⋯ The patient underwent dorsal nerve block (DNB), which provided immediate pain relief and continued to provide significant relief for several months. This is the first case of chronic penile pain that was successfully managed with DNB.
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J. Cardiothorac. Vasc. Anesth. · Aug 2023
Outcomes Related to Cardiac Enhanced Recovery After Surgery Protocol.
The objective of this study was to assess the quality of pain control and outcomes in patients who underwent coronary artery bypass graft (CABG) over a period of 96 hours preimplementation of a cardiac enhanced recovery after surgery (C-ERAS) protocol compared with postimplementation. ⋯ Implementing a C-ERAS protocol within a CABG surgery patient population reduced the amount of MME.