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British Journal of Pain

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https://www.readbyqxmd.com/read/29416865/a-week-of-pain-in-the-emergency-department
#1
Hilary Sarah Thornton, Joseph Reynolds, Timothy J Coats
Background: Pain is a common complaint in patients attending the emergency department (ED), and historically, it is under-assessed and undertreated. Previous research is heterogeneous and does not well describe pain in EDs over time. Our aim was to describe pain in a UK ED using a sample that included every adult attendance over the course of 1 week. Methods: We retrospectively reviewed every adult attendance (N = 1872) over 1 week to the ED of a large English NHS District General Hospital...
February 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29416864/a-national-survey-of-pain-clinics-within-the-united-kingdom-and-ireland-focusing-on-the-multidisciplinary-team-and-the-incorporation-of-the-extended-nursing-role
#2
Pungavi Kailainathan, Stephen Humble, Helen Dawson, Fiona Cameron, Shyam Gokani, Gursimren Lidder
Inconsistencies in the availability and quality of pain service provision have been noted nationally, as have lengthy waiting times for appointments and lack of awareness of the Pain Clinic role. The 2013 NHS England report stated that specialist pain services must offer multispecialty and multidisciplinary pain clinics. This national survey of multidisciplinary pain service provision in the United Kingdom and Ireland provides a snapshot of pain service provision in order to review and highlight what variations exist in multidisciplinary team (MDT) provision and working patterns...
February 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29416863/dimension-of-pain-related-quality-of-life-and-self-reported-mental-health-in-men-and-women-of-the-european-prospective-investigation-into-cancer-norfolk-cohort-a-population-based-cross-sectional-study
#3
Anna Wiedemann, Adrian D Wood, Robert N Luben, Daniel Vogel, Gareth T Jones, Kay-Tee Khaw, Phyo K Myint
Both cognitive and behavioural factors are linked to the experience of pain as well as its interference with quality of life. Psychological distress has been shown to be associated to several emotional and social impairments. Although, the association between pain and mental health has been widely discussed, the understanding of life interference and outcome is not fully understood. This study examined the association of pain dimension and mental health domain in 16,051 participants of the EPIC-Norfolk cohort (mean age = 58...
February 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29416862/tramadol-sparing-effect-of-dexmedetomidine-as-an-adjuvant-with-lignocaine-in-preoperative-stellate-ganglion-block-for-postoperative-pain-relief-following-upper-limb-surgeries
#4
Deepak Thapa, Deepanshu Dhiman, Vanita Ahuja, Satinder Gombar, Ravi K Gupta
Background: Recent literature has established the role of stellate ganglion block (SGB) for management of acute postoperative pain. The effects of dexmedetomidine as an adjuvant to lignocaine in a preoperative SGB for postoperative pain relief have not been evaluated so far. Methods: The following randomised, double-blinded, control trail included 54 patients scheduled for upper limb orthopaedic surgery under general anaesthesia. Preoperative ultrasound-guided (USG) SGB was performed in all patients...
February 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29416861/prevalence-and-management-of-intrathecal-morphine-induced-pruritus-in-new-zealand-m%C3%A4-ori-healthcare-recipients
#5
Jennifer M Woods, Anecita Gigi Lim
Aims and objectives: The aim of this article was to determine whether the incidence of intrathecal morphine-induced pruritus (ITMI) was influenced by ethnicity, age or gender in relation to orthopaedic versus caesarean surgeries. Background: The use of intrathecal morphine for patients undergoing total hip and knee joint replacements and for lower segment caesarean sections (LSCS) has gained popularity worldwide since its introduction over 30 years ago. Several international studies show that morphine delivered via the intrathecal route is an effective and safe method of pain relief...
February 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29416860/better-safe-than-sorry-frequent-attendance-in-a-hospital-emergency-department-an-exploratory-study
#6
Jo Daniels, Mike Osborn, Cara Davis
Introduction: Pain accounts for the majority of attendances to the Emergency Department (ED), with insufficient alleviation of symptoms resulting in repeated attendance. People who frequently attend the ED are typically considered to be psychologically and socially vulnerable in addition to experiencing health difficulties. This service development study was commissioned to identify the defining characteristics and unmet needs of frequent attenders (FAs) in a UK acute district general hospital ED, with a view to developing strategies to meet the needs of this group...
February 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29416859/applying-realistic-medicine-to-intrathecal-opioid-utilisation-in-scotland-do-we-have-a-standardised-approach
#7
Robert Hart, Gordon Burns, Susan Smith
Intrathecal opioids (ITOs) are commonly administered as part of a multimodal anaesthetic strategy for a variety of surgical procedures. The evolution of laparoscopic surgical techniques has seen the popularity of ITOs increase as they are effective, well tolerated and lack the cardiovascular side effects associated with epidural infusions. The risk of delayed respiratory depression remains a concern; therefore, high-quality post-operative monitoring is vital. The evidence regarding the practicalities of ITO administration such as opioid dose, type, side effect prevalence and ideal post-operative care arrangements are sparse...
February 2018: British Journal of Pain
https://www.readbyqxmd.com/read/29123665/the-characterisation-of-unexplained-pain-after-knee-replacement
#8
Jonathan Ra Phillips, Beverley Hopwood, Rowenna Stroud, Paul A Dieppe, Andrew D Toms
Background: The aims of this study were to characterise the pain experienced by patients with chronic pain after knee replacement (KR), in whom no apparent 'orthopaedic' problem could be identified, and to establish how many have pain sensitisation problems (including neuropathic pain). Methods: A total of 44 patients were prospectively evaluated at a multidisciplinary tertiary referral clinic by an orthopaedic surgeon, pain specialist, rheumatologist and physiotherapist...
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123664/chronic-post-amputation-pain-peri-operative-management-review
#9
Devjit Srivastava
Study design: Narrative review. Method: Eight bibliographic databases were searched for studies published in the (last five years up until Feb 2017). For the two database searches (Cochrane and DARE), the time frame was unlimited. The review involved keyword searches of the term 'Amputation' AND 'chronic pain'. Studies selected were interrogated for any association between peri-operative factors and the occurrence of chronic post amputation pain (CPAP). Results: Heterogeneity of study populations and outcome measures prevented a systematic review and hence a narrative synthesis of results was undertaken...
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123663/the-role-of-intraoperative-interventions-to-minimise-chronic-postsurgical-pain
#10
Sibtain Anwar, Ben O'Brien
Chronic postsurgical pain (CPSP) is the most common complication following surgery, with increasing evidence of both its prevalence and severity. While awareness of the various risk factors for this long-term condition is also increasing, effective prevention remains elusive. In this review, we describe the increasing evidence for preventive or 'protective' strategies. Controversies and conflicting human data are presented along with suggestions for improved future study.
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123662/chronic-postsurgical-pain-is-there-a-possible-genetic-link
#11
Sabu Kumar James
Persistent or chronic postsurgical pain (CPSP) has been defined as 'pain persisting beyond 2 months'. The cut-off limit of 2 months has been controversial, and some researchers argue for a 3-month period for the definition of CPSP. Multiple mechanisms, including both patient and surgical, have been shown to influence this transition. Patient factors include age, gender, anxiety, depression, somatisation, catastrophising, pre-existing pain anywhere and pain at the site of surgery. The various surgical factors include site and nature of surgery, infection, inflammation and repeat surgery...
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123661/the-psychology-of-chronic-post-surgical-pain-new-frontiers-in-risk-factor-identification-prevention-and-management
#12
Aliza Z Weinrib, Muhammad A Azam, Kathryn A Birnie, Lindsay C Burns, Hance Clarke, Joel Katz
In an era of considerable advances in anaesthesiology and pain medicine, chronic pain after major surgery continues to be problematic. This article briefly reviews the known psychological risk and protective factors associated with the development of chronic postsurgical pain (CPSP). We begin with a definition of CPSP and then explain what we mean by a risk/protective factor. Next, we summarize known psychological risk and protective factors for CPSP. Psychological interventions that target risk factors and may impact postsurgical pain are reviewed, including the acceptance and commitment therapy (ACT)-based approach to CPSP prevention and management we use in the Transitional Pain Service (TPS) at the Toronto General Hospital...
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123660/does-perioperative-ketamine-have-a-role-in-the-prevention-of-chronic-postsurgical-pain-the-rocket-trial
#13
Stephan A Schug, Philip Peyton
Identifying operations and individuals with an increased risk of chronic postsurgical pain (CPSP) has led to significant interest in interventions with the potential to achieve primary prevention of this condition. Pharmacological prevention remains controversial with a Cochrane review identifying perioperative ketamine administration as the only intervention with possible benefit although, with only small, heterogeneous studies, the authors called for a large randomised controlled trial (RCT) to confirm the validity of this result...
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123659/-why-me-the-problem-of-chronic-pain-after-surgery
#14
Patricia Lavand'homme
Chronic postsurgical pain (CPSP) has become a health priority and is scheduled to be included in the upcoming version of the International Classification of Diseases, 11th Revision (ICD-11). Recent studies on CPSP show unchanged prevalence despite progress made in fundamental research about underlying pathophysiological mechanisms. Nevertheless, clinical research has allowed better understanding of some CPSP aspects such as the development of neuropathic CPSP. Actually, some improvements are ongoing such as a refined definition and the assessment of CPSP in vulnerable populations, for example, paediatric patients...
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123658/the-puzzle-of-chronic-post-surgical-pain-collaborative-problem-solving-at-its-best
#15
EDITORIAL
Jane Quinlan
No abstract text is available yet for this article.
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/29123657/pain-after-surgery
#16
EDITORIAL
Roger D Knaggs
No abstract text is available yet for this article.
November 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28785410/can-images-of-pain-enhance-patient-clinician-rapport-in-pain-consultations
#17
Claire E Ashton-James, Peter H Dekker, Judy Addai-Davis, Tom Chadwick, Joanna M Zakrzewska, Deborah Padfield, Amanda C de C Williams
A variety of treatment outcomes in chronic pain are influenced by patient-clinician rapport. Patients often report finding it difficult to explain their pain, and this potential obstacle to mutual understanding may impede patient-clinician rapport. Previous research has argued that the communication of both patients and clinicians is facilitated by the use of pain-related images in pain assessments. This study investigated whether introducing pain-related images into pain assessments would strengthen various components of patient-clinician rapport, including relative levels of affiliation and dominance, and interpersonal coordination between patient and clinician behaviour...
August 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28785409/preliminary-investigation-of-self-as-context-in-people-with-fibromyalgia
#18
Lin Yu, Sam Norton, Sarah Almarzooqi, Lance M McCracken
Acceptance and commitment therapy (ACT), based on the Psychological Flexibility (PF) model, has been recently applied to fibromyalgia (FM), and appeared effective in improving functioning. However, evidence for some of the processes within the PF model, self-as-context (SAC) in particular, is lacking within this population. The current study validates a measure of SAC, the Self Experiences Questionnaire (SEQ), and preliminarily investigates the role of SAC in relation to functioning in FM. Participants (N = 298, 93...
August 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28785408/sativex-oromucosal-spray-as-adjunctive-therapy-in-advanced-cancer-patients-with-chronic-pain-unalleviated-by-optimized-opioid-therapy-two-double-blind-randomized-placebo-controlled-phase-3-studies
#19
Marie T Fallon, Eberhard Albert Lux, Robert McQuade, Sandro Rossetti, Raymond Sanchez, Wei Sun, Stephen Wright, Aron H Lichtman, Elena Kornyeyeva
BACKGROUND: Opioids are critical for managing cancer pain, but may provide inadequate relief and/or unacceptable side effects in some cases. OBJECTIVE: To assess the analgesic efficacy of adjunctive Sativex (Δ9-tetrahydrocannabinol (27 mg/mL): cannabidiol (25 mg/mL)) in advanced cancer patients with chronic pain unalleviated by optimized opioid therapy. METHODS: This report describes two phase 3, double-blind, randomized, placebo-controlled trials...
August 2017: British Journal of Pain
https://www.readbyqxmd.com/read/28785407/growing-pains-understanding-the-needs-of-emerging-adults-with-chronic-pain
#20
Hannah Twiddy, Julie Hanna, Louise Haynes
BACKGROUND: Emerging adulthood (18-30 years), in the Western world, is often a time of identity development and exploration, focusing on areas of work, relationships and education. Individuals with chronic illnesses, such as chronic pain, may be more vulnerable to facing challenges during this time. This study aims to investigate the needs of young adults (YAs) attending a tertiary level National Health Service (NHS) Pain Management Programme (PMP) Service in the United Kingdom; exploring how these needs may translate on to clinical assessment and the delivery of rehabilitation interventions...
August 2017: British Journal of Pain
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