Journal ArticleMil Med · July 3, 2024
INTRODUCTION: Postsurgical opioid utilization may be directly and indirectly associated with a range of patient-related and surgery-related factors, above and beyond pain intensity. However, most studies examine postsurgical opioid utilization without acco ...
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Journal ArticleReg Anesth Pain Med · September 2023
INTRODUCTION: We previously reported that a 6-day continuous peripheral nerve block reduces established postamputation phantom pain. To provide patients and providers with the information to best inform treatment decisions, here we reanalyze the data and p ...
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Journal ArticlePain Med · July 5, 2023
BACKGROUND: Ongoing postoperative pain assessments are vital to optimizing pain management and attenuating the development of poor health outcomes after surgery. This study aimed to characterize acute multidimensional trajectories of pain impact on physica ...
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Journal ArticleOrthop J Sports Med · July 2023
BACKGROUND: Satisfaction with social roles and activities is an important outcome for postsurgical rehabilitation and quality of life but not commonly assessed. PURPOSE: To evaluate longitudinal patterns of the Patient-Reported Outcomes Measurement Informa ...
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Journal ArticleJ Orthop Res · April 2023
Sleep disturbance is a modifiable risk factor that, when reduced, may improve subacute postsurgical outcomes (e.g., pain-related impact). Evidence also indicates that pain and sleep may have a bidirectional longitudinal relationship before to (sub) acutely ...
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Journal ArticleArch Orthop Trauma Surg · December 2022
PURPOSE: Continued opioid use after total knee and hip arthroplasty (TKA/THA) is well-documented and associated with both surgical and patient-reported factors. Research examining the combined effects of a multitude of factors on continued, and even chroni ...
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Journal ArticleBMJ Mil Health · October 2022
INTRODUCTION: Ketamine is a vital component for acute pain management in emergency trauma care for both civilian and military hospitals. This preliminary analysis examined whether combat-injured US service members sustaining traumatic brain injuries (TBI) ...
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Journal ArticleAnesth Analg · February 1, 2022
BACKGROUND: Pain trajectories have been described in numerous surgical settings where preoperative characteristics have been used to predict trajectory membership. Suboptimal pain intensity trajectories have been linked to poor longitudinal outcomes. Howev ...
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Chapter · January 1, 2022
Patients with persistent pain conditions in a hospitalized setting (with or without acute pain) represent a diverse and complex population with varying degrees of pain related biopsychosocial dysfunction. While pain related physiologic outcomes (e.g., opio ...
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Chapter · January 1, 2022
Ketamine is a useful NMDA receptor antagonist that provides a strong analgesic effect even at sub-anesthetic doses, and has an established role in both acute and chronic pain management. Intravenous ketamine infusions should be considered early for pain co ...
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Journal ArticleAnesth Analg · October 1, 2021
BACKGROUND: We recently reported that a 6-day continuous peripheral nerve block reduced established postamputation phantom pain 3 weeks after treatment ended. However, the immediate effects of perineural infusion (secondary outcomes) have yet to be reporte ...
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Journal ArticleClin J Pain · July 1, 2021
OBJECTIVES: Despite substantial research showing the bidrectional relationship between sleep and pain, there remains a dearth of research examining the role of perioperative pain management interventions in mitigating postoperative sleep disturbances. This ...
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Journal ArticlePain · March 1, 2021
Phantom limb pain is thought to be sustained by reentrant neural pathways, which provoke dysfunctional reorganization in the somatosensory cortex. We hypothesized that disrupting reentrant pathways with a 6-day-long continuous peripheral nerve block reduce ...
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Journal ArticleArthroscopy · January 2021
PURPOSE: The purpose of this prospective correlational study was to compare the psychometric properties of the Defense and Veterans Pain Rating Scale (DVPRS) and Patient-Reported Outcomes Measurement Information System (PROMIS) scales with those of traditi ...
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Journal ArticlePain Med · November 1, 2020
OBJECTIVE: Recent efforts to update the definitions and taxonomic structure of concepts related to pain have revealed opportunities to better quantify topics of existing pain research subject areas. METHODS: Here, we apply basic natural language processing ...
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Journal ArticleArch Phys Med Rehabil · October 2020
OBJECTIVES: To investigate pain catastrophizing presentations up to 6 months postoperatively and subsequent changes in pain intensity and physical function. DESIGN: Prospective observational multisite study. SETTING: Two tertiary care facilities between 20 ...
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Journal ArticleReg Anesth Pain Med · November 5, 2019
BACKGROUND/OBJECTIVE: The role of caregiver psychosocial characteristics and their relation to postsurgical caregiving capability remains unclear. The objective of this study was to explore caregiver psychosocial variables following surgery of patients und ...
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Journal ArticlePain Med · October 1, 2019
OBJECTIVE: To determine if the perioperative administration of valproic acid reduces the incidence of chronic pain three months after amputation or revision surgery. DESIGN: Multicenter, randomized, double-blind, placebo-controlled trial. SETTING: Academic ...
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Journal ArticlePain Med · September 1, 2019
OBJECTIVES: The National Institutes of Health Patient-Reported Outcomes Measurement Information System (PROMIS) is a multidimensional screening system evaluating biopsychosocial factors affecting pain and functioning. Using a military sample, the current s ...
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Journal ArticleArthroscopy · September 2019
PURPOSE: To determine in a prospective, randomized fashion whether liposomal bupivacaine extends the effectiveness of decreased pain scores and reduces narcotic requirements following hip arthroscopy when used in addition to a fascia iliaca blockade with p ...
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Journal ArticleAnesth Analg · August 2019
Enhanced recovery pathways have quickly become part of the standard of care for patients undergoing elective surgery, especially in North America and Europe. One of the central tenets of this multidisciplinary approach is the use of multimodal analgesia wi ...
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Journal ArticleAnesth Analg · August 2019
Persistent postoperative opioid use is thought to contribute to the ongoing opioid epidemic in the United States. However, efforts to study and address the issue have been stymied by the lack of a standard definition, which has also hampered efforts to mea ...
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Journal ArticleAnesth Analg · August 2019
Surgical care episodes place opioid-naïve patients at risk for transitioning to new persistent postoperative opioid use. With one of the central principles being the application of multimodal pain interventions to reduce the reliance on opioid-based medica ...
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Journal ArticlePain Med · November 1, 2018
OBJECTIVE: In the setting of an expanding prevalence of acute pain medicine services and the aggressive use of multimodal analgesia, an overview of systems-based safety gaps and safety concerns in the setting of aggressive multimodal analgesia is provided ...
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Journal ArticleKnee Surg Sports Traumatol Arthrosc · August 2018
PURPOSE: A newer formulation of bupivacaine, encapsulated within carrier molecules, has garnered attention for its role in providing extended post-operative analgesia. The purpose was to evaluate the addition of liposomal bupivacaine to fascia iliaca block ...
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Journal ArticleAnesth Analg · June 2018
Patient-reported outcomes (PROs) are measures of health status that come directly from the patient. PROs are an underutilized tool in the perioperative setting. Enhanced recovery pathways (ERPs) have primarily focused on traditional measures of health care ...
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Journal ArticleArch Phys Med Rehabil · January 2018
OBJECTIVE: To examine the feasibility and preliminary effectiveness of an individualized yoga program. DESIGN: Pilot randomized controlled trial. SETTING: Military medical center. PARTICIPANTS: Patients (N=68) with chronic low back pain. INTERVENTIONS: Res ...
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Journal ArticleJ Pain · May 2017
OBJECTIVE: With the increasing societal awareness of the prevalence and impact of acute pain, there is a need to develop an acute pain classification system that both reflects contemporary mechanistic insights and helps guide future research and treatment. ...
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Journal ArticlePain Med · May 1, 2017
OBJECTIVE: With the increasing societal awareness of the prevalence and impact of acute pain, there is a need to develop an acute pain classification system that both reflects contemporary mechanistic insights and helps guide future research and treatment. ...
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Journal ArticlePain Med · March 1, 2017
OBJECTIVE: To review acute pain management strategies in patients undergoing amputation with consideration of preoperative patient factors, pharmacologic/interventional modalities, and multidisciplinary care models to alleviate suffering in the immediate p ...
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ConferenceTechniques in Orthopaedics · January 1, 2017
In recent conflicts, advances in acute pain management have been pushed to the forefront of battlefield medical care. With dramatic improvements in battlefield resuscitation, mortality rates have significantly decreased, as a result significant numbers of ...
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Journal ArticlePain Med · August 2016
OBJECTIVE: The Defense and Veterans Pain Rating Scale (DVPRS 2.0) is a pain assessment tool that utilizes a numerical rating scale enhanced by functional word descriptors, color coding, and pictorial facial expressions matched to pain levels. Four suppleme ...
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Chapter · January 1, 2016
Aside from the moral imperative to avert needless suffering from pain, ineffective postoperative pain management may contribute to multiple adverse perioperative outcomes. The primary objective of the modern acute pain service (APS) is to diagnose and trea ...
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Journal ArticleJ Strength Cond Res · November 2015
Human performance optimization (HPO) is defined as "the process of applying knowledge, skills and emerging technologies to improve and preserve the capabilities of military members, and organizations to execute essential tasks." The lack of consensus for o ...
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Journal ArticlePain Med · September 2015
BACKGROUND: Consensus indicates that a comprehensive,multimodal, holistic approach is foundational to the practice of acute pain medicine (APM),but lack of uniform, evidence-based clinical pathways leads to undesirable variability throughout U. S. healthca ...
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Journal ArticleAnesth Analg · July 2013
BACKGROUND: Blockade of the saphenous nerve is often used for surgeries below the knee. Depending on the approach, success rates vary widely ranging from 33% to 88%. In this prospective volunteer study, we compared 2 ultrasound-guided techniques, the modif ...
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Journal ArticleJ Am Assoc Lab Anim Sci · 2013
Management of pain in research swine used for studies involving painful procedures is a considerable challenge. Here we assessed whether a regional anesthesia method is effective for pain control of hindlimb injuries in pigs used for research in bone fract ...
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Journal ArticlePain Med · January 2013
BACKGROUND: In recent years, the field of acute pain medicine (APM) has witnessed a surge in its development, and pain has begun to be recognized not merely as a symptom, but as an actual disease process. This development warrants increased education of re ...
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Journal ArticleTechniques in Regional Anesthesia and Pain Management · October 1, 2012
Owing to advanced protective technologies, many servicemembers are returning home with injuries that proved fatal in previous conflicts. However, such severe injuries provide numerous challenges for acute pain physicians. Advanced regional anesthetic techn ...
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Journal ArticleAnesth Analg · April 2012
Acute peripheral neuropathic pain after combat-related polytrauma is a common occurrence in the United States military that is often refractory to current drugs and regional anesthesia. Both spinal cord and peripheral nerve stimulation are successfully use ...
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