2024
Paediatric laceration repair in the emergency department: post-discharge pain and maladaptive behavioural changes
Martin S, Heyming T, Fortier M, Kain Z. Paediatric laceration repair in the emergency department: post-discharge pain and maladaptive behavioural changes. Emergency Medicine Journal 2024, 41: emermed-2023-213858. PMID: 38724104, PMCID: PMC11262956, DOI: 10.1136/emermed-2023-213858.Peer-Reviewed Original ResearchWeeks post-dischargePost-discharge recoveryPost-dischargePost-discharge painMaladaptive behavioral changesBehavioral changesDay 1Laceration repairAssociated with incidencePainful medical proceduresLonger length of stayLogistic regression analysisChildren's painPaediatric EDConvenience sampleED dischargeLength of stayHigher painPain managementPerioperative researchEmergency departmentChildren 2Mild levelProcedural painExtremity lacerations
2023
Does Liposomal Bupivacaine Injectable Suspension Peripheral Nerve Block Further Aid in Decreasing At-home Narcotic Utilization in Children and Adolescents After Anterior Cruciate Ligament Reconstruction
Walls H, Thomas E, Kain Z, Schlechter J. Does Liposomal Bupivacaine Injectable Suspension Peripheral Nerve Block Further Aid in Decreasing At-home Narcotic Utilization in Children and Adolescents After Anterior Cruciate Ligament Reconstruction. Journal Of Pediatric Orthopaedics 2023, 43: 511-515. PMID: 37400092, DOI: 10.1097/bpo.0000000000002466.Peer-Reviewed Original ResearchConceptsAnterior cruciate ligament reconstructionPeripheral nerve blocksCruciate ligament reconstructionVisual analog scaleNerve blockOpioid useLigament reconstructionAnalog scaleSingle-shot peripheral nerve blockAdductor canal nerve blockAverage opioid useHome opioid useHydrocodone/acetaminophenPain treatment satisfactionTreatment satisfaction scoresPostoperative pain managementACLR patientsOral acetaminophenOpioid usageUncontrolled painControl patientsNarcotic utilizationPostoperative dayOpioid analgesicsPain management
2022
Perioperative pain disparity in children: A call for action
Tan H, Mendoza BA, Fortier MA, Kain Z. Perioperative pain disparity in children: A call for action. Pediatric Anesthesia 2022, 32: 1365-1367. PMID: 36114806, DOI: 10.1111/pan.14557.Peer-Reviewed Original ResearchConceptsPain disparitiesOptimal perioperative carePerioperative pain managementWorse clinical outcomesRandomized control trialHealth services researchPain managementPerioperative careClinical outcomesSurgical proceduresControl trialClinical practiceEthnic disparitiesMedical literatureDisparities researchPatientsServices researchChildrenPaucity of researchPresent reviewUnited StatesDisparitiesHealthcare managementSystems-based approachUrgent need
2010
Opioid dosing in pediatric patients
Morrison D, Rosenbaum A, Truong C, Kain Z. Opioid dosing in pediatric patients. 2010, 161-164. DOI: 10.1017/cbo9780511841378.036.Peer-Reviewed Original ResearchPain managementAvailable pain medicationsAdjuvant medicationsNeuraxial opioidsPain medicationPain reliefAdverse eventsOpioid analgesicsPediatric patientsPain processingMuscle relaxantsPharmacologic principlesNMDA antagonistsLocal anestheticsAnalgesicsCommon dosesClinical settingClinical useParticular drugOpioidsMedicationsCliniciansDrugsAnalgesiaContraindications
2000
Preoperative anxiety and postoperative pain in women undergoing hysterectomy A repeated-measures design
Kain Z, Sevarino F, Alexander G, Pincus S, Mayes L. Preoperative anxiety and postoperative pain in women undergoing hysterectomy A repeated-measures design. Journal Of Psychosomatic Research 2000, 49: 417-422. PMID: 11182434, DOI: 10.1016/s0022-3999(00)00189-6.Peer-Reviewed Original ResearchConceptsPostoperative pain responsePreoperative state anxietyPostoperative painPreoperative anxietyPain responseElective abdominal hysterectomyImmediate postoperative painPostoperative pain managementState anxietyAnalgesic consumptionAbdominal hysterectomyPositive predictorPerioperative periodPain managementSurgical managementMultiple time pointsPainRepeated-measures designTime pointsStudy sampleHysterectomySignificant positive predictorPerceived stressWardsAnxiety
1995
Management of Chronic Pain In Children
Kain Z, Rimar S. Management of Chronic Pain In Children. Pediatrics In Review 1995, 16: 218-222. DOI: 10.1542/pir.16.6.218.Peer-Reviewed Original ResearchChronic painCerebral cortexCutaneous sensory perceptionImmature synaptic connectionsRecurrent pain syndromesSlow conduction velocityPerception of painNeonatal nervous systemPain reliefPain syndromeAcute painPain transmissionPain managementNerve fibersFetal neocortexNoxious stimuliConduction velocitySpecific chronicPainTwentieth weekNeonatal electroencephalogramNervous systemHuman fetusesMucosal surfacesSensory pathways