2025
Pain Management in the Older Adults A Narrative Review
Rajput K, Ng J, Zwolinski N, Chow R. Pain Management in the Older Adults A Narrative Review. Clinics In Geriatric Medicine 2025, 41: 131-151. PMID: 39551538, DOI: 10.1016/j.cger.2024.03.011.Peer-Reviewed Original ResearchConceptsPain managementOlder adult populationOlder adult patientsOlder adultsAdult populationMultiple medicationsLife expectancyClinical practiceAdult patientsMedical managementPreexisting comorbiditiesPainUnited StatesDegenerative processPracticeNonagenariansMedicationAdultsComorbiditiesReviewManagementOctogenariansPatients
2024
Perioperative Pain Management: An Update on Pharmacology with a Special Focus on the Opioid Tolerant Elderly
Chow R, Rajput K. Perioperative Pain Management: An Update on Pharmacology with a Special Focus on the Opioid Tolerant Elderly. Current Anesthesiology Reports 2024, 15: 6. DOI: 10.1007/s40140-024-00656-7.Peer-Reviewed Original ResearchElderly patientsOpioid toleranceChronic painPain managementModerate to high-risk patientsIncreasing use of opioidsOpioid-tolerant patientsSide effects of sedationOpioid sparing effectDoses of opioidsHigh-risk patientsUse of opioidsDrug-drug interactionsChronic opioidsOpioid requirementsTolerant patientsMultimodal analgesicsEffects of sedationPerioperative painRespiratory depressionHome dosePreexisting comorbiditiesPain surgeryRegional anestheticsPerioperative periodRelationship between diet and postoperative pain: A scoping review
Chowdhary H, Chow R, Li J, Rajput K. Relationship between diet and postoperative pain: A scoping review. Journal Of Anesthesia And Translational Medicine 2024, 3: 181-187. DOI: 10.1016/j.jatmed.2024.11.004.Peer-Reviewed Original ResearchPost-surgical painN-methyl-D-aspartateAcute postoperative painPostoperative painHigh-fat dietPain sensitivitySurgical populationImpact of dietIntermittent fastingPersistent post-surgical painAcute post-surgical painHuman studiesDiverse surgical populationResponse to morphinePost-operative painChronic pain conditionsHigh-fatReduction of inflammationPersistent painPain conditionsPainCochrane DatabaseRisk factorsCollate available evidenceInflammationA comparison of steroid dose with or without local anesthetic in lumbar interlaminar epidural steroid injections
Chow R, Ng J, Wood M, Yanez D, He Z, Rajput K. A comparison of steroid dose with or without local anesthetic in lumbar interlaminar epidural steroid injections. Pain Practice 2024, 25: e13410. PMID: 39305041, DOI: 10.1111/papr.13410.Peer-Reviewed Original ResearchEpidural steroid injectionsHigh-dose steroidsInterlaminar epidural steroid injectionsLow-dose steroidsInterlaminar ESILow-dose dexamethasonePercentage of patientsPain reliefSteroid injectionMonths follow-upLocal anestheticsSteroid doseLumbar interlaminar epidural steroid injectionsTransforaminal epidural steroid injectionPercentage of pain reliefHigh-dose dexamethasoneModerate to significant improvementNRS pain scoresSignificant pain improvementSignificant pain reliefNon-particulate steroidsBaseline demographic dataTransforaminal ESILumbar radiculopathyPain improvementThe Landscape of Pain Medicine for Women Physicians: A Perspective.
Jankelovits A, Chow R, Rana P, Rajput K. The Landscape of Pain Medicine for Women Physicians: A Perspective. Pain Physician 2024, 27: 317-320. PMID: 39087969, DOI: 10.36076/ppj.2024.7.317.Peer-Reviewed Original ResearchConceptsPain medicineWomen physiciansInterventional painPain medicine fellowsField of pain medicineGender disparitiesInterventional pain medicineAdverse health outcomesPrivate practiceSubspecialty of anesthesiologyUniversity School of MedicineLack of mentorshipPain physiciansPhysicians' beliefsHealth outcomesFemale physiciansPainSchool of MedicineFemale cliniciansCochrane DatabaseAcademic hospitalBottom quartileYale University School of MedicineFellowship programsMedical subspecialtiesRelationship of pain relief with catastrophizing following interventional pain procedures for low back pain
Rajput K, Howie B, Danesh J, Zhao X, Lin H, Yanez D, Chow R. Relationship of pain relief with catastrophizing following interventional pain procedures for low back pain. Regional Anesthesia & Pain Medicine 2024, rapm-2023-105247. PMID: 38744446, DOI: 10.1136/rapm-2023-105247.Peer-Reviewed Original ResearchChronic low back painPain Catastrophizing Scale scoresPain Catastrophizing ScaleBrief Pain InventoryLow back painPain severity scorePain severitySteroid injectionBack painPain interventionsAssociated with worse pain outcomesFollow-upRelationship of pain reliefResponses to pain interventionsSeverity scoreInterventional pain proceduresActivity-related painFluoroscopic-guided injectionPost-injectionBaseline painPrior surgeryOpioid useClinically meaningful changePain outcomesPain relief
2023
A Survey Study of Surgeons and Anesthesiologists Regarding Perioperative Multimodal Analgesia for Opioid-Tolerant Patients
Haddad D, Yu V, Chow R, Yanez D, Rajput K. A Survey Study of Surgeons and Anesthesiologists Regarding Perioperative Multimodal Analgesia for Opioid-Tolerant Patients. Journal Of PeriAnesthesia Nursing 2023, 39: 87-92. PMID: 37855765, DOI: 10.1016/j.jopan.2023.07.001.Peer-Reviewed Original ResearchOpioid-tolerant patientsPerioperative pain managementPain managementMultimodal analgesicsPerioperative multimodal analgesiaPatient-centered carePerioperative nursing teamMultimodal analgesiaPerioperative timeRegional anestheticPain consultationsPractice patternsRegional anesthesiaNursing teamMost surgeonsPatientsAnesthesiologistsRegional blocksSurgeonsOptimal outcomesAnalgesicsSurvey studyQualtrics surveyUrgent needAnalgesiaPeripheral Nerve Stimulation for Pain Management: A Review
Chow R, Lee R, Rajput K. Peripheral Nerve Stimulation for Pain Management: A Review. Current Pain And Headache Reports 2023, 27: 321-327. PMID: 37523121, DOI: 10.1007/s11916-023-01143-0.Peer-Reviewed Original ResearchConceptsPeripheral nerve stimulationNerve stimulationChronic painChronic low back painSingle peripheral nerveUse of PNSChronic pain conditionsPost-amputation painLong-term outcomesLow back painWidespread disease processNeuropathic etiologyUpcoming evidenceNeuropathic painPain reliefOccipital neuralgiaPain conditionsPain managementBack painPeripheral nervesPainRecent FindingsThereDisease processImproved functionAvailable evidencePain Management in the Elderly A Narrative Review
Rajput K, Ng J, Zwolinski N, Chow R. Pain Management in the Elderly A Narrative Review. Anesthesiology Clinics 2023, 41: 671-691. PMID: 37516502, DOI: 10.1016/j.anclin.2023.03.003.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsComparing patient comorbidity between hospital outpatient department and ambulatory surgery center for arthroscopic surgery
Rajput K, Aggarwal N, Chow R. Comparing patient comorbidity between hospital outpatient department and ambulatory surgery center for arthroscopic surgery. Perioperative Care And Operating Room Management 2023, 30: 100298. DOI: 10.1016/j.pcorm.2022.100298.Peer-Reviewed Original ResearchHospital outpatient departmentsAmbulatory surgery centersElixhauser Comorbidity IndexUnplanned hospital admissionsPatient comorbiditiesDuration of stayHospital admissionOutpatient departmentSicker patientsSurgery centersArthroscopic surgerySimilar perioperative outcomesHigher ECI scoresComorbidity indexPerioperative outcomesHealthy patientsAnesthesia chargesKnee arthroscopyGeneral anestheticsPatientsECI scoresOrthopedic surgeryComorbiditiesSurgeryReadmission
2022
Genitofemoral Nerve Block
Wood M, Rajput K, Chow R. Genitofemoral Nerve Block. 2022, 449-455. DOI: 10.1007/978-3-031-11188-4_46.ChaptersGenitofemoral nerve blockNerve blockTransversus abdominis plane blockInguinal hernia repairAnterior scrotumPlane blockRound ligamentSensory innervationTherapeutic injectionsHernia repairSpermatic cordLabia majoraVisceral componentsMons pubisPainExtensive manipulationInnervationPatientsSurgeryCordScrotumGroinAdjunctMajoraBedsideResearch registration guidelines
Chow R, Rajput K. Research registration guidelines. Interventional Pain Medicine 2022, 1: 100129. PMID: 39239128, PMCID: PMC11373058, DOI: 10.1016/j.inpm.2022.100129.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsRegional anesthesia and analgesia in sickle cell pain episodes: A scoping review
Howie B, Rajput K, Chow R. Regional anesthesia and analgesia in sickle cell pain episodes: A scoping review. Interventional Pain Medicine 2022, 1: 100108. PMID: 39238512, PMCID: PMC11372884, DOI: 10.1016/j.inpm.2022.100108.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsVaso-occlusive crisisSCD pain crisisPatient-controlled analgesiaCase reportRegional anesthesiaPain crisisCase seriesNerve blockSickle cell disease vaso-occlusive crisisSickle cell vaso-occlusive crisisContinuous femoral blockRight thigh painVaso-occlusive painCochrane Central RegisterPediatric case seriesPediatric case reportSickle cell painCommon reason patientsAdult case reportRegional nerve blocksRegional anesthetic blocksCrisis painTotal discontinuationFemoral blockLeg painEnhanced Recovery After Surgery: Opioid Sparing Strategies After Discharge: A Review
Rajput K, Shergill S, Chow RM, Vadivelu N, Kaye AD. Enhanced Recovery After Surgery: Opioid Sparing Strategies After Discharge: A Review. Current Pain And Headache Reports 2022, 26: 93-102. PMID: 35072920, DOI: 10.1007/s11916-022-01009-x.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsOpioid usePersistent post-surgical painNon-opioid strategiesNon-opioid therapiesOpioid-sparing strategiesOverprescribing of opioidsPostoperative pain scoresMultimodal analgesic approachPost-surgical painSide effect profileNon-opioid analgesicsRecent FindingsSeveral studiesERAS protocolOpioid protocolAnalgesic approachBreakthrough painHospital stayMultimodal analgesiaPain scoresAcute painOral ketaminePostoperative periodEffect profilePatient recoveryGood quality research
2021
Patterns of Use of Opioid Sparing Adjuncts for Perioperative Pain Management of Patients on Chronic Opioids.
Rajput K, Reid CB, Yanez D, Shiwlochan D, Ohanyan S, Chow R. Patterns of Use of Opioid Sparing Adjuncts for Perioperative Pain Management of Patients on Chronic Opioids. Pain Physician 2021, 24: 577-586. PMID: 34793645.Peer-Reviewed Original ResearchConceptsChronic opioid useNarcotic scorePostoperative opioid usePerioperative pain managementOpioid useMultimodal analgesicsChronic opioidsRegional anesthesiaSurgical factorsPredictors of usePain managementHigher oddsSingle-center retrospective observational studyTertiary care academic hospitalIntraoperative opioid useOpioid-sparing adjunctsPerioperative pain controlRetrospective observational studyOutcomes of interestMean MMEMore MMEsMorphine equivalentsOpioid doseComorbidity indexIntraoperative opioidsThe COVID‐19 vaccine and interventional procedures: Exploring the relationship between steroid administration and subsequent vaccine efficacy
Chow RM, Rajput K, Howie BA, Varhabhatla N. The COVID‐19 vaccine and interventional procedures: Exploring the relationship between steroid administration and subsequent vaccine efficacy. Pain Practice 2021, 21: 966-973. PMID: 34314563, PMCID: PMC8420220, DOI: 10.1111/papr.13062.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsConceptsVaccine efficacySteroid injectionImmune responseIntra-articular steroid injectionEffects of steroidsCOVID-19 vaccineContinuous steroidsSteroid administrationSubsequent downstream effectsFormal recommendationsInterventional proceduresSteroidsLiterature searchPatientsVaccinationAvailable evidenceEfficacySignificant suppressionVaccineInjectionAdministrationDownstream effectsShared consensusStudyInfluenzaSpecial Considerations – Indwelling Spinal Cord Stimulators and Intrathecal Pumps
Beals C, Chow R, Vadivelu N, Rajput K. Special Considerations – Indwelling Spinal Cord Stimulators and Intrathecal Pumps. 2021, 335-343. DOI: 10.1007/978-3-030-55262-6_25.ChaptersSpinal cord stimulatorContinuous opioid useChronic pain patientsPaucity of literatureIT clonidineCentral sensitizationMultimodal analgesiaSystemic medicationsOpioid toleranceOpioid usePerioperative managementPain patientsPain physiciansPump dysfunctionIntrathecal pumpNeuraxial anesthesiaAmbulatory surgeryLong actingRegional anesthesiaPatientsSurgeryUnique subsetNormal functionAnesthesiaStimulator
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