2023
Predictors of parental anxiety in a paediatric emergency department
Martin S, Hung I, Heyming T, Fortier M, Kain Z. Predictors of parental anxiety in a paediatric emergency department. Emergency Medicine Journal 2023, 40: 715-720. PMID: 37591685, DOI: 10.1136/emermed-2022-212917.Peer-Reviewed Original ResearchConceptsPediatric EDMental healthParental anxietySignificant anxietyPoor parental mental healthPoorer parent mental healthParent anxietyPediatric emergency departmentPrimary care sampleCross-sectional studyMedical proceduresHigh parental anxietyParent mental healthParental mental healthActivity temperamentState-Trait Anxiety InventoryParents of childrenEmergency departmentPatient outcomesCare sampleAdditional interventionsClinical conditionsParents' state anxietyChildren's activity temperamentAnxiety Inventory
2022
Perfectionism as a predictor of physician burnout
Martin S, Fortier M, Heyming T, Ahn K, Nichols W, Golden C, Saadat H, Kain Z. Perfectionism as a predictor of physician burnout. BMC Health Services Research 2022, 22: 1425. PMID: 36443726, PMCID: PMC9703407, DOI: 10.1186/s12913-022-08785-7.Peer-Reviewed Original ResearchConceptsMethodsThis cross-sectional studyPhysician burnoutCross-sectional studyPhysician healthPatient carePhysiciansMaslach Burnout InventoryIndividual-level factorsLinear regression modelsBurnout InventoryCurrent findingsRegression modelsRecent editorialDetrimental effectsPersonal accomplishment burnoutEmotional exhaustion burnoutDepersonalization burnoutBurnoutEmotional exhaustionBackgroundBurnoutSelf-critical perfectionism
2002
Music and preoperative anxiety: a randomized, controlled study.
Wang S, Kulkarni L, Dolev J, Kain Z. Music and preoperative anxiety: a randomized, controlled study. Anesthesia & Analgesia 2002, 94: 1489-94, table of contents. PMID: 12032013, DOI: 10.1097/00000539-200206000-00021.Peer-Reviewed Original Research
2001
The Use of Auricular Acupuncture to Reduce Preoperative Anxiety
Wang S, Peloquin C, Kain Z. The Use of Auricular Acupuncture to Reduce Preoperative Anxiety. Anesthesia & Analgesia 2001, 93: 1178-1180. PMID: 11682391, DOI: 10.1097/00000539-200111000-00024.Peer-Reviewed Original ResearchPreoperative Anxiolysis and Postoperative Recovery in Women Undergoing Abdominal Hysterectomy
Kain Z, Sevarino F, Rinder C, Pincus S, Alexander G, Ivy M, Heninger G. Preoperative Anxiolysis and Postoperative Recovery in Women Undergoing Abdominal Hysterectomy. Anesthesiology 2001, 94: 415-422. PMID: 11374599, DOI: 10.1097/00000542-200103000-00009.Peer-Reviewed Original ResearchConceptsMorning of surgeryAbdominal hysterectomyPostoperative painAnalgesia useTreatment groupsGroup differencesLate postoperative time pointsPatient-controlled analgesia consumptionSelf-reported postoperative painPatient-controlled analgesia usePostoperative clinical courseTime pointsPostoperative time pointsMillions of patientsMinimal beneficial effectsLittle objective dataAnalgesic consumptionRecovery parametersAnalgesia consumptionIntramuscular midazolamPostoperative outcomesPostoperative periodPostoperative recoveryAbdominal surgeryClinical courseAuricular acupuncture: a potential treatment for anxiety.
Wang S, Kain Z. Auricular acupuncture: a potential treatment for anxiety. Anesthesia & Analgesia 2001, 92: 548-53. PMID: 11159266, DOI: 10.1097/00000539-200102000-00049.Peer-Reviewed Original Research
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 stressWardsAnxietyAttenuation of the Preoperative Stress Response with Midazolam
Kain Z, Sevarino F, Pincus S, Alexander G, Wang S, Ayoub C, Kosarussavadi B. Attenuation of the Preoperative Stress Response with Midazolam. Anesthesiology 2000, 93: 141-147. PMID: 10861157, DOI: 10.1097/00000542-200007000-00024.Peer-Reviewed Original ResearchConceptsPlacebo groupTreatment groupsPostoperative anxietyPreoperative sedativesPreoperative stress responsePlacebo-controlled trialFirst postoperative weekGreater reductionGlobal health indexAnalgesic consumptionIbuprofen usePlacebo injectionsPostoperative painClinical recoveryIntramuscular midazolamSurgery lengthPain recoveryPostoperative weekAnesthetic techniqueGeneral anesthesiaOutpatient surgeryPreoperative outcomesClinical significanceMidazolamSurgeryParental Presence and a Sedative Premedicant for Children Undergoing Surgery
Kain Z, Mayes L, Wang S, Caramico L, Krivutza D, Hofstadter M. Parental Presence and a Sedative Premedicant for Children Undergoing Surgery. Anesthesiology 2000, 92: 939-946. PMID: 10754612, DOI: 10.1097/00000542-200004000-00010.Peer-Reviewed Original ResearchConceptsPPIA groupSedative groupOverall careParental presenceParental satisfactionOperating roomParental anxietyInduction of anesthesiaPrimary endpointSecondary endpointsPerioperative periodOral midazolamOral sedativesPreoperative anxietySedative premedicantsAnesthesia maskChildrenSedativesAnxietyAdditive effectChild anxietyEndpointCareStandardized measuresIntervention
1999
Preoperative anxiety and intraoperative anesthetic requirements.
Maranets I, Kain Z. Preoperative anxiety and intraoperative anesthetic requirements. Anesthesia & Analgesia 1999, 89: 1346-51. PMID: 10589606, DOI: 10.1097/00000539-199912000-00003.Peer-Reviewed Original ResearchConceptsIntraoperative anesthetic requirementsTrait anxietyMaintenance of anesthesiaAnesthetic requirementsAnxiety levelsLow trait anxietyPropofol doseHigh trait anxietyLaparoscopic tubal ligationIntraoperative propofol requirementsAnesthetic stateDoses of anestheticsCross-sectional studyTubal ligationInitial doseBaseline anxietyAnxious patientsHypnotic componentState anxietyLarger dosesAnxietyInduction doseBispectral index monitoringPatientsDosePreoperative Anxiety and Intraoperative Anesthetic Requirements
Maranets I, Kain Z. Preoperative Anxiety and Intraoperative Anesthetic Requirements. Anesthesia & Analgesia 1999, 89: 1346. DOI: 10.1213/00000539-199912000-00003.Peer-Reviewed Original ResearchConceptsIntraoperative anesthetic requirementsMaintenance of anesthesiaAnesthetic requirementsPropofol dosesPreoperative anxietyBaseline anxietyHypnotic componentAnesthetic stateIntraoperative propofol requirementsLaparoscopic tubal ligationCross-sectional studyHigh baseline anxietyAnxiety levelsBispectral index monitorMore propofolAnesthetic regimenIndependent predictorsPropofol requirementsInitial doseTubal ligationLarge dosesPatientsState anxietyAnxious patientsAnesthesiaLeptin and the Perioperative Neuroendocrinological Stress Response1
Kain Z, Zimolo Z, Heninger G. Leptin and the Perioperative Neuroendocrinological Stress Response1. The Journal Of Clinical Endocrinology & Metabolism 1999, 84: 2438-2442. PMID: 10404818, DOI: 10.1210/jcem.84.7.5850.Peer-Reviewed Original ResearchConceptsSurgical stressLeptin decreaseHigh-dose opioid techniqueCortisol increasePhase IHigh-dose fentanylSurgical stress responseTotal abdominal hysterectomyCardiac surgery patientsBaseline 2 hPossible adverse outcomesBaseline 24 hPhase IIAcute stress responseDose fentanylAbdominal hysterectomyPostoperative morbiditySurgery patientsHysterectomy patientsLeptin levelsAnesthetic techniqueAdverse outcomesAdrenocortical axisCardiac patientsNeuroendocrine hormonesPerioperative Information and Parental Anxiety
Kain Z. Perioperative Information and Parental Anxiety. Anesthesia & Analgesia 1999, 88: 237-239.. DOI: 10.1213/00000539-199902000-00001.Peer-Reviewed Original ResearchPerioperative information and parental anxiety: the next generation.
Kain Z. Perioperative information and parental anxiety: the next generation. Anesthesia & Analgesia 1999, 88: 237-9. PMID: 9972732, DOI: 10.1097/00000539-199902000-00001.Peer-Reviewed Original Research
1998
Parental Presence during Induction of Anesthesia versus Sedative Premedication
Kain Z, Mayes L, Wang S, Caramico L, Hofstadter M. Parental Presence during Induction of Anesthesia versus Sedative Premedication. Anesthesiology 1998, 89: 1147-1156. PMID: 9822003, DOI: 10.1097/00000542-199811000-00015.Peer-Reviewed Original ResearchConceptsInduction of anesthesiaMidazolam groupControl groupParental presenceOral midazolamEnd pointParental presence groupPrimary end pointSecondary end pointsParental anxiety scoresPerioperative periodPreoperative periodPreoperative anxietySedative premedicationAnesthesia maskAnesthesiaMidazolamOperating roomAnxiety scoresParent anxietyChildrenLess anxietyInterventionAnxietyInductionPractice Patterns in Managing the Difficult Airway by Anesthesiologists in the United States
Rosenblatt W, Wagner P, Ovassapian A, Kain Z. Practice Patterns in Managing the Difficult Airway by Anesthesiologists in the United States. Anesthesia & Analgesia 1998, 87: 153-157.. DOI: 10.1213/00000539-199807000-00032.Peer-Reviewed Original ResearchConceptsDifficult airwayMost anesthesiologistsTracheal intubation techniquesCurrent practice patternsAlternative airway devicesDifficult airway scenariosMost clinical circumstancesYr of ageChi-squared analysisAirway devicesAnesthetic inductionFiberoptic bronchoscopeAirway scenariosPractice patternsIntubation techniqueClinical circumstancesClinical experienceIntubation equipmentAirwayAnesthesiologistsApneic conditionsSquared analysisAmerican SocietyDlThird surveyPractice patterns in managing the difficult airway by anesthesiologists in the United States.
Rosenblatt W, Wagner P, Ovassapian A, Kain Z. Practice patterns in managing the difficult airway by anesthesiologists in the United States. Anesthesia & Analgesia 1998, 87: 153-7. PMID: 9661565, DOI: 10.1097/00000539-199807000-00032.Peer-Reviewed Original ResearchConceptsDifficult airwayPractice patternsMost anesthesiologistsTracheal intubation techniquesCurrent practice patternsAlternative airway devicesDifficult airway scenariosMost clinical circumstancesChi 2 analysisYr of ageNon respondersAirway devicesAnesthetic inductionFiberoptic bronchoscopeAirway scenariosIntubation techniqueClinical circumstancesClinical experienceIntubation equipmentAirwayAnesthesiologistsApneic conditionsAmerican SocietyDlThird survey
1997
Desire for perioperative information in adult patients: A cross-sectional study
Kain Z, Kosarussavadi B, Hernandez-Conte A, Hofstadter M, Mayes L. Desire for perioperative information in adult patients: A cross-sectional study. Journal Of Clinical Anesthesia 1997, 9: 467-472. PMID: 9278833, DOI: 10.1016/s0952-8180(97)00102-5.Peer-Reviewed Original ResearchParental Desire for Perioperative Information and Informed Consent: A Two-Phase Study
Kain Z, Wang S, Caramico L, Hofstadter M, Mayes L. Parental Desire for Perioperative Information and Informed Consent: A Two-Phase Study. Anesthesia & Analgesia 1997, 84: 299. DOI: 10.1213/00000539-199702000-00011.Peer-Reviewed Original ResearchConceptsPerioperative informationPerioperative periodParents of childrenParental anxietyTime pointsDay of surgeryCross-sectional studyParental anxiety levelsRisk informationPhase 2Phase 1Majority of parentsParental educational levelIntervention groupPossible complicationsControl groupInformed consentSurgeryOperating roomGroup assignmentTwo-phase studyAnxiety levelsSignificant differencesInterventionEducational levelPremedication in the United States: A Status Report
Kain Z, Mayes L, Bell C, Weisman S, Hofstadter M, Rimar S. Premedication in the United States: A Status Report. Anesthesia & Analgesia 1997, 84: 427. DOI: 10.1213/00000539-199702000-00035.Peer-Reviewed Original ResearchConceptsSedative premedicationUse of premedicationHealth maintenance organization (HMO) penetrationYears of ageAge 3 yearsIndependent predictorsMultivariable analysisAnesthetic careSedative drugsPremedicationPhysician membersSedative premedicantsAge groupsLack of consensusPremedicantAdultsAmerican SocietyAnesthesiologistsHMO penetrationChildrenHMO participationUnited StatesSurvey studyMarked variationQuestionnaire