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 significanceMidazolamSurgery
1999
Leptin 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 hormones
1998
The Sedative and Analgesic Sparing Effect of Music
Koch M, Kain Z, Ayoub C, Rosenbaum S. The Sedative and Analgesic Sparing Effect of Music. Anesthesiology 1998, 89: 300-306. PMID: 9710387, DOI: 10.1097/00000542-199808000-00005.Peer-Reviewed Original ResearchConceptsDuration of surgeryAnalgesic requirementsIntraoperative musicPatient-controlled intravenous opioid analgesiaAnalgesic sparing effectIntravenous opioid analgesiaIntravenous propofol sedationPostanesthesia care unitEffects of musicMusic groupDuration of stayPhase 2Phase 1Operating room noiseAlfentanil requirementsOpioid analgesiaAdverse eventsLess propofolSpinal anesthesiaAwake patientsCare unitAdverse outcomesPropofol sedationSparing effectUreteral calculiPractice 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 ResearchMeSH KeywordsAdultAgedAnesthesiologyHumansIntubation, IntratrachealMiddle AgedPractice Patterns, Physicians'ConceptsDifficult 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 ResearchMeSH KeywordsAdultAgedAnesthesiologyHumansIntubation, IntratrachealMiddle AgedPractice Patterns, Physicians'ConceptsDifficult 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 ResearchPremedication in the United States
Kain Z, Mayes L, Bell C, Weisman S, Hofstadter M, Rimar S. Premedication in the United States. Anesthesia & Analgesia 1997, 84: 427-432.. PMID: 9024042, DOI: 10.1097/00000539-199702000-00035.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 variationQuestionnairePremedication 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