A5056257684- Pain Management and Opioid Use
- Opioid Use Disorder Treatment
- Musculoskeletal pain and rehabilitation
- Anesthesia and Pain Management
- Pediatric Pain Management Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Pain Mechanisms and Treatments
- Music Therapy and Health
- Anesthesia and Sedative Agents
- Family and Patient Care in Intensive Care Units
- Clinical practice guidelines implementation
- Infant Development and Preterm Care
- Pain Management and Treatment
- Nausea and vomiting management
- Spine and Intervertebral Disc Pathology
- Meta-analysis and systematic reviews
- Health Systems, Economic Evaluations, Quality of Life
- Statistical Methods in Clinical Trials
- Childhood Cancer Survivors' Quality of Life
- Non-Invasive Vital Sign Monitoring
- Hemodynamic Monitoring and Therapy
- Airway Management and Intubation Techniques
- Pain Management and Placebo Effect
- Healthcare Technology and Patient Monitoring
- Child and Adolescent Psychosocial and Emotional Development
McMaster University
2016-2025
George Mason University
2024
Hamilton Health Sciences
1997-2022
Canadian Armed Forces
2021
McMaster University Medical Centre
1979-2019
Centre for Addiction and Mental Health
2019
Toronto Rehabilitation Institute
2019
Dalhousie University
2019
St Michael's Hospital
2014
Chongqing Electromechanical Holdings (China)
2013
Abstract Background: Myocardial injury after noncardiac surgery (MINS) was defined as prognostically relevant myocardial due to ischemia that occurs during or within 30 days surgery. The study’s four objectives were determine the diagnostic criteria, characteristics, predictors, and 30-day outcomes of MINS. Methods: In this international, prospective cohort study 15,065 patients aged 45 yr older who underwent in-patient surgery, troponin T measured first 3 postoperative days. Patients with a...
Abstract Background The Internet is used increasingly by providers as a tool for disseminating pain-related health information and patients resource about conditions treatment options. However, on the remains unregulated varies in quality, accuracy readability. objective of this study was to determine quality pain websites, explain variability readability between websites. Methods Five key terms (pain, chronic pain, back arthritis, fibromyalgia) were entered into Google, Yahoo MSN search...
BACKGROUND: While there are emerging web‐based self‐management programs for children and adolescents with chronic pain, is currently not an integrated web‐ smartphone‐based app that specifically addresses the needs of pain. OBJECTIVES: To conduct a assessment to inform development online pain program adolescents, called iCanCope Pain ™. METHODS: A purposive sample (n=23; 14 18 years age) was recruited from two pediatric clinics in Ontario. Interdisciplinary health care providers were also...
To qualitatively explore the information and service needs of young adults (YAs) with chronic pain to inform development a web-based self-management program.A convenience sample YAs (n=17; aged 18 29 y) was recruited from 2 adult tertiary care multidisciplinary clinics in Ontario. Interdisciplinary health professionals who had worked for at least 1 year were also these sites. Five audiotaped focus groups conducted, 3 professionals. Transcribed data organized into categories that reflected...
Although seemingly straightforward, the statistical comparison of a continuous variable in randomized controlled trial that has both pre- and posttreatment score presents an interesting challenge for trialists. We present here empirical application four methods (posttreatment scores with analysis variance, covariance, change scores, percent scores), using data from postoperative pain patients following total joint arthroplasty (the Morphine COnsumption Joint Replacement Patients, With...
Background Multidisciplinary pain treatment facilities (MPTFs) are considered the optimal settings for management of chronic (CP). This study aimed (1) to determine distribution MPTFs across Canada, (2) document time access and types services, (3) compare results those obtained in 2005–2006. Methods cross-sectional used same MPTF definition as 2005–2006—that is, a clinic staffed with professionals from minimum three different disciplines (including at least one medical specialty) whose...
Little research has examined the correlates of children’s social withdrawal in real-world contexts beyond classroom. Here, we used a surgical setting as an ecologically salient stress model to study one type withdrawal: shyness. Participants were 171 children ( M age = 10.1 years, SD 1.7, range 7–13 50.1% boys), who undergoing elective surgery, and their parents 40.7 6.8, 29–59 76.2% mothers). Children’s self-report temperamental shyness preoperative state anxiety well parents’ report trait...
Chronic pain and healthcare education in Canada: Bridging the divide Hansel Lui from Michael G. DeGroote Institute for Pain Research Care discusses inadequacies regarding chronic management Canada opportunities to close these gaps. In this article, Lui, part of our team at G National Centre, provides an additional perspective on ‘pain care Canada’ – one underlying elements opioid crisis Canada. This is amount training that provided professionals. Much has been said about role physician...
Background Wait-times at Canadian multidisciplinary pain clinics have been reported as excessive for nearly two decades.
This double-blind randomized trial assessed the effect of adding an intravenous continuous infusion ketorolac to a patient-controlled analgesia (PCA) morphine regimen on analgesia, heart rate, arterial blood pressure, and postoperative myocardial ischemia. Patients having elective total hip or knee replacement were receive 30 mg bolus, followed by 5 mg/h for 24 h placebo. All patients had access PCA (20 micro g/kg with lockout 6 min). monitored pain visual analog scale, ST segment depression...
Propofol causes hypotension due to relaxation of vascular smooth muscle cells through its direct or indirect vasodilator effects. Perivascular adipose tissue (PVAT) and endothelium attenuate contraction, the function PVAT is altered in hypertension diabetes. Whether affects action anesthetics on unknown. We studied mechanisms propofol-induced relation involvement endothelium.Thoracic aortic rings from Wistar rats were prepared with without (PVAT+ PVAT-), intact (E+), both, removed (E-) for...
Chronic noncancer pain (CNCP) refers to all disorders, not due cancer, that persist for ≥3 months. The point prevalence of CNCP in the general population Western countries is between 19 and 33 percent. Opioids are commonly prescribed associated with both benefits harms. Canadian Guideline Safe Effective Use was published 2010 provide guidance optimal opioid prescribing patients CNCP.To investigate attitudes toward, use of, among physicians.A qualitative study using one-on-one, semistructured...
Although intravenous patient-controlled analgesia opioids and epidural offer improved for postoperative patients treated on an acute pain service, these modalities also expose to some risk of serious morbidity even mortality. Root cause analysis, a process identifying the causal factor(s) that underlie adverse event, has potential identify address system issues thereby decrease chance recurrence complications.This study was designed compare incidence events service in three hospitals, before...
To examine the feasibility, acceptability, and effects of a novel tablet-based application, Story-Telling Medicine (STM), in reducing children's preoperative anxiety.Children (N = 100) aged 7 to 13 years who were undergoing outpatient surgery recruited from local hospital. This study comprised 3 waves: Waves 1 (n 30) 2 examined Wave 40) acceptability STM compared its effect on anxiety Usual Care (UC). In 3, children randomly allocated receive STM+UC or UC. A change was measured using...
Up to 5 million children are affected by perioperative anxiety in North America each year. High is predictive of numerous adverse emotional and behavioral outcomes youth. We developed the Children's Perioperative Multidimensional Anxiety Scale (CPMAS) address need for a simple, age-appropriate self-report measure pediatric busy hospital settings. The CPMAS visual analog scale composed items, which scored from 0-100. objective this study was assess psychometric properties undergoing surgery....