#92. Is Physical Therapy, The Panacea of Chronic Pain?
Pedia Pain Focus
Have you ever had any of your patients say that they don't think physical therapy helps their pain? Or that the physical therapy made their pain worse? It would certainly not surprise me, if you said yes. And in that case, this is definitely is the episode you want to listen to carefully. And if your answer to my question was no, this is an episode for you too, my friend. Because sooner or later you too will join this elite club with rest of us. However, this episode will give you the framework and tools to change that in your practice. Learn it from our guest who magically...
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#91. Mental Health and Pediatric Pain; Chicken or the Egg?
Pedia Pain Focus
Pain and mental illnesses coexist, often more than any of other illnesses. Both of them have a profound effect on a child's child’s quality of life, individually. Now imagine the magnitude of impact when they co-exist. In this episode, Dr. Anjana Kundu, with guest speaker Dr. Mirabelle Mattar, a child, and adolescent psychiatrist, discusses the intricate and dynamic relationship between pediatric pain and mental health, likely cause or affect and prognosis for a child with pain in the setting of mental health issues or vice-versa. They also discussed the factors...
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#90. Can We Prevent Pain from Becoming Chronic?
Pedia Pain Focus
Acute pain may be a protective and adaptive phenomenon, but chronic pain is nothing but damaging and a burden in every way possible and for all involved directly or indirectly. So how do we reduce or can we reduce burden? Join me in this episode to learn the factors that contribute to chronicity of pain and whether we can prevent it. Takeaways in This Episode Complexities of pain and its impact for the individuals and the society What differentiates acute from chronic pain and why that is important Various factors contributing to pain and its chronicity Modifiable vs....
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#89. The Pain of Being a Redhead
Pedia Pain Focus
An anesthesiologist or a dentist might tell you that redheads need more anesthesia or local anesthetic. Yet research around their pain perception, tolerance, modulation and response to different pain medications is much more variable and complicated. Join me to learn the recent and emerging evidence about the pain among redheads and what you can do for effectively and safely managing it!
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#88. Pharmacovigilance to Evaluate Efficacy and Net Clinical Benefit in Pediatric Pain Medicine
Pedia Pain Focus
What if you had the lessons from the hindsight AND the foresight while managing children's pain? How would that change your practice? How would that change the outcomes of pediatric pain treatments?
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87. Shifting the Paradigm in Pediatric Pain Medicine
Pedia Pain Focus
Pediatric pain has long been and continues to be neglected for many reasons and because of many challenges. In this episode we discuss those factors and more importantly, the way forward to make the paradigm shift, overcoming challenges and recognizing opportunities.
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#86. Essential Elements of a Successful Patient Encounter
Pedia Pain Focus
A clinical care visit is like flying a plane. It has to be smooth (charming), safe (thorough) yet efficient and on time!
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#85. Pain Amongst Children with Autism Spectrum Disorder
Pedia Pain Focus
Rising prevalence of Autism Spectrum Disorders, contradicting opinions and misconceptions around pain sensitivity and expression among these patients pose unique challenges for clinicians.
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#84. Post-Concussive Headache and Symptom Management in Children
Pedia Pain Focus
Headache is a presenting symptom in 90% of children after a traumatic head injury and for many it may persist for years. It can be extremely debilitating and difficult to treat, posing several unique diagnostic and therapeutic challenges. Join me in conversation with Blake Windsor, MD a pediatrician with a subspecialty in training for pediatric pain medicine, a board certified headache specialist and Chief of Primas Health Pediatric Pain Medicine.
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#83. Reengineering Pediatric Perioperative Care for Optimal Outcomes
Pedia Pain Focus
Postoperative outcomes and success of the interventions is certainly dependent on the analgesia and anesthesia care, but what truly drives the outcomes is a complex interplay of biopsychosocial factors; an alignment between the patients and family's goals and medical as well as surgical interventions. How one goes about achieving that is what this episode is all about!
info_outlineThere's no better way to kick off September as the Pain Awareness Month than bringing you a conversation with Dr. Kanwaljeet S. Anand, whose research took the medical world by storm, even risking his license, as he sought out to answer the question of; what if we give children anesthesia and analgesia?
I truly believe that he is the reason why my career as a pediatric pain and palliative care physician exists today and serves as an available path for many healthcare professionals.
In this episode, Dr. Anand, a professor of Pediatrics, Anesthesiology, Perioperative, and Pain Medicine at Stanford University School of Medicine, describes his groundbreaking research back in the 80s, when a popular held belief was that babies don’t feel pain!
With the findings and intervention offered in his RCT, they were able to cut down the infant mortality rates by half. It is the work of doctors like him that paved the path for someone like me to practice pediatric pain management as a specialty-- hoping to save and improve the lives of many more children by debunking the fallacies that still surround children's pain and its management.
Takeaways In This Episode
- What fueled Dr. Anand’s desire to research perioperative care for infants
- His hypothesis around morbidity and mortality of neonates and infants undergoing surgeries, relationship to anesthetic management
- Conducting the randomized controlled trial study and its results that changed the history and trajectory of childrens pain and perioperative management
- Sometimes it’s worth picking the fights
- How his study gained momentum and changed how the healthcare world approaches pain management for children and infants
- When and how infants develop the ability to feel pain
- The long-term consequences of poorly or inadequately managing children’s pain
- Changing the minds of colleagues who perpetuate the belief that children are “hardy” and will “get over it”
- Dr. Anand’s message to the audience
Links
Connect with Dr. Kanwaljeet S. Anand:
Love, Pain, and Intensive Care. K.J.S. Anand, Richard W. Hall
Clinicians’ Pain Evaluation Toolkit
About the Guest
Kanwaljeet S. Anand, MBBS, MD, D Phil, FRCCM
He is currently the professor of Pediatrics, Anesthesiology, Perioperative, and Pain Medicine at Stanford University School of Medicine. He directs the pain and stress neurobiology lab, the Jackson Vaughan Critical Care Research Fund, and he serves as the Editor of the journal Pediatric Research and is the Division Chief for Pediatric Critical Care at the Department of Pediatrics at Standford School of Medicine.
He graduated from M.G.M. Medical College, Indore (India). He received the D.Phil. degree as a Rhodes Scholar at the University of Oxford, followed by a post-doctoral fellowship at Harvard Medical School, a categorical Pediatrics residency training at Boston Children's Hospital, and a Critical Care Medicine fellowship at Massachusetts General Hospital in Boston.
He is the recipient of innumerable awards, including the Dr. Michael Blacow Award from the British Pediatric Association in 1986, the Pediatric Resident Research Award from the American Academy of Pediatrics, the inaugural Young Investigator Award in Pediatric Pain from the International Association for Study of Pain in 1994, the Jeffrey Lawson Award for advocacy of children's pain relief, the highest recognition in pediatric pain medicine in the United States. He's also been awarded many awards across Europe in many countries such as the Nils Rosén von Rosenstein Award from the Swedish Academy of Medicine and the 2015 Journées Nationales de Néonatologie Address at The Pasteur Institute to name a few.
For his dedication and work in the field of pediatric pain management, he is considered a world authority on pain and stress in newborns and pain management in infants.