Vol 3-2 Review Article

Intensive Short-term Dynamic Psychotherapy for Pain

Allan A. Abbass1*, Joel M. Town1, Steve Kisely2

1Centre for Emotions and Health, Dalhousie University, Halifax, Canada

2Faculty of Medicine, The University of Queensland, Woolloongabba, QLD, Australia

Intensive short-term dynamic psychotherapy (ISTDP) has been studied for a broad range of somatic symptom presentations including chronic pain. Drawn from two recent meta-analyses, data using ISTDP treatment for pain conditions was extracted and meta-analyzed. Ten studies, including 6 randomized controlled trials, were examined. Short- and medium-term results were available and ISTDP yielded large and persistent treatment effects for both pain and depression within group. In the short-term follow-up, large within group effects were seen for measures of anxiety, and medium within group effects were seen on measures of interpersonal problems. When ISTDP was compared to cognitive behavioral therapy methods (CBT) in randomized controlled trials, it yielded superior effects to CBT on pain and depression measures in both short- and medium-term follow-up. There was evidence of heterogeneity which was reduced by removing 2 outlying studies, yet the results remained significant and of moderate to large effects. Two studies suggested the method was cost effective by reducing healthcare costs, medication and disability costs. Based on these findings ISTDP should be considered for chronic pain treatment guidelines. Future research directions are discussed.

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Vol 3-2 Case Report

Intranasal phenylephrine in the operating room - how many drops?

Joana A. Almeida*, Andreia F. Sá, Ana M. Remelhe, Humberto S. Machado

Serviço de Anestesiologia, Centro Hospitalar Universitário do Porto, Portugal

Background: Topical vasoconstrictors are commonly used to minimize bleeding during Ear, Nose and Throat surgeries. Phenylephrine is one of the most commonly used and could be an underrecognized source of intra-operative events. Total dose of administered drugs is often unmeasured.

Cases of acute pulmonary edema, cardiac arrest and death after topical vasoconstrictors (TV) have been reported. Maintenance of cardiac output is of paramount importance to avoid cardiovascular collapse. β1 receptor blockage reduces cardiac output, it is contraindicated in these situations.

Case: This case describes an intra-operative critical event after an unknown amount of phenylephrine administration.

Conclusion: Lack of awareness about phenylephrine maximum recommended dose may induce complications leading to haemodynamic instability. The authors aim to raise awareness about the use of TV, including dose, administration site and also clinical signs and symptoms that may appear after its use.  Special attention must be addressed to the drug choice for the support treatment of eventual cardiovascular symptoms.

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Vol 3-1 Research Article

Nurse's Knowledge Levels of Ventrogluteal: A Scale Development Study

Tuba Karabey1*, Şerife Karagözoğlu2

1Tokat Gaziosmanpaşa University, Faculty of Health Sciences, Tokat, Turkey

2Cumhuriyet University, Faculty of Health Sciences, Nursing Department, Sivas, Turkey

Aim: The aim of this study is to develop a valid and reliable measurement tool to determine the knowledge level of nurses about the ventrogluteal area.

Method: The study was based on the methodological method. The study was carried out with 250 nurses who worked in the private unit, internal and surgical clinics of a university hospital in Turkey between February 20, 2021 and April 20, 2021 and agreed to participate in the study. The data were analyzed with IBM SPSS V23 and the factor structure was revealed by explanatory factor analysis. KMO-Bartlett test was used for sample adequacy. Tukey's Test for Nonadditivity was used to determine whether the scale was additive or not. The Cronbach Alpha value was checked for the reliability of the scale, and the dependent groups t-test was used for test repetition, and the Pearson correlation test was used for the relationship.

Results: After the psychometric analysis, the Ventrogluteal Area Information Scale was finalized with a single sub-dimension and 17 items. The lowest score that can be obtained from 17 items is 17 and the highest score is 85. There is no item that needs to be reverse scored in the created scale. As the score obtained from the scale increases, it is determined that the knowledge of the nurses about the ventrogluteal area increases. According to the internal consistency reliability analysis results, the Cronbach alpha reliability coefficient of the Ventrogluteal Area Information Scale was 0.96; The scale was found to be quite reliable.

Conclusion: It has been concluded that the Ventrogluteal Area Information Scale is a reliable and valid measurement tool that can be used in nursing practices.

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Vol 3-1 Commentary

Small stuff, deep underlying emotions: An overview of the positive effect of laughing

Hilde M. Buiting1,2,3,4*, Lisan Ravensbergen4,5, Christa van Schaik6, Vincent K.Y. Ho7, Gabe S. Sonke3,8

1Antoni van Leeuwenhoek, Netherlands Cancer Institute, Amsterdam, the Netherlands

2University Medical Center, Utrecht, the Netherlands

3University of Amsterdam, Amsterdam, the Netherlands

4O2PZ, Platform of Palliative Care, Amsterdam, the Netherlands

5Red Cross Hospital, Department of Anesthesiology, Beverwijk, the Netherlands

6Meander Medisch Centrum, Department of Medical Oncology, Amersfoort, the Netherlands

7Netherlands Comprehensive Cancer Organization, Utrecht, the Netherlands

8Antoni van Leeuwenhoek, Netherlands Cancer Institute, Department of Medical Oncology, Amsterdam, the Netherlands

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Vol 3-1 Case Report

A Case Report on Dexmedetomidine’s Unique Role in Management of Postoperative Muscle Spasm

Van N. Trinh, Joseph E. Villaluz

Department of Anesthesiology, Kaweah Health Medical Center, Visalia, California, USA

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