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49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting
March 21-23, 2024 | The Hilton Bayfront San Diego | San Diego, California
5282
PROVIDER INTUITION: HOW WELL CAN ANESTHESIA PROVIDERS ASSESS A PATIENT’S PAIN CATASTROPHIZING SCORE?
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Scientific Abstracts > Regional Anesthesia
Provider intuition: how well can anesthesia providers assess a patient’s pain catastrophizing score?
Introduction
•Pain catastrophizing, which describes a negative affective and cognitive reaction to pain, including magnification of, rumination on, and feelings of helplessness in the face of pain, is associated with greater severity of both clinical and procedural pain.
•Trait catastrophizing can be measured using the Pain Catastrophizing Scale (PCS), a 13-14 question validated questionnaire.
•The accuracy with which providers can discern the internal psychological state of their patients as they meet them before surgery may impact their ability to personalize their anesthetic care. One previous study suggested that anesthesiologists poorly estimated patients’ current level of anxiety prior to surgery, if based solely on physical and visual criteria.
Aim
•To examine the accuracy of anesthesia providers’ prediction of a patient’s trait pain catastrophizing in the setting of receiving a peripheral nerve block prior to surgery.
Conclusion
•Anesthesia providers appear to underestimate patient’s pain catastrophizing. This may affect the use of perioperative analgesia care plan.
•This study highlights the potential value of employing validated questionnaires, such as the PCS, in advance of surgery to identify patients with greater psychological distress in the preoperative period.