Brigham and Women's Hospital
The goal of this observational study is to learn about how regional anesthesia (numbing medication) affects pain in patients with different psychosocial phenotypes such as different levels of concern about pain, sleep issues, and anxiety, who are having surgery. The main questions are: 1. Do psychosocial factors such as concerns about pain, sleep, anxiety affect the effectiveness of regional anesthesia? 2. Do psychosocial factors and regional anesthesia affect the amount of opioids used after surgery? 3. Do psychosocial factors and regional anesthesia affect development of chronic postsurgical pain?
A patient's psychological profile importantly modulates pain severity, and the overall experience and impact of pain. For instance, catastrophic thinking about pain, including magnification, rumination, and helplessness, is associated with both greater pain severity and impact. Over the years, regional anesthesia has become an integral part of multimodal pain management for many surgeries. Regional anesthesia (epidural and peripheral nerve blocks) to be associated with superior pain control, reduced time to return of bowel function, shorter intraoperative times, fewer side effects and complic…
Inclusion Criteria: * Age ≥ 18 * English speaking * Surgical or procedural patient who will be admitted postoperatively * Willingness to answer psychosocial survey and/or audio recorded semi-structured interview Exclusion Criteria: -Cognitive dysfunction that precludes communication
Patients who underwent surgery and received an epidural or peripheral nerve block
Patients who underwent surgery and did not received an epidural or peripheral nerve block
Patients who underwent surgery and had a perioperative (preop, intraop, or postop) acute pain consultation
Patients who underwent surgery and did not have a perioperative (preop, intraop, or postop) acute pain consultation
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