Pain

Latest Issue of OR Manager
June 2019

Joint Commission: Quick Safety addresses drug diversion

Editor's Note The Joint Commission announced on April 17 that the April issue of Quick Safety focuses on drug diversion and examines patterns and trends that could indicate drug diversion. It also offers safety actions organizations can take and describes how to take the mistakes other hospitals have made and…

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By: Judy Mathias
April 18, 2019
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FDA to require label changes on how to safely decrease opioids in physically dependent patients

Editor's Note The Food & Drug Administration (FDA) on April 9 issued a Drug Safety Announcement saying it has received reports of serious harm in patients who are physically dependent on opioid pain medications and suddenly have them discontinued or rapidly decreased. Because of these reports, the FDA is requiring…

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By: Judy Mathias
April 11, 2019
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Effect of hospital intervention, state legislation on postop opioid prescribing practices

Editor's Note After a hospital-wide intervention and state-wide legislation, this community hospital in Michigan achieved a 60%-70% decrease in postoperative opioid prescriptions and less variation in opioid prescription practices. This retrospective study of opioid naïve adult patients who had one of five general surgical procedures between 2015 and 2017 found…

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By: Judy Mathias
March 18, 2019
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Non-opioid pain management gaining favor in ASCs

Pressure to contain opioid overuse in the United States is at a boiling point. The Centers for Disease Control and Prevention reports that overdose deaths linked to opioid prescriptions have increased fivefold over the last two decades. To reduce reliance on opioid prescriptions, the Centers for Medicare & Medicaid Services…

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By: Jennifer Lubell
March 15, 2019
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IV and oral acetaminophen work equally well after THA

Editor's Note Intravenous (IV) acetaminophen did not result in a significant difference in pain scores, opioid consumption, or opioid-related adverse events compared with oral acetaminophen, finds this study presented March 12 at the American Academy of Orthopaedic Surgeons Annual Meeting in Las Vegas. A total of 154 patients having total…

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By: Judy Mathias
March 13, 2019
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Long-term opioid use in family members linked to persistent postop use in adolescents, young adults

Editor's Note Long-term opioid use among family members was associated with persistent postoperative opioid use in opioid-naïve adolescents and young adults and should be screened for preoperatively, this study finds. Of 346,251 opioid-naïve patients aged 13 to 21 years having common surgical and dental procedures, persistent opioid use occurred in…

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By: Judy Mathias
March 4, 2019
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CMS releases opioid prescribing mapping tool updates

Editor's Note The Centers for Medicare & Medicaid Services on February 22 released an update to its Medicare Part D opioid prescribing mapping tool and a new Medicaid opioid prescribing mapping tool. The Medicare tool is an interactive, web-based resource that shows geographic comparisons of opioid prescribing rates at state,…

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By: Judy Mathias
February 26, 2019
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Use of regional anesthesia in ambulatory arthroscopic knee surgery and ACL reconstruction

Editor's Note Adductor canal nerve block (ACB) provides modest analgesic benefits after ambulatory arthroscopic knee surgery, including improved relief for rest pain for 8 hours and reduced opioid consumption for 24 hours, this meta-analysis finds. However, ACB did not provide any analgesic benefits and did not improve any outcomes, compared…

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By: Judy Mathias
January 24, 2019
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Surgical intern education decreases postop opioid prescribing

Editor's Note Education of surgical interns on postoperative analgesia was effective in preparing them for judicious opioid prescribing, this study finds. An education session on postoperative analgesia prescribing was presented to 31 incoming surgical interns by surgical residents. Before the education session was started, few interns felt comfortable prescribing opioids…

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By: Judy Mathias
January 14, 2019
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Follow pain management standards to ensure survey success

Postoperative pain management has always been a major focus of patient care. However, the opioid crisis is increasing the challenges healthcare leaders face because of the call for a national change in modalities of pain management. Regulatory bodies, specifically, are executing control to confront the opioid epidemic head on, making…

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By: Judith M. Mathias, MA, RN
January 14, 2019
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