Pain

Latest Issue of OR Manager
November 2018

Unlike adults, obese children do not have more postop pain

Editor's Notes Though obese adults often report more postoperative pain, the same was not true for obese children in this study presented October 16 at the Anesthesiology 2018 annual meeting in San Francisco. In this analysis of 808 children who had noncardiac surgery at the Cleveland Clinic, pain was assessed…

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By: Judy Mathias
October 17, 2018
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Despite concerns, patients see opioids as superior, expect them for postop pain

Editor's Note Despite concerns about addiction and side effects of opioids, patients still expect them to be prescribed and believe them to be the most effective for postoperative pain relief, finds this study presented October 13 at the Anesthesiology 2018 annual meeting in San Francisco. Researchers gave a 13-question survey…

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By: Judy Mathias
October 15, 2018
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Joint Commission issues advisory on nonpharmacologic, nonopioid treatments for pain

Editor's Note The Joint Commission on August 28 issued a new Quick Safety advisory that focuses on evidenced-based, nonopioid and nonpharmacologic treatment options for pain. Among the options: behavioral/cognitive/psychological interventions (ie, meditation, progressive muscle relaxation) environmental-based interventions (ie, lighting alterations, music therapy) physical interventions (ie, acupuncture, massage therapy, spinal manipulation)…

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By: Judy Mathias
August 29, 2018
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Effective interventions for postop opioid prescribing

Editor's Note Interventions at the physician or organizational level (eg, workflow changes) were found to be better tools for creating change in postoperative opioid prescribing than interventions at the patient level (eg, patient education), in this review. This analysis of eight studies published after 2000 that included 2,272 patients found…

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By: Judy Mathias
August 17, 2018
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CDC: Drug overdose mortality reaches new high

Editor's Note Preliminary data, reported August 15, by the Centers for Disease Control and Prevention show that drug overdose mortality in the US hit record high levels last year, increasing to more than 72,000 deaths. The increase in mortality was driven mainly by fatalities involving fentanyl and other synthetic opioids.…

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By: Judy Mathias
August 17, 2018
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Johns Hopkins panel develops opioid prescribing guidelines for 20 surgical procedures

Editor's Note Led by Martin A. Makary, MD, MPH, a Johns Hopkins panel of experts developed the nation’s first set of opioid prescribing guidelines for 20 common surgical procedures in 8 surgical specialties. The guidelines are based on the premise that opioid prescribing should be based on the surgical procedure…

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By: Judy Mathias
August 15, 2018
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CDC: Naloxone use by emergency medical services up 75% in 4 years

Editor's Note Naloxone administration by emergency medical services increased 75.1% between 2012 and 2016, mirroring a 79.7% increase in fatal opioid overdoes during the same time period, according to the August 10 Morbidity and Mortality Weekly Report (MMWR) from the Centers for Disease Control and Prevention (CDC). Young adults made…

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By: Judy Mathias
August 13, 2018
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Spillover effect of postop opioid prescribing

Editor's Note After opioid prescribing recommendations were implemented for a single surgical procedure, laparoscopic gall bladder removal, opioid prescribing decreased for four other surgical procedures in this study. The analysis involved 1,158 patients, 558 who had surgery before the opioid recommendations were implemented and 600 after implementation. Opioid prescription size…

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By: Judy Mathias
July 30, 2018
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Opioid use before total joint replacements linked to higher readmission, revision rates

Editor's Note Preoperative opioid use was associated with significantly increased risks of early revisions and 30-day readmissions after total knee and total hip arthroplasties, this study finds. The study included 324,154 patients in a 1-year follow-up group and 159,822 in a 3-year follow-up group. For total knee patients, the hospital…

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By: Judy Mathias
July 19, 2018
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Lowering default pill counts in EHR systems associated with postop opioid prescribing

Editor's Note Lowering the default number of opioid pills prescribed in an electronic health record (EHR) system is a simple, effective, inexpensive, and potentially scalable intervention to change prescriber behavior and decrease the amount of opioids prescribed postoperatively, finds this study. In this analysis of 1,447 procedures before the default…

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By: Judy Mathias
July 19, 2018
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