Pain

Latest Issue of OR Manager
August 2018

New formulation of bupivacaine does not reduce opioid use after TKA

Editor's Note Contrary to what some studies are suggesting, use of the local anesthetic liposomal bupivacaine as part of a multimodal approach to postoperative pain did not reduce in-hospital opioid use or opioid-related complications after total knee arthroplasty (TKA) in this study. Researchers analyzed data on 88,830 TKAs performed with…

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By: Judy Mathias
May 21, 2018
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Opioid prescriptions drop after orthopedic team changes protocol

Can hospital leaders and surgeons partner to reduce opioid use while maintaining high patient satisfaction scores? Leaders at OSS Orthopaedic Hospital in York, Pennsylvania, answer that question with a yes. Meghan McNelly, PharmD, MHA, FACHE, who was director of pharmacy at OSS when the opioid-reduction project started, says that from…

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By: Cynthia Saver, MS, RN
May 18, 2018
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Opioid abuse, dependence increases postop readmissions

Editor's Note Opioid abuse or dependence after major surgical procedures was associated with increased readmission rates and healthcare utilization. Of 16,016,842 patients in the National Readmission Database analyzed, 94,903 (0.6%) had diagnoses of opioid abuse or dependence. Comparing patients with and without opioid abuse or dependence, researchers found that patients…

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By: Judy Mathias
May 9, 2018
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ASA: Anesthesia drug shortages affecting patient care

Editor's Note The American Society of Anesthesiologists (ASA) on April 25 reported that a national drug shortage of injectable opioids and local anesthetics is negatively affecting care received by patients under anesthesia. An informal survey of 2,500 ASA members, found that 98% are now experiencing drug shortages at their institutions,…

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By: Judy Mathias
April 26, 2018
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Study: Nearly 1 in 3 patients used no opioids after surgery

Editor's Note Nearly a third of patients used none of the opioids prescribed to them after surgery, finds this study presented by Mayo Clinic researchers April 19 at the American Surgical Association annual meeting in Phoenix, Arizona. This survey of 1,907 patients who had 25 common surgical procedures at three…

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By: Judy Mathias
April 23, 2018
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OR leaders feel the pain of the opioid crisis

The OR isn’t exempt from the effects of the opioid crisis. Identifying patients taking opioids is part of OR clinicians’ responsibilities, and they also play an important role in preventing opioid addiction. “We have patients who have opioid use disorder [OUD] and neglect to tell us,” says Mary Jo Steiert,…

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By: OR Manager
April 18, 2018
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Editorial

According to the US Centers for Disease Control and Prevention, nearly 2 million Americans have a prescription-related opioid use disorder, and 46 people die from a prescription opioid-related overdose every day—more than a fourfold increase since 1999. Statistics like these are in the news nearly every day, and there is…

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By: OR Manager
April 18, 2018
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ECRI Institute PSO sheds light on opioid use in acute care

OR Manager, Inc., and ECRI Institute have joined in a collaboration to bring OR Manager readers periodic articles on topics such as medical technology management and procurement, risk management, and patient safety. ECRI Institute is an independent nonprofit that researches the best approaches to improving patient care. Opioids are the…

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By: OR Manager
April 18, 2018
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Daily preop opioid use linked to worse outcomes after scoliosis surgery

Editor's Note Daily narcotic use before adult spinal deformity (ASD) surgery was associated with poorer outcomes 2 years postoperatively, this study finds. In this multicenter analysis of 575 patients, 425 had complete 2-year follow-up. A total of 44% reported daily preoperative narcotic use. Compared with non-daily users, daily narcotic users…

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By: Judy Mathias
April 16, 2018
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Predictors of postop pain in spine surgery patients

Editor's Note The use of nonopioid analgesics intraoperatively was one of eight factors found to predict postoperative pain in the first 24 hours after spine surgery, finds this study that will be presented Saturday April 21 at the 2018 World Congress on Regional Anesthesia & Pain Medicine in New York…

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By: Judy Mathias
April 10, 2018
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