Substance Abuse

Latest Issue of OR Manager
August 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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Study: Prevalence of preop opioid use and patient characteristics

Editor's Note In this study of 34,186 surgical patients in the University of Michigan Health System, 23.1% were taking opioids preoperatively, and the use of opioids was associated with a more negative medical and pain profile. Patient age, tobacco use, illicit drug use, higher pain severity, depression, higher Fibromyalgia Survey…

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By: Judy Mathias
July 12, 2018
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FDA statement on access to opioids for patients with chronic, end-of-life pain

Editor's Note Food & Drug Administration (FDA) commissioner, Scott Gottlieb, MD, on July 9 issued a statement on balancing access to appropriate treatment for patients with chronic and end-of-life pain with the need to stem the misuse and abuse of opioids. As the FDA considers new steps to address the…

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By: Judy Mathias
July 12, 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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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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Violence in healthcare facilities--Know your risks

Violence is much more common in healthcare than in other industries, and although many violent events in healthcare are perpetrated by patients, a notable percentage are not. Individuals other than patients who may cause violence in healthcare settings include family members of patients and other visitors, employees, and criminals. Many…

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By: OR Manager
November 15, 2017
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Bariatric surgery patients at risk for new prolonged opioid use

Editor's Note Bariatric surgery patients have a much higher rate of newly persistent postoperative opioid use than general surgery patients, finds this study presented October 23 at the American College of Surgeons 2017 Clinical Congress in San Diego. Of 14,063 bariatric surgery patients in the Michigan Bariatric Surgery Collaborative who…

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By: Judy Mathias
October 24, 2017
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Opioid-free general anesthesia reduces postop nausea

Editor's Note Eliminating opioids from general anesthesia is safe and effective and significantly decreases postoperative nausea, finds this study presented October 23 at the Anesthesiology 2017 annual meeting in Boston. Of 1,009 patients who received general anesthesia without opioids, only 11% experienced postoperative nausea--typically 50% to 80% of patients have…

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By: Judy Mathias
October 24, 2017
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