Pain

Latest Issue of OR Manager
January 2021

Mayo Clinic Care Network reduces hospital stays with ERPs

Editor's Note An Enhanced Recovery Pathway (ERP) created by the Mayo Clinic’s colorectal surgery service a decade ago has now been adopted by other surgical services in seven medical centers that are members of the Mayo Clinic Care Network, the October 15 Harvard Business Review reports. The ability of each…

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By: Judy Mathias
October 24, 2019
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One in three patients have side effects after ketamine infusion

Editor's Note Ketamine use has grown as a pain management alternative to opioids, but more than one in three patients experience side effects such as hallucinations and visual disturbances, finds this study, which was presented October 21 at the Anesthesiology 2019 annual meeting in Orlando, Florida. Duke University researchers categorized…

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By: Judy Mathias
October 23, 2019
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Patients feel less pain when healthcare provider is nice

Editor's Note Patients having blood drawn by courteous healthcare providers were significantly more likely to say their pain was well-controlled, finds this study presented October 20 at the Anesthesiology 2019 annual meeting in Orlando, Florida. Analyzing responses from 4,740 adult patients on questions about pain control (range from 1 to…

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By: Judy Mathias
October 22, 2019
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Medical marijuana research shows early promise for lessening opioid use

Editor's Note Medical marijuana shows early promise for lessening opioid use and potential abuse in a meta-analysis presented October 20 at the Anesthesiology 2019 annual meeting in Orlando, Florida. Overall the results suggest that medical marijuana may provide some benefits such as, decreased opioid overdose rates, decreased opioid use, improved…

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By: Judy Mathias
October 21, 2019
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Decreased postop opioid prescribing not linked to patient’s satisfaction with surgeon

Editor's Note This study found that opioid prescribing can be decreased by more than 50% and not adversely affect patients’ satisfaction scores with their surgeons. Of 996 patients surveyed on their satisfaction with their surgeons before (period A) and after (period B) an educational intervention that resulted in decreased opioid…

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By: Judy Mathias
October 17, 2019
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Postop opioid prescribing in US, Canada, Sweden

Editor's Note This study found a very large variability in the use of postoperative opioids in different countries. The study sample included 129,379 opioid-naïve patients in the US, 84,653 in Canada, and 9,802 in Sweden. More than 70% of surgical patients in the US (76.2%) and Canada (78.6%) filled opioid prescriptions…

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By: Judy Mathias
September 10, 2019
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Cardiothoracic surgery patients at high risk for postop opioid dependence

Editor's Note This study finds that the amount of opioids prescribed for patients after cardiothoracic surgery has a direct relationship with the risk for opioid dependence and persistent opioid use several months after surgery. Of nearly 25,000 opioid-naïve Medicare patients analyzed, 15.7% of patients who had lung surgery and 12.5%…

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By: Judy Mathias
August 22, 2019
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Effect of state legislation in Florida on opioid prescriptions after outpatient surgery

Editor's Note Opioid prescriptions for patients having common outpatient surgical procedures at a large university hospital in Florida were substantially reduced within 6 months after implementation of state legislation limiting the duration of opioid prescriptions, this study finds. Of 1,467 surgical patients included in the study: The proportion receiving opioid…

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By: Judy Mathias
August 22, 2019
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Statewide initiative reduces postop opioid prescribing without increase in patient pain

Editor's Note Implementation of opioid prescribing guidelines in the state of Michigan reduced opioid prescription size without negatively affecting patient satisfaction or pain, this study finds. In 1 year, teams at 43 hospitals across the state reduced by nearly one-third the number of opioid pills they prescribed to patients (having…

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By: Judy Mathias
August 15, 2019
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Patient factors tied to postop opioid consumption

Editor's Note In this study of opioid-naïve patients having major surgery, researchers found a number of patient characteristics associated with greater opioid use in the first month after surgery. Of 1,181 patients analyzed, the following were significantly associated with increased postoperative opioid consumption: younger age nonwhite race lack of college…

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By: Judy Mathias
August 7, 2019
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