Pain

Latest Issue of OR Manager
October 2020

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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Joint Commission deletes EP on pain management

Editor's Note The Joint Commission on March 20 announced the deletion of RI.01.01.01, element of performance (EP) 8: “The hospital respects the patient’s right to pain management” because it is no longer relevant and necessary to ensure quality of care and safety. The deletion is effective immediately. The Joint Commission’s…

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By: Judy Mathias
March 21, 2018
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CDC study finds nearly 30% increase in ED visits for opioid overdose

Editor's Note Researchers from the Centers for Disease Control & Prevention (CDC) found that emergency department (ED) visits for opioid overdoses increased 29.7% from July 2016 to September 2017, according to the March 9 Morbidity and Mortality Weekly Report. Every demographic group and all US regions saw increases, but the…

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By: Judy Mathias
March 12, 2018
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Model helps predict pain, functional outcomes after lumbar spine surgery

Editor's Note In this study, researchers used patient-reported outcome (PRO) scores from 15 hospitals in Washington to create a clinical prediction model for spine surgery patients that explains most of the variability in pain reduction and functional improvement after surgery. The researchers found that after lumbar fusion surgery: 58.0% had…

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By: Judy Mathias
March 7, 2018
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Opioids not better at reducing pain-related function than nonopioids

Editor's Note Opioids were no better than nonopioid medications at improving pain that interfered with activities such as walking, work, and sleep in patients with moderate to severe chronic back pain or hip or knee osteoarthritis pain, in this study. In 240 patients who were followed for 12 months, the…

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By: Judy Mathias
March 6, 2018
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Multimodal pain management reduces opioid use, complications after total joints

Editor's Note Using a multimodal approach to pain management was associated with decreased opioid use, opioid prescriptions, and opioid complications in total joint replacement patients in this study. Of 512,393 hip replacement and 1,028,069 knee replacement patients analyzed, multimodal pain management techniques were used in 85.6% during surgery, on the…

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By: Judy Mathias
March 1, 2018
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Johns Hopkins allowing animal-assisted therapy in ICU

Editor's Note Bringing specially trained dogs into ICUs can safely and substantially ease patients' physical and emotional pain, according to Johns Hopkins researchers. Having seen how successful animal-assisted therapy was in the inpatient rehabilitation unit at Johns Hopkins, the researchers adapted the hospital’s protocol to safely bring dogs to ICU…

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By: Judy Mathias
February 13, 2018
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Visual cues help PACU staff avoid medication errors

Concern about opioid abuse has reached epic proportions in recent months, and healthcare providers have come under increasing pressure to help mitigate the problem. Curbing the tendency to overprescribe pain medications is considered the first, most obvious step, but there are other actions that can also improve patient safety. Nurse…

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By: Judith M. Mathias, MA, RN
January 19, 2018
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Education brochure helps surgical patients improve opioid disposal

Editor's Note Dissemination of low-cost patient education brochures improved disposal of unused opioids after surgery, this study finds. The study involved 334 patients−164 who did not receive the brochure and 170 who did receive it. Patients who received the brochure informing them of appropriate methods for disposal were twice as…

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By: Judy Mathias
January 12, 2018
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Total joint patients using fewer opioids to manage postop pain

Editor's Note Opioid use in total hip and knee patients decreased by one-third between 2006 and 2014, which reflects success in the use of a multimodal approach (ie, opioids plus additional pain management methods, such as peripheral nerve blocks and acetaminophen) to pain management, finds this study presented October 21…

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By: Judy Mathias
October 27, 2017
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