Tag: Pain management

Two-question survey could help improve pain management, reduce opioid use

Editor's Note A simple, two-question survey could help identify patients most likely to develop chronic pain during recovery from surgery or injury and direct them toward proactive, holistic services that reduce reliance on opioids. NEJM Catalyst published the findings on March 20. Conducted by a research team from Duke University,…

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By: Brita Belli
March 22, 2024
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Procedural sedation analgesia considerations for ASC leaders

The promise of quicker recovery and fewer complications from sedation, anesthesia, and pain management have drawn clinicians and patients alike to procedures performed in ambulatory surgery centers (ASCs) and other outpatient settings. However, sedation, anesthesia, and analgesia add their own risks to those of the procedure itself. Understanding the latest…

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By: Uyen Vo, BSN, MBA
March 22, 2024
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Safe postop patient recovery: A day in the PACU leader role

Critical assessment and rapid response are essentials skills for perioperative staff members, and that goes double for perioperative leadership. Patient-centered leadership is a must. Like the OR, the postanesthesia care unit (PACU, formerly referred to as the “recovery room”) is a critical care area plagued by an influx of new…

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By: Tarsilla Moura
March 22, 2024
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Analgesic clinical trials failing to assess movement-evoked postoperative pain

Editor's Note Most surgical studies still do not report movement-evoked postoperative pain despite the recommendations of expert consensus groups, according to findings published November 27 in Anesthesiology. Researchers came to essentially the same conclusion upon re-evaluating the assessment of pain at rest and movement-evoked pain in 2011. In this updated…

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By: Matt Danford
March 5, 2024
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Study questions use of fusion surgery for treating sacroiliac joint pain

Editor's Note A recent double-blind, randomized controlled trial could not prove that minimally invasive sacroiliac joint fusion was any more effective than sham surgery in treating severe sacroiliac joint pain. “With these findings, there should be discussion in the medical community whether an irreversible surgical procedure with related risks and…

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By: Matt Danford
February 21, 2024
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Study: Intrathecal morphine reduces post-op opioid need in open prostate, kidney surgeries

Editor's Note A recent study suggests a single dose of intrathecal morphine provides long-lasting analgesia and reduces the need for postoperative systemic administration of opioids after painful open urological procedures. The Journal of PeriAnesthesia Nursing published the data January 31. Intrathecal opioid administration is an attractive technique in these surgeries…

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By: Matt Danford
February 20, 2024
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New Joint Commission requirements for total hip, knee replacements focus on opioids, diabetes

Editor's Note The Joint Commission has released revised requirements for the advanced disease-specific care certification for total hip and total knee replacement (THKR). The requirements, which are designed to align with the updated AAOS clinical practice guidelines, go into effect July 1, 2024 and focus largely on addressing opioids and…

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By: Brita Belli
February 1, 2024
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Anti-inflammatory drug reduces opioid requests after surgery

Editor's Note: An FDA-approved anti-inflammatory drug used to treat poisoning and liver damage could help reduce patient requests for opioids after surgery, according to findings published October 25 in the Future Medicine journal Pain Management. The study involved 50 patients who were given either a set dose of the anti-inflammatory…

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By: Brita Belli
January 16, 2024
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Study: Less-painful propofol alternative non-inferior in general anesthesia induction

Editor's Note: HSK3486 injectable emulsion (ciprofol) is noninferior to propofol in successful induction of general anesthesia, according toa study published December 13 in Anesthesiology. The study also confirmed prior data indicating HSK3486 causes substantially less injection-site pain. The multicenter, randomized (2:1), double-blind, propofol-controlled, phase-4 study evaluated 255 adults undergoing elective surgery…

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By: Matt Danford
January 12, 2024
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Stronger quads shown to reduce need for knee replacement surgery

Editor's Note Stronger thigh muscles could help patients to avoid knee replacement surgery, HealthLine November 27 reports. Preliminary research findings were presented at the annual meeting of the Radiological Society of North America. Osteoarthritis is caused by age-related wear and tear and often occurs in those over 50. According to…

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By: Brita Belli
November 28, 2023
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