Tag: Pain

Contrast media shortage reveals cracks in supply chain

May 2022 saw a critical shortage of the iodinated contrast medium (ICM) iohexol that extended well into June because of a COVID-19-related shutdown of a GE Healthcare plant in Shanghai, China, that interrupted the manufacture of ICM. According to the American College of Radiology, contrast media were added to the…

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By: Tarsilla Moura
June 28, 2022
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ASA: Best practices to manage acute pain in surgical patients developed at pain summit

Editor's Note The American Society of Anesthesiologists (ASA) announced on March 8 that it had joined with 14 leading medical specialty organizations to establish seven guiding principles to address the treatment of acute perioperative pain in complex surgical patients. The new principles were developed during a second landmark pain summit…

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By: Judy Mathias
March 14, 2022
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COVID-19 driving the move to regional anesthesia

Cancellations of some surgical procedures during the COVID-19 pandemic and case rescheduling have been a major focus for perioperative leaders. But changes are also occurring in anesthesia practices. For many surgical procedures, the use of regional anesthesia or nerve blocks, coupled with light sedation, is reported to double if the…

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By: Steven C. Eror
July 20, 2021
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Effect of duloxetine on opioid use after TKA

Editor's Note Duloxetine was found to be better than placebo for reducing opioid use and was of equal efficacy to placebo for reducing pain after total knee arthroplasty (TKA), in this study presented at the American Society of Regional Anesthesia and Pain Medicine annual meeting, May 13, in Orlando, Florida.…

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By: Judy Mathias
May 20, 2021
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Study: Postop opioid prescriptions decreasing, but not to recommended levels

Editor's Note Opioids prescribed after outpatient surgery are going down, but still do not meet expert recommendations, a new study from Epic Health Research Network finds. The researchers examined the median number of opioid tablets prescribed after outpatient surgical procedures between January 2017 and December 2020. For four orthopedic procedures,…

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By: Judy Mathias
May 18, 2021
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Joint Commission approves four new EPs for office-based surgery

Editor's Note The Joint Commission, on January 13, announced that it had approved four new elements of performance (EPs) for office-based surgery practices that prescribe medication. The EPs for Medication Management Standard MM.04.01.01, which will become effective July 1, address the following: Having a written policy that identifies specific medication…

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By: Judy Mathias
January 14, 2021
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Patient-preference playlists improve pre- and postop experiences

Streaming music apps and access to music through smartphones and similar devices make it easy to provide many different genres of music and modalities that can ease surgical patients’ fears. The use of music in both pre- and postoperative settings has been extensively researched, but less is known about how…

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By: Judith M. Mathias, MA, RN
November 17, 2020
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What does it take to become an ERAS hospital?

Leaders at Virginia Commonwealth University (VCU) Health System in Richmond started the journey to become an Enhanced Recovery After Surgery (ERAS) hospital in 2016 with the following problem statement: Across surgical specialties, and regardless of superior surgical technique, perioperative care, and anesthesia care, patients can experience extended length of hospital…

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By: Paula Spencer, MSHA, PMP, CPHIMS
August 21, 2020
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Overcoming common obstacles to implementing a perioperative surgical home

Over the last 5 years, the perioperative surgical home (PSH) model has attracted increasing interest from OR directors, anesthesiologists, and surgeons. This team-based, patient-centered approach coordinates all phases of surgical care, from preoperative assessment through intraoperative care and postdischarge recovery. According to the American Society of Anesthesiologists, PSH initiatives have…

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By: OR Manager
March 16, 2020
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Surgeons reduce opioid prescriptions using new multipronged strategy

Editor's Note A system-wide, multipronged pain management and opioid reduction program significantly reduced postoperative opioid discharge prescriptions written for more than 5 days, this study finds. Surgeon education, monitoring, and incentives lead to a shift from longer-term to shorter-term prescriptions for patients after surgery, reducing postoperative opioid prescriptions of more…

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By: Judy Mathias
March 4, 2020
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