Effect of propofol vs inhalation anesthesia on postop pain
Editor's Note In this meta-analysis, propofol anesthesia was associated with reduced postoperative pain intensity at 30 minutes, 1 hour, and 12 hours as well as reduced morphine-equivalent consumption 0 to 24 hours postoperatively. Fewer patients required postoperative rescue analgesics during 0 to 24 hours after surgery under propofol, and patients…
Predictors of persistent opioid use after total joints
Editor's Note Many total hip and knee patients are still taking opioid pain medication up to 6 months after surgery, finds this study. The study identifies several predictors for persistent opioid use: Of patients taking opioids before surgery, 53% of total knee and 35% of total hip patients were still…
Shoulder surgery new testing ground for opioid alternatives
Editor's Note As part of the drive to reduce opioid use, rotator-cuff repairs are becoming a testing ground for alternative approaches to pain management, the May 23 Wall Street Journal reports. Because rotator-cuff surgery is one of the most painful procedures to recover from, physicians hope that if alternative painkilling…
Noninvasive monitor accurately assesses response to pain during surgery
Editor's Note A new measure for assessing the body’s response to painful stimuli during surgery may allow for better anesthesia management, less pain when regaining consciousness, and better postoperative outcomes, this study finds. The measure, called the nociception (pain) level index, uses an algorithm to process multiple hormonal and neurological…
New clinical practice guideline on postop pain management
Editor's Note The American Pain Society, American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists have issued a new guideline on the “Management of Postoperative Pain.” The guideline provides recommendations that address aspects of postoperative pain management, including: preoperative education perioperative pain management planning use…
Music lowers postop pain, anxiety
Editor's Note Patients who listened to music before, during, or after surgical procedures had less postoperative pain and anxiety and higher patient satisfaction, in this study. Choice of music and timing of delivery made little difference. Music was effective even when patients were under general anesthesia.
Avera McKennan finds innovative strategies to address orthopedic pain management
Postsurgical pain scores are highly correlated with reports of overall patient satisfaction during hospital stays, according to a poster presented at the 2014 American Academy of Pain Medicine annual meeting. Dermot Maher, MD, and his colleagues from Cedars Sinai Medical Center in Los Angeles examined patient responses on HCAHPS (Hospital…
Pain and patient experience: A business partnership
Managing patients’ pain is no longer just a clinical goal—it’s a business necessity. The Centers for Medicare and Medicaid Services (CMS) has started incorporating value-based purchasing (VBP) scores, which include customer satisfaction, into hospital reimbursement payments. Of the total VBP score, 30% comes from results from the Hospital Consumer Assessment…
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