Tag: Pain

ACS: Three tips for managing postop pain

Editor's Note For Pain Awareness Month, the American College of Surgeons (ACS), on September 6, shared three tips for managing pain after surgery. Jonah J. Stulberg, MD, PhD, MPH, FACS, a member of the ACS Patient Education Committee and vice chair of research for the department of surgery at UT…

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By: Judy Mathias
September 7, 2023
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Association of mobilization with postop complications

Editor's Note This study led by researchers at the Cleveland Clinic examines the association between postoperative mobilization after major elective surgery and a composite of primary postoperative outcomes (ie, myocardial injury, ileus, stroke, venous thromboembolism, pulmonary complications, and all-cause in-hospital mortality) and secondary outcomes (ie, hospital length of stay, cumulative…

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By: Judy Mathias
August 11, 2023
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Managing MALS during surgery means addressing chronic pain

Median Arcuate Ligament Syndrome (MALS) presents a challenge to anesthesiologists and surgeons alike in the OR. Clinicians often do not know how to identify and treat this condition, and it can go undetected for years. “I think the reason many anesthesiologists, even pain specialists, aren’t well versed or aware of MALS…

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By: Jennifer Lubell
June 21, 2023
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Does golf swing contribute excessive force to hip implant after THA?

Editor's Note This Japanese study, for the first time, examined kinematics and kinetics of the hip joint during driver golf swings of patients who had a total hip arthroplasty (THA) and finds that the swings do not contribute excessive force to the implant. The researchers recruited 10 primary THA patients…

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By: Judy Mathias
June 6, 2023
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FDA updates opioid prescribing information

Editor's Note The Food and Drug Administration (FDA), on April 13, updated prescribing information for all opioid pain medications, including requiring all packaging to have updated labeling and safety information. This includes stating that: for both immediate-release (IR) and extended release/long acting (ER/LA) opioid pain medications, the risk of overdose…

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By: Judy Mathias
April 18, 2023
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Reducing opioids prescribed after total joints

Editor's Note This study from the University of Michigan, Ann Arbor, finds that total hip (THA) and total knee (TKA) arthroplasty patients could be prescribed less opioids after surgery without the need for refills. The analysis included a cohort of 120,889 opioid-naïve primary total joint arthroplasty patients aged 18 to…

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By: Judy Mathias
March 10, 2023
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Comparison of postop opioids prescribed by APCs vs surgeons

Editor's Note This study from the University of Michigan Medical School, Ann Arbor, finds that postoperative opioid prescriptions written by advanced practice clinicians (APCs), defined as nurse practitioners and physician assistants, had higher total dosages compared with those written by surgeons. A total of 628,197 surgical procedures involving 581,387 adults…

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By: Judy Mathias
January 4, 2023
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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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