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…
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…
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…
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…
Breaking down pain treatments in the OR and ASC
Pain treatments have applications in traditional hospital OR settings and ambulatory surgery centers (ASCs). “The choice of setting depends on the specific needs of the patient, the type of procedure being performed, and the resources available,” says Wang Lushun, MD, senior consultant orthopedic surgeon at Arete Orthopaedic Centre in Singapore.…
Study IDs 10 risk factors for opioid overdose after prescription
Editor's Note A large study led by researchers at McMaster University in Ontario, Canada, identified 10 predictors of opioid overdose after prescription for chronic pain, as published by CMAJ (Canadian Medical Association Journal) on October 23. While there are screening tools to identify patients at higher risk of addiction or…
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…
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…
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…
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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