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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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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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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Editor's Note A new study finds that while opioid prescriptions for postoperative pain relief have continued to decline, that downward trend has slowed since 2020, indicating the need for continued work to right-size opioid prescriptions for surgery patients. The findings were published by JAMA Network on December 7. Researchers looking…

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Editor's Note A new study that attempted to find genetic drivers of postoperative pain uncovered only two associated alleles, suggesting wider examination is needed. The findings were published in the American Society of Anesthesiologists journal Anesthesiology December 2023 issue. The researchers looked at 163 studies and evaluated 129 genes and…

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Editor's Note A 5-day limit on opioid pain medication prescriptions in Michigan did not negatively impact patient-reported pain levels or satisfaction, JAMA Network October 13 reports. The study, titled "Changes in surgical opioid prescribing and patient-reported outcomes after implementation of an insurer opioid prescribing limit," was published by JAMA Health…

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Editor's Note This cohort study, published by the British Journal of Anesthesia in September 2023, finds that surgical patients who are discharged with prescribed opioids have higher risks of hospital readmission and mortality.  The study looked at data from a territory-wide retrospective cohort of patients in Hong Kong who underwent…

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Editor's Note The American College of Surgeons (ACS), on September 12, announced a new quality improvement (QI) project that will evaluate the most effective ways to help patients safely manage postoperative pain and reduce the risk of opioid dependence. The project will be conducted in collaboration with Health Care Service…

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Editor's Note The Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act, which is set to take effect in 2025, will set up a separate Centers for Medicare and Medicaid Services (CMS) payment for certain nonopioid pain management techniques in outpatient and ambulatory surgery center (ASC) settings, the September 12 Becker’s…

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Editor's Note A new study led by researchers at Massachusetts General Hospital (MGH) finds reduced opioid administration during surgery unintendedly increased postoperative pain and opioid use. The retrospective cohort study included 61,249 individuals who underwent noncardiac surgery with general anesthesia from April 2016 to March 2020. The maximal pain score…

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