Analgesic clinical trials failing to assess movement-evoked postoperative pain
Editor's Note Most surgical studies still do not report movement-evoked postoperative pain despite the recommendations of expert consensus groups, according to findings published November 27 in Anesthesiology. Researchers came to essentially the same conclusion upon re-evaluating the assessment of pain at rest and movement-evoked pain in 2011. In this updated…
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…
New Joint Commission requirements for total hip, knee replacements focus on opioids, diabetes
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…
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: Fondoplication, Roux-en-Y gastric bypass both viable for GERD patients with obesity
Editor's Note: Fondoplication and Roux-en-Y gastric bypass are both viable choices for treating gastroesophageal reflux disease (GERD) in patients with obesity, according to a recent study comparing the two procedures. Results were published December 27 in ScienceDirect. The study was based on a retrospective review of a prospectively maintained quality…
Postoperative opioid prescriptions falling, but more improvement needed
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…
Researchers look for genetic drivers of postop pain
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…
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.…
Limiting opioid medication did not negatively impact patients post-surgery
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…
New CMS rule focuses on postop opioids in outpatient settings
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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