Despite concerns, patients see opioids as superior, expect them for postop pain
Editor's Note Despite concerns about addiction and side effects of opioids, patients still expect them to be prescribed and believe them to be the most effective for postoperative pain relief, finds this study presented October 13 at the Anesthesiology 2018 annual meeting in San Francisco. Researchers gave a 13-question survey…
Effective interventions for postop opioid prescribing
Editor's Note Interventions at the physician or organizational level (eg, workflow changes) were found to be better tools for creating change in postoperative opioid prescribing than interventions at the patient level (eg, patient education), in this review. This analysis of eight studies published after 2000 that included 2,272 patients found…
CDC: Drug overdose mortality reaches new high
Editor's Note Preliminary data, reported August 15, by the Centers for Disease Control and Prevention show that drug overdose mortality in the US hit record high levels last year, increasing to more than 72,000 deaths. The increase in mortality was driven mainly by fatalities involving fentanyl and other synthetic opioids.…
CDC: Naloxone use by emergency medical services up 75% in 4 years
Editor's Note Naloxone administration by emergency medical services increased 75.1% between 2012 and 2016, mirroring a 79.7% increase in fatal opioid overdoes during the same time period, according to the August 10 Morbidity and Mortality Weekly Report (MMWR) from the Centers for Disease Control and Prevention (CDC). Young adults made…
Study: Prevalence of preop opioid use and patient characteristics
Editor's Note In this study of 34,186 surgical patients in the University of Michigan Health System, 23.1% were taking opioids preoperatively, and the use of opioids was associated with a more negative medical and pain profile. Patient age, tobacco use, illicit drug use, higher pain severity, depression, higher Fibromyalgia Survey…
FDA statement on access to opioids for patients with chronic, end-of-life pain
Editor's Note Food & Drug Administration (FDA) commissioner, Scott Gottlieb, MD, on July 9 issued a statement on balancing access to appropriate treatment for patients with chronic and end-of-life pain with the need to stem the misuse and abuse of opioids. As the FDA considers new steps to address the…
Opioid abuse, dependence increases postop readmissions
Editor's Note Opioid abuse or dependence after major surgical procedures was associated with increased readmission rates and healthcare utilization. Of 16,016,842 patients in the National Readmission Database analyzed, 94,903 (0.6%) had diagnoses of opioid abuse or dependence. Comparing patients with and without opioid abuse or dependence, researchers found that patients…
OR leaders feel the pain of the opioid crisis
The OR isn’t exempt from the effects of the opioid crisis. Identifying patients taking opioids is part of OR clinicians’ responsibilities, and they also play an important role in preventing opioid addiction. “We have patients who have opioid use disorder [OUD] and neglect to tell us,” says Mary Jo Steiert,…
Editorial
According to the US Centers for Disease Control and Prevention, nearly 2 million Americans have a prescription-related opioid use disorder, and 46 people die from a prescription opioid-related overdose every day—more than a fourfold increase since 1999. Statistics like these are in the news nearly every day, and there is…
ECRI Institute PSO sheds light on opioid use in acute care
OR Manager, Inc., and ECRI Institute have joined in a collaboration to bring OR Manager readers periodic articles on topics such as medical technology management and procurement, risk management, and patient safety. ECRI Institute is an independent nonprofit that researches the best approaches to improving patient care. Opioids are the…
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