Post-Surgical Pain

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Liposomal Bupivacaine Effective for Shoulder Arthroplasty-Related Pain

Liposomal Bupivacaine Effective for Shoulder Arthroplasty-Related Pain

Among patients undergoing shoulder arthroplasty, liposomal bupivacaine was shown to provide better pain relief at 19 to 21 weeks post-surgery with fewer complications compared with continuous interscalene nerve block.

Systemic Lidocaine May Be Effective for Postmastectomy Pain

Systemic Lidocaine May Be Effective for Postmastectomy Pain

Intraoperative systemic lidocaine may reduce chronic persistent postmastectomy pain at 6 months after surgery.

Intra-Articular Anesthesia Reduces Pain After Arthroscopic Hip Surgery

Intra-Articular Anesthesia Reduces Pain After Arthroscopic Hip Surgery

In addition to preoperative femoral nerve block, the use of intra-articular anesthetic injections during arthroscopic hip surgery may offer effective post-procedural pain relief and be associated with a reduced risk for postoperative falls.

Thoracic Epidural Analgesia Effective After Multi-Organ Surgery

Thoracic Epidural Analgesia Effective After Multi-Organ Surgery

Thoracic epidural analgesia is associated with greater pain control, lower need for narcotics, and fewer complications after hepatopancreatobiliary surgery compared with intravenous patient-controlled analgesia.

Electrotherapy, Acupuncture May Decrease Pain Following Total Knee Arthroplasty

Electrotherapy, Acupuncture May Decrease Pain Following Total Knee Arthroplasty

Electrotherapy and acupuncture were both found to reduce and delay opioid consumption after total knee arthroplasty.

Psychological Factors, Not Opioid Use, Linked with Disability After Fracture Surgery

Psychological Factors, Not Opioid Use, Linked with Disability After Fracture Surgery

Post-operative opioid therapy may not be necessary for patients undergoing ankle surgery.

Optimal Pain Management After Total Knee Arthroplasty

Optimal Pain Management After Total Knee Arthroplasty

In patients undergoing total knee arthroplasty, sciatic nerve block plus femoral nerve block was more effective for pain relief than local infiltration analgesia plus femoral nerve block.

Inpatient Rehabilitation Effective After Total Knee Arthroplasty?

Inpatient Rehabilitation Effective After Total Knee Arthroplasty?

Inpatient rehabilitation did not improve mobility among adult patients undergoing uncomplicated total knee arthroplasty at 26 weeks after surgery compared with a home-based monitoring program

Opioid Use Before TKA Associated With Worse Pain After Surgery

Opioid Use Before TKA Associated With Worse Pain After Surgery

Patients taking opioids before total knee arthroplasty may have greater pain after the procedure.

Auricular Point Acupressure Reduces Axial Neck Pain

Auricular Point Acupressure Reduces Axial Neck Pain

Auricular point acupressure may help relieve axial neck pain in patients who have undergone anterior cervical discectomy and fusion.

Sciatic Nerve Block Plus Femoral Nerve Block May Provide Superior Pain Relief After Total Knee Arthroplasty

Sciatic Nerve Block Plus Femoral Nerve Block May Provide Superior Pain Relief After Total Knee Arthroplasty

The meta-analysis indicated that sciatic plus femoral nerve blocks provide analgesia superior to local infiltration combined with femoral nerve block at 24 and 48 hours following TKA.

Perioperative Lidocaine Offers No Benefits in Patients Undergoing Spinal Fusion

Perioperative Lidocaine Offers No Benefits in Patients Undergoing Spinal Fusion

Perioperative lidocaine does not reduce morphine use in the first 24 hours after posterior arthrodesis and offers no measurable benefits.

Pediatric Chronic Postsurgical Pain Prevalence, Risk Factors

Pediatric Chronic Postsurgical Pain Prevalence, Risk Factors

An estimated 20% of children have chronic postsurgical pain 12 months after surgery; several presurgical factors predict CPSP in these patients.

Scheduled Oral Analgesia for Superior Pain Control in Postcesarean Women

Scheduled Oral Analgesia for Superior Pain Control in Postcesarean Women

Prescheduled pain management strategies after cesarean delivery are superior to receiving medications on-demand.

Joint Replacement Surgery Outcomes Improved With SSRIs

Joint Replacement Surgery Outcomes Improved With SSRIs

Selective serotonin reuptake inhibitor use was associated with a reduced risk of revision surgery following total hip or total knee replacement surgery.

Sleep Quality Linked With Postoperative Pain Intensity In Children

Sleep Quality Linked With Postoperative Pain Intensity In Children

An association was found between sleep quality and next-day pain intensity in children undergoing major surgery.

Thoracic Paravertebral Nerve Block for Postthoracotomy Pain

Thoracic Paravertebral Nerve Block for Postthoracotomy Pain

Continuous thoracic paravertebral nerve block is similarly effective as epidural anesthesia for the management of postthoracotomy pain.

Bupivacaine for Breast Reconstruction-Associated Pain?

Bupivacaine for Breast Reconstruction-Associated Pain?

For patients undergoing autologous breast reconstruction, the incidence of chronic postsurgical pain does not differ for patients receiving transversus abdominis plane catheters delivering bupivacaine or saline bolus.

Benchmarking to Address Total Hip Arthroplasty-Related Pain?

Benchmarking to Address Total Hip Arthroplasty-Related Pain?

A standardized process for data analysis and internal benchmarking facilitated a reduction in pain following hip arthroplasty.

Difficulty in Evaluating Pharmacologic Interventions Following Craniotomy

Difficulty in Evaluating Pharmacologic Interventions Following Craniotomy

Studies reporting pharmacological and adjuvant analgesic modalities for post-craniotomy pain control have significant divergence in their research methods.

COX-2 Inhibition to Reduce Persistent Pain After Breast Cancer Surgery?

COX-2 Inhibition to Reduce Persistent Pain After Breast Cancer Surgery?

COX-2 inhibition in the perioperative period does not further reduce persistent pain after breast cancer surgery.

Pain Control After Nephrectomy: Epidural & Continuous Surgical Site Analgesia

Pain Control After Nephrectomy: Epidural & Continuous Surgical Site Analgesia

Many patients experience pain months after nephrectomy. Continuous surgical site analgesia may offer the best long-term pain control.

Intra-Articular Magnesium for Arthroscopic Surgery-Related Pain

Intra-Articular Magnesium for Arthroscopic Surgery-Related Pain

Results of the meta-analysis indicated that single-dose IA injection of Mg following arthroscopic knee surgery provided effective pain relief, with adverse effects no greater than those seen with placebo.

Updated Guidelines on Neurostimulation for Chronic Pain by the European Academy of Neurology

Updated Guidelines on Neurostimulation for Chronic Pain by the European Academy of Neurology

The lack of evidence base for treating chronic pain with neurostimulation resulted in the development of guideline recommendations based on systematic review and meta-analysis of published studies.

Does Massage Therapy Significantly Improve Function in Patients With Post-Surgical Pain?

Does Massage Therapy Significantly Improve Function in Patients With Post-Surgical Pain?

The researchers concluded that the results from this systematic review and meta-analysis are promising, and that it is worth investing in these recommendations in future research to be able to eventually offer massage therapy to surgical patients experiencing pain.

Identification of a Factor Associated with Persistent Pain Following Breast Cancer Surgery

Identification of a Factor Associated with Persistent Pain Following Breast Cancer Surgery

Only patients for whom sentinel lymph node biopsy is positive should undergo axillary dissection

Metamizole Could Be Alternative to Classical NSAIDs for Postoperative Pain Management

Metamizole Could Be Alternative to Classical NSAIDs for Postoperative Pain Management

Fewer gastric, duodenal ulcers with metamizole; limited risk of bleeding in postoperative pain management.

Opioids: Not an Effective Stand-Alone Treatment for Chronic Pain Following Surgery

Opioids: Not an Effective Stand-Alone Treatment for Chronic Pain Following Surgery

Importance of finding ways to mitigate chronic opioid use after surgery.

Rates of Chronic Opioid Use Increase Following 7 Common Surgeries

Rates of Chronic Opioid Use Increase Following 7 Common Surgeries

Chronic opioid use following surgery occurs because surgery may unmask an individual's susceptibility toward long-term opioid use

Enhanced Recovery Pathway Helpful in Gyn-Onc Surgery

Enhanced Recovery Pathway Helpful in Gyn-Onc Surgery

Combination of patient education, multimodal analgesia, opioid minimization, nausea prophylaxis beneficial for patients undergoing gynecologic oncology minimally invasive surgery.