Post-Surgical Pain

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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 Chronic Pain?

Does Massage Therapy Significantly Improve Function in Patients With Chronic 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.

Chronic Pain After Mastectomy: A Common and Challenging Pain Syndrome

Chronic Pain After Mastectomy: A Common and Challenging Pain Syndrome

Effective management of perioperative pain may reduce the frequency and duration of postmastectomy pain syndrome.

Shortages of Acute, Non-Acute Drugs Continues in US

Shortages of Acute, Non-Acute Drugs Continues in US

Despite legislation, there is a longer wait time for vital acute-care medications.

Preoperative Opioid Use Significantly Impacts Postoperative Opioid Course

Preoperative Opioid Use Significantly Impacts Postoperative Opioid Course

Preoperative opioid use is a better predictor for prolonged postoperative opioid use than pain, substance abuse, and affective disorder.

Using Ibuprofen After Surgery: Does It Increase Bleeding Risk?

Using Ibuprofen After Surgery: Does It Increase Bleeding Risk?

New research suggests that ibuprofen does not increase the risk of bleeding after plastic surgery procedures.

Patient-Controlled PO Analgesia Non-Inferior to Parenteral Analgesia Post C-Section

Patient-Controlled PO Analgesia Non-Inferior to Parenteral Analgesia Post C-Section

This randomized, controlled study found that women assigned to a PO patient-controlled analgesia (PCA) regimen after c/s had comparable rates of pain control as compared to patients receiving standard parental analgesia for postoperative pain management.

Assessing Opioids Prescribed After Low-Risk Surgical Procedures

Assessing Opioids Prescribed After Low-Risk Surgical Procedures

To understand patterns of postoperative opioid prescribing over time, researchers examined the trends of commonly-prescribed opioids after low-risk surgical procedures in the United States.