In a preliminary study, high-frequency spinal cord stimulation was found to be more effective in treating chronic pain than conventional stimulation.
Complete handover of intraoperative anesthesia care is associated with an increased risk of adverse postoperative outcomes among adults undergoing major surgery.
Intravenous Acetaminophen May Reduce Hospital Length of Stay in Adolescents Undergoing Posterior Spinal FusionJanuary 16, 2018
Postoperative management of adolescents undergoing posterior spinal fusion surgery with intravenous acetaminophen may have an opioid-sparing effect, due to a reduced hospital length of stay.
Parent- and nurse-controlled analgesia may not reduce postoperative pain in children with developmental delay compared with opioids administered by a nurse as needed.
The FDA has granted Fast Track Designation to the investigational treatment CA-008 (Concentric Analgesics) for the treatment of post-surgical pain.
Implementation of an enhanced recovery after surgery protocol resulted in an increase in opioid-free anesthesia and multimodal analgesia, but did not modify opioid prescribing practices.
Trevena has submitted their New Drug Application to the FDA for Olinvo, an oliceridine injection, for the management of moderate-to-severe pain in the hospital and similar settings.
Among children who have undergone minor outpatient orthopedic surgery, ibuprofen provides equivalent postoperative pain relief compared with oral morphine.
Intraoperative systemic lidocaine may reduce chronic persistent postmastectomy pain at 6 months after surgery.
Post-operative opioid therapy may not be necessary for patients undergoing ankle surgery.
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.
Many patients experience pain months after nephrectomy. Continuous surgical site analgesia may offer the best long-term pain control.
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.
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.
Importance of finding ways to mitigate chronic opioid use after surgery.
Effective management of perioperative pain may reduce the frequency and duration of postmastectomy pain syndrome.
Despite legislation, there is a longer wait time for vital acute-care medications.
Preoperative opioid use is a better predictor for prolonged postoperative opioid use than pain, substance abuse, and affective disorder.
New research suggests that ibuprofen does not increase the risk of bleeding after plastic surgery procedures.
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.
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.
Of the patients who received TXA, 9.7% received a blood transfusion, compared with 22.1% of patients who did not receive TXA.
No improvement in postoperative outcomes compared with prescribed exercise program.
In adolescents undergoing scoliosis surgery, anxiety and depression higher before procedure.
Care plan should be tailored to the individual and type of surgical procedure involved.
Patients who listened to guided meditation or music during their biopsy reported significantly greater reductions in anxiety and fatigue than standard care.
Researchers examined a variety of clinical, laboratory, and CT findings to see if they were predictive of death, and identified 9 factors statistically associated with mortality.
American Board of Anesthesiology President Cynthia Lien discusses how the new version of the ABA's CME program will help anesthesiologists stay on top of their medical knowledge.
A potential advantage of the less invasive procedure is that it avoids trauma to surrounding tendons, nerves, vessels and muscles during surgery.
Risk stratification, drug screening, and pharmacogenetic testing should guide prescribing habits.
Clinical Pain Advisor Articles
- Radiofrequency Denervation Efficacious in Treating Thoracic Zygapophyseal Joint Pain
- Prescribed Opioids Difficulties Scale Effective for Assessing Concerns of Patients With Chronic Pain
- Predictors of Opioid Overdose in High-Risk Users
- Half of Patients Referred for Behavioral Treatment of Migraine Never Initiate Treatment
- Optimal Strategies for Opioid Weaning After Ambulatory Surgery
- Consensus Guidelines for the Use of Intravenous Ketamine for Chronic Pain
- Pain Societies Issue Guidelines on Use of Ketamine for the Management of Acute Pain
- Labor Epidural Analgesia Linked to Reduced Likelihood of Successful Breastfeeding
- Novel Oral Treatment Safe, Effective for Migraine Headache Relief
- DFN-02 Nasal Spray Safe, Effective for Acute Treatment of Episodic Migraine
- Higher PainDETECT Scores, Neuropathic Pain Preoperatively May Increase Risk for Chronic Pain Post-TKR
- Terms Used for Addiction May Be Associated With Explicit, Implicit Bias
- Erenumab Reduces Monthly Migraine Days in Patients With Treatment-Resistant Migraine
- Government and Industry Lead the Way in Funding USPSTF Systematic Reviews
- Communication-Based Intervention Increases Goals-of-Care Discussions Between Physicians, Patients With Serious Illness