Optimal opioid prescription durations following surgical procedures were shown to vary from 4 to 15 days, depending on the type of surgical procedure.
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 is associated with greater pain control, lower need for narcotics, and fewer complications after hepatopancreatobiliary surgery compared with intravenous patient-controlled analgesia.
The use of capsaicin 8% patch repeat treatment is well tolerated and may provide effective long-term benefit in patients with peripheral neuropathic pain.
Preemptive analgesia seeks to prevent central sensitization and ensuing chronic pain, a concept that has shown promising results in preliminary studies.
Adding a sciatic nerve block to a continuous femoral nerve block after total hip arthroplasty significantly reduces pain.
Ketamine was found to alleviate several pain modalities, and a number of clinical trials investigating its efficacy are ongoing.
SoluMatrix indomethacin may represent a treatment option for the management of moderate acute pain, including patients in emergency room settings.
Patients taking opioids before total knee arthroplasty may have greater pain after the procedure.
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 ArthroplastyMay 24, 2017
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 does not reduce morphine use in the first 24 hours after posterior arthrodesis and offers no measurable benefits.
Elevated rates of new persistent opioid use were found in patients undergoing both minor and major surgical procedures.
Perioperative surgical homes and Enhanced Recovery After Surgery protocols can improve postoperative outcomes in patients with chronic opioid use.
An association was found between sleep quality and next-day pain intensity in children undergoing major surgery.
Viewing photographs can decrease pain intensity in patients with chronic pain.
Intravenous lidocaine seems safe for reducing pain among patients in the intensive care unit with varying degrees of organ dysfunction.
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.
Pharmaceutical companies are working to develop non-opioid drugs for chronic and postoperative pain.
COX-2 inhibition in the perioperative period does not further reduce persistent pain after breast cancer surgery.
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.
"Ultimately, the goal is to turn our clinics into research laboratories where every single patient is characterized," noted Dr Mackey.
Fewer gastric, duodenal ulcers with metamizole; limited risk of bleeding in postoperative pain management.
Of the patients in the trial, 5 developed serious adverse effects, including pain.
Combination of patient education, multimodal analgesia, opioid minimization, nausea prophylaxis beneficial for patients undergoing gynecologic oncology minimally invasive surgery.
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