A multivariable prediction model for outcome after lower back surgery may reliably predict 12-month improvements.
Systemic lidocaine administered via IV or patch has consistently shown effectiveness for the treatment and prevention of chronic pain.
Prescription opioid duration — not dosage — following surgery may be associated with a greater risk for opioid misuse in patients with no prior history of opioid use.
Disseminating an educational brochure improves disposal of unused opioids after surgery.
Opioids may be overprescribed frequently after surgery in most specialties.
Compared with placebo, gabapentin administered pre- and postoperatively may reduce the time to postoperative opioid cessation, but was not shown to improve postoperative pain resolution.
The use of statins after hip surgery may not reduce pain levels or the need for opioids.
Genetics may be a factor in the experience of chronic postoperative pain as 42 polymorphisms were found to be correlated with chronic postsurgical pain.
Patients used only 40% of the hydrocodone-acetaminophen combination tablets prescribed to them following rhinoplasty.
A Surgical Pleth Index target level lower than that reported in the current literature may be more appropriate in research studies examining SPI-guided anesthesia in pediatric patients.
Intraoperative low-dose naloxone reduced postoperative hyperalgesia but had no effect on pain when combined with high-dose remifentanil for elective thyroid surgery.
Fewer randomized controlled trials include children vs adult cohorts, and the evidence pertaining to this population.
Continuous infusions of midazolam plus morphine do not provide additional pain relief compared with intermittent dosing of those drugs, and may increase hospital length of stay among pediatric patients who have undergone cardiac surgery.
Patients receiving regional anesthesia are unable to accurately predict pain outcomes after surgery.
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.
Clinical Pain Advisor Articles
- Reviewing the Efficacy, Safety, and Tolerability of Cannabis-Based Medicines for Chronic Neuropathic Pain
- Femoral Nerve Block Alone or in Combination With Sciatic Nerve Block for TKA: A Meta-Analysis
- Tackling the Chronic Pain and Opioid Use Disorder Crises Through Public-Private Partnerships
- How the City of San Francisco Is Tackling the Intertwined HIV/HCV and Opioid Epidemics
- The State of Drug Storage, Disposal Labeling Information for Opioid Analgesics
- Radiofrequency Ablation for Chronic Hip Pain: Reviewing the Evidence
- Opioid Use Disorder Treatment: Evidence-Based Guideline
- Betel Quid Addiction and Implications for Substance Use Disorder
- Low Back Pain: Contributing Factors, Prophylactic Strategies, and Effective Treatments
- Exparel Approved for Use as Interscalene Brachial Plexus Nerve Block
- Transcranial Magnetic Stimulation May Prevent Migraine in Adolescents
- Widespread Impact of Reducing Opioids, Adding IV Acetaminophen for Postsurgical Pain Management
- GI Safety Compared for NSAIDs in Patients With Arthritis
- Opioid Prescribing Trends in Patients With, Without Cancer
- DOJ Rescinds Protections Afforded by Americans With Disabilities Act