Acute Pain

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Role of the Perioperative Surgical Home in the Context of the Opioid Epidemic

Role of the Perioperative Surgical Home in the Context of the Opioid Epidemic

The integration of a Transitional Pain Service into a perioperative surgical home model could optimize perioperative pain control and opioid use, while reducing postdischarge hospital readmissions as well as the costs and disability linked to chronic postsurgical pain.

Pain Scores After Total Knee Arthroplasty May Predict Chronic Opioid Use

Pain Scores After Total Knee Arthroplasty May Predict Chronic Opioid Use

Acute postoperative pain scores were found to be associated with chronic opioid use after total knee arthroplasty in patients taking opioid medications prior to intervention.

Predicting Pain Chronicization After Spine Surgery

Predicting Pain Chronicization After Spine Surgery

The Pain Sensitivity Questionnaire and Pain Catastrophizing Scale were found to be predictive of a chronically painful state in patients undergoing spine surgery in a comparable manner.

Virtual Reality May Effectively Reduce Sensory, Affective, and Cognitive Pain During Labor

Virtual Reality May Effectively Reduce Sensory, Affective, and Cognitive Pain During Labor

Virtual reality may effectively alleviate pain and anxiety for unmedicated women experiencing contractions during the first stage of labor.

Wide Variations in Opioid Prescribing Practices for Surgical Procedures

Wide Variations in Opioid Prescribing Practices for Surgical Procedures

Variation exists in opioid prescribing practices among clinicians in single-hospital systems, which prompts concern about the potential for opioid overprescribing.

Opioids for Obstructive Sleep Apnea Should Be Used With Caution

Opioids for Obstructive Sleep Apnea Should Be Used With Caution

Current literature suggests that opioids should be used with caution in individuals with obstructive sleep apnea in order to prevent opioid-induced respiratory depression.

Postpartum Pain Management Recommendations From the American College of Obstetricians and Gynecologists

Postpartum Pain Management Recommendations From the American College of Obstetricians and Gynecologists

A committee from the American College of Obstetricians and Gynecologists formulated several recommendations for safely managing pain and fatigue in women during the early postpartum period.

Parenteral Opioids May Be Effective for Reducing Pain During Childbirth According to Cochrane Review

Parenteral Opioids May Be Effective for Reducing Pain During Childbirth According to Cochrane Review

The use of parenteral opioid medications may be supported for effective pain relief during labor.

Pain Societies Issue Guidelines on Use of Ketamine for the Management of Acute Pain

Pain Societies Issue Guidelines on Use of Ketamine for the Management of Acute Pain

Consensus guidelines regarding the use of ketamine for the management of acute pain have been approved.

Antipyretic Medications

Information on fever-reducing medications including formulation, strength and dosage.

Recommendations Developed for Managing Postpartum Pain

Recommendations Developed for Managing Postpartum Pain

Noting that untreated pain is associated with increased risks of greater opioid use, postpartum depression, and development of persistent pain, the authors recommend non-pharmacologic and pharmacologic therapies as components of postpartum pain management.

Gluteal Loading Exercise May Not Improve Greater Trochanteric Pain Syndrome

Gluteal Loading Exercise May Not Improve Greater Trochanteric Pain Syndrome

Adding an exercise regimen to a comprehensive educational program for the management of greater trochanteric pain syndrome may not bring significant benefit.

Simple Trick May Reduce Procedural Pain

Simple Trick May Reduce Procedural Pain

Dripping lidocaine onto the skin prior to lidocaine injection may help reduce injection-associated procedural pain.

Acute Pain Treatment in the ED: Consensus Guidelines

Acute Pain Treatment in the ED: Consensus Guidelines

A panel of emergency medicine and pharmacology experts formulated guidelines for safely and effectively treating patients presenting to the emergency department with acute pain.

Conventional vs High-Frequency Spinal Cord Stimulation for Chronic Pain

Conventional vs High-Frequency Spinal Cord Stimulation for Chronic Pain

In a preliminary study, high-frequency spinal cord stimulation was found to be more effective in treating chronic pain than conventional stimulation.

Custom Foot Orthotics vs OTC Insoles for Plantar Heel Pain

Custom Foot Orthotics vs OTC Insoles for Plantar Heel Pain

Researchers conducted a systematic literature review to identify randomized controlled trials comparing 8 different types of foot orthotics.

Virtual Reality as a Distraction From Pain During Medical Procedures

Virtual Reality as a Distraction From Pain During Medical Procedures

Virtual reality appears to be an effective distraction intervention to relieve pain and distress during various medical procedures.

Non-Opioid Therapies for Pain Management in the ED

Non-Opioid Therapies for Pain Management in the ED

The use of non-opioid analgesic therapies is increasing among ED physicians.

Phrenic Nerve Infiltration vs SNB for Acute Ipsilateral Shoulder Pain

Phrenic Nerve Infiltration vs SNB for Acute Ipsilateral Shoulder Pain

Investigators sought to determine whether phrenic nerve infiltration and suprascapular nerve block would control acute ipsilateral shoulder pain after thoracotomy.

Benzhydrocodone/Acetaminophen Combination Gets FDA Approval for Severe Acute Pain

Benzhydrocodone/Acetaminophen Combination Gets FDA Approval for Severe Acute Pain

The FDA has approved Apadaz for the short-term management of acute pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate.

Predicting Acute Pain After Cesarean Delivery to Reduce Risk for Persistent Pain

Predicting Acute Pain After Cesarean Delivery to Reduce Risk for Persistent Pain

The most promising tools to predict acute pain after cesarean delivery are local anesthetic infiltration before placement of spinal anesthesia, and asking patients simple questions about anticipated pain and analgesic needs.

High Bioavailability, Fast Absorption of Buprenorphine With New Sublingual Wafer

High Bioavailability, Fast Absorption of Buprenorphine With New Sublingual Wafer

Preliminary results suggest that a new sublingual buprenorphine wafer may offer high bioavailability and fast absorption for patients treated for acute and chronic pain.

Handover of Intraoperative Anesthesia Care Linked to Increase in Adverse Postoperative Outcomes

Handover of Intraoperative Anesthesia Care Linked to Increase in Adverse Postoperative Outcomes

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 Fusion

Intravenous Acetaminophen May Reduce Hospital Length of Stay in Adolescents Undergoing Posterior Spinal Fusion

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.

Low-Dose Ketamine Provides Comparable Acute Pain Relief, More Adverse Events Than Morphine

Low-Dose Ketamine Provides Comparable Acute Pain Relief, More Adverse Events Than Morphine

Acute pain management in the emergency department with low-dose ketamine may provide pain relief comparable with morphine at 30 minutes.

ACTTION Consensus Provides Best Practices for the Design of Pediatric Clinical Trials Focused on Acute Pain

ACTTION Consensus Provides Best Practices for the Design of Pediatric Clinical Trials Focused on Acute Pain

Key factors susceptible to improve the design of clinical trials on analgesics for acute pain in pediatric populations were reviewed and recommendations published.

High Prevalence of Musculoskeletal Disorders in At-Risk Physicians

High Prevalence of Musculoskeletal Disorders in At-Risk Physicians

The most common work-related musculoskeletal disorders in physicians were found to be degenerative cervical spine disease, rotator cuff pathology, degenerative lumbar spine disease, and carpal tunnel syndrome.

Postoperative Pain Management in Children With Developmental Delay

Postoperative Pain Management in Children With Developmental Delay

Parent- and nurse-controlled analgesia may not reduce postoperative pain in children with developmental delay compared with opioids administered by a nurse as needed.

Fast Track Designation Granted for Post-Surgical Pain Medication

Fast Track Designation Granted for Post-Surgical Pain Medication

The FDA has granted Fast Track Designation to the investigational treatment CA-008 (Concentric Analgesics) for the treatment of post-surgical pain.

FDA Accepts New Drug Application for Novel Buprenorphine Sublingual Spray

FDA Accepts New Drug Application for Novel Buprenorphine Sublingual Spray

Compared to other commonly used opioids, buprenorphine offers a ceiling effect for respiratory depression and less abuse potential, less cognitive impairment, and less constipation.