Post-ICU Syndrome: Identifying Challenges and Improving Mortality
Post-ICU syndrome includes psychological effects — depression, anxiety, and PTSD — as well as worsened physical functioning.
Acute Pain
ACUTE PAIN
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Cesarean Section Quality Initiative Cuts Opioid Use
The enhanced recovery after surgery (ERAS) program, a quality improvement initiative that made changes to preoperative and postoperative processes, leads to reductions in opioid use without increased pain and with faster recovery.
Analgesic Ceiling Dose of Ibuprofen for Acute Pain in the ED Determined
Ibuprofen doses of 400, 600, and 800 mg were found to provide comparable analgesia in adult patients seen in the emergency department with moderate to severe acute pain.
Prescription Size Predicts Persistent Opioid Use After Cardiothoracic Surgery
Prescription size is associated with increased new persistent opioid use among patients after cardiothoracic surgery.
Postoperative Opioid Prescription Size Reduced After Guideline Release
A reduction in postoperative opioid prescription size was observed following release of evidence-based opioid prescribing guidelines in Michigan.
Local Infiltration Analgesia Nonsuperior to Placebo for Improving Recovery After THA
Local infiltration analgesia with 0.2% ropivacaine may not improve recovery 1 day after anterior total hip arthroplasty surgery in adult patients with osteoarthritis.
Intranasal Sufentanil Reduces Acute Trauma Pain Treated in the ED
Intranasal sufentanil is comparable to intravenous morphine for acute severe trauma pain treated in the emergency department.
Pain Catastrophizing Scores May Improve After Total Knee Replacement for Osteoarthritis
Pain was found to improve with pain catastrophizing in patients with osteoarthritis after unilateral total knee replacement surgery.
Addition of Morphine to Femoral Nerve Block Improves Post-TKA Analgesia
Administration of epidural morphine during single-injection femoral nerve block may improve pain and quality of life in patients who have undergone total knee arthroplasty.
Reducing Postoperative Opioid Consumption
Prescribing fewer opioid pills after surgery and providing opioid use education before surgery may reduce postoperative opioid consumption.
Prescribing Fewer Tablets Can Lower Post-ACL Surgery Opioid Use
For patients undergoing anterior cruciate ligament reconstruction, prescribing fewer tablets is associated with lower postoperative opioid consumption.
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