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.
Being able to predict which patients are prone to developing chronic pain after surgery could enable clinicians to better prepare pain management strategies.
Migraine & Headache
No cases of postdural puncture headache (PDPH) were reported in a cohort of patients receiving spinal injections with smaller or larger needles for spinal anesthesia during orthopedic procedures.
A prophylactic low dose of dexmedetomidine was found to reduce the incidence of delirium in older adults following surgery.
There is a lot of opportunity to improve on what can be offered to patients.
Perioperative lidocaine does not reduce morphine use in the first 24 hours after posterior arthrodesis and offers no measurable benefits.
Researchers have developed small, fully implantable devices that may one day be used to block pain signals before they reach the brain.
As part of a multimodal analgesic regimen in patients undergoing total knee arthroplasty, duloxetine cuts opioid use compared with placebo.
Experts in anesthesiology, pain management, internal medicine, preoperative assessment, and addiction medicine sought to determine the optimal preoperative administration of both opioid and nonopioid analgesic medications.
Researchers compared oliceridine with morphine, hypothesizing that it would be associated with less respiratory depression.