Seven common guiding principles were formulated for the management of acute perioperative pain.
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What the Anesthesiologist Should Know before the Operative Procedure? Total knee arthroplasty (TKA) is considered an elective procedure. It typically involves the use of a thigh tourniquet, and consequently expected intra operative blood loss is minimal. Blood loss, however, can be considerable in the Post Anesthesia Care Unit (PACU) if the case is a simultaneous…
What the Anesthesiologist Should Know before the Operative Procedure Subacromial decompression is performed for treatment of shoulder impingement syndrome. This condition occurs in people of all ages, particularly in those exposed to repetitive arm elevation activities such as overhead lifting or throwing. Recurrent inflammation of the bursa that lies between the acromion and the rotator…
What the Anesthesiologist Should Know before the Operative Procedure Extrahepatic biliary atresia is a progressive congenital condition that occurs as a result of an obliterative inflammatory process of unknown etiology. It is characterized by cholestasis and hepatic fibrosis and leads to cirrhosis, portal hypertension, and synthetic liver failure. The Kasai portoenterostomy bypass is a surgical…
Transcranial direct current stimulation of the left dorsal anterior cingulate cortex may be associated with improvements in pain-related function, distress, and depression in patients with chronic low back pain
Clinicians are reducing or discontinuing opioid therapy for patients in light of the 2016 guidelines for opioid prescribing by primary care physicians issued by the CDC.
Multimodal analgesia after hip or knee arthroplasty may be associated with fewer complications and reduced opioid prescriptions and hospital length of stay, compared with unimodal analgesia.
Anthony Mariano, PhD, provided guidance for clinicians for tapering patients off opioids.
Continuous thoracic paravertebral nerve block is similarly effective as epidural anesthesia for the management of postthoracotomy pain.