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A national working group led by an investigator at Beth Israel Deaconess Medical Center (BIDMC) has developed a Consensus Statement intended to inform safe prescribing of opioids for hospitalised adults with acute pain. The set of 16 recommendations, published today in the Journal of Hospital Medicine, provides guidance about when to use opioids versus other pain management […]
Read MoreThe type of sciatic nerve lesions observed in patients with diabetic peripheral neuropathy (DPN) was found to differ in type 1 and type 2 diabetes in a study published in Annals of Neurology. In addition, nerve lesions were associated with impaired glycemic control in type 1 diabetes and with dyslipidemia in type 2 diabetes. Investigators performed 3-tesla […]
Read MoreCertain prescribing patterns, surgical procedures, and patient characteristics increase patients’ risk of long-term opioid use following surgery or trauma, according to a study published in the Journal of Bone and Joint Surgery. “Approximately 4% of the general population will use prescribed opioids for an extended time after surgery, but, among patients with a history of prescription […]
Read MoreA patient blood management program safely reduced the need for blood transfusions among patients undergoing common orthopaedic surgeries, according to a study published in Anesthesiology. “A growing body of literature shows reducing blood use in surgery reduces risks to patients while also lowering costs,” said lead author Steven M. Frank, MD, Johns Hopkins Health System Blood […]
Read MoreAuthors: Steven P. Cohen, M.D. et al Anesthesiology 9 2018, Vol.129, 517-535. t This Topic: Facet blocks, including intraarticular and medial branch blocks, are frequently used before radiofrequency ablation, but their validity as a predictive tool is unproven Recently, the evidence supporting radiofrequency ablation has come under great scrutiny What This Article Tells Us That Is […]
Read MoreAdding peripheral nerve blocks to routine periarticular injections for total knee replacements has been linked to less postoperative pain and lower opioid consumption, according to a study that will be presented at the American Society of Regional Anesthesia (ASRA) and Pain Medicine meeting. With increasing numbers of patients receiving total knee arthroplasty (TKA) in the […]
Read MoreAuthors: Sepehrvand N et al Heart (Mar 2018) BACKGROUND Although oxygen therapy has been used for over a century in the management of patients with suspected acute myocardial infarction (AMI), recent studies have raised concerns around the efficacy and safety of supplemental oxygen in normoxaemic patients. OBJECTIVE To synthesise the evidence from randomised controlled trials […]
Read MoreAuthors: Kim J, Koh H et al Journal of Shoulder and Elbow Surgery (Mar 2018) BACKGROUND We sought to compare the efficacy of interscalene brachial plexus bolus blockade (IBPBB) and patient-controlled interscalene indwelling catheter analgesia (PCIA) for postoperative pain management within 48 hours postoperatively in patients undergoing arthroscopic rotator cuff repairs (ARCR). METHODS Patients undergoing […]
Read MoreA longer duration of extended-release naltrexone (XR-NTX) treatment in individuals with opioid dependence was associated with improved outcomes and reduced rates of relapse in a study published in Addiction. Monthly visits for XR-NTX treatment of 395 patients with opioid dependence were retrospectively assessed. Patients were divided into subgroups according to the number of XR-NTX injections they received: 6 […]
Read MoreAuthors: Matthias Behrends, M.D. et al Anesthesiology 9 2018, Vol.129, 536-543. What We Already Know about This Topic: Hip arthroscopy is a surgical procedure growing in popularity The optimal approach to postoperative analgesia has not been identified What This Article Tells Us That Is New: The addition of preoperative fascia iliaca block using ropivacaine to the […]
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