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Patients undergoing robotic hysterectomy were found to report comparable pain scores when receiving celecoxib perioperatively or ketorolac postoperatively — both as part of a multimodal pain management plan — in a study published in Gynecologic Oncology. In addition, treatment that included celecoxib was associated with lower postoperative opioid use. Celecoxib, a COX-2 inhibitor with anti-inflammatory properties, is not […]
Read MoreThe use of a vibrating kinetic anesthesia device (KAD) may be well-tolerated and effective in reducing pain associated with infiltrative lidocaine injections for biopsy and excisional surgery, according to the results of an open-label randomized controlled trial published in the Journal of the American Academy of Dermatology. Healthy adults who could tolerate lidocaine injections were randomly assigned to […]
Read MoreI thought this was interesting since anesthesia often uses IV acetaminophen Intravenous (IV) hydromorphone may provide greater analgesic effect compared with IV acetaminophen in adult patients presenting to the emergency department with severe acute pain, according to a study published in the Annals of Emergency Medicine. For this double-blind, randomized prospective trial, which was carried out in 2 […]
Read MoreA study published in Pain Medicine found that people undergoing surgery at the Veterans Health Administration were 11 times more likely to experience opioid overdose in the first 30 days postdischarge than during the remaining days of the year following surgery. This retrospective cohort study sought to determine the association between postdischarge opioid use (ongoing […]
Read MoreClinical Pain Advisor Although there has been an increasing focus on addressing opioid use disorders (OUDs) in outpatient settings, there is a dearth of research regarding perioperative pain management in people with a history of OUD. Opioid tolerance and medications used for OUD treatment present significant challenges in this setting. “Patients with OUD have been […]
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