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Presurgical factors that were predictive of chronic postsurgical pain included presurgical pain intensity, child anxiety and pain coping efficacy, and parental pain catastrophizing. According to a meta-analysis published in the Journal of Pain, an estimated 20% of children have chronic postsurgical pain (CPSP) 12 months after surgery; several presurgical factors predict CPSP in these patients.1 Between 10% and […]
Read MoreThe term clearance implies that a patient can proceed with surgery and will have no risk for complications — which is a fictional state. As a cardiologist, I am often asked to perform preoperative cardiovascular “clearance” — whatever that means — on patients prior to elective procedures. The term clearance implies that a patient can proceed with […]
Read More“Many patients receive their first exposure to opioids following surgery, but the incidence of new persistent opioid use after surgical care is not well defined.” In a population-based study reported in JAMA Surgery, researchers from the University of Michigan Medical School found elevated rates of new persistent opioid use in patients undergoing both minor and major […]
Read MoreUpper gastrointestinal endoscopic procedures may be commonplace, but they have surprisingly high complication and mortality rates. The advent of a modified laryngeal mask that can simultaneously protect the airway and facilitate the passage of an endoscope may reduce some of these adverse events. Preliminary results from an Australian study found that the mask facilitated endoscopic […]
Read MoreHow healthy is “healthy”? According to the results of an analysis from the University of California, San Diego, surgical mortality in a relatively healthy (ASA I and II) patient population is decreasing across the United States. Nevertheless, the study of more than 1.5 million patients identified several clinical predictors of increased mortality risk in this population. Consideration […]
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