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Naldemedine, a peripherally acting µ-opioid receptor antagonist, was found to be safe and effective for increasing bowel movement frequency and improving quality of life in patients with chronic non-cancer pain and opioid-induced constipation (OIC), in a randomized placebo-controlled phase 3 trial published in Pain. In addition, naldemedine was not found to affect opioid analgesia or to […]
Read MoreIt might not just be old age causing forgetfulness. A new study, published in the journal Anaesthesia, found associations with decreased cognitive function and time under general anesthesia or neuraxial blockade. This observational study followed nearly a thousand middle-aged patients at the Wisconsin Registry for Alzheimer’s Prevention, testing the memory and executive function of participants on […]
Read MoreThe quadratus lumborum and posterior transversus abdominis plane (TAP) blocks can be used interchangeably after laparoscopic gynecologic surgeries, a Japanese research team concluded. Although visual analog scale (VAS) pain scores were lower in patients who received the quadratus lumborum block at some time points, the demand for postoperative fentanyl and other analgesics was similar between […]
Read MoreFor hospitals that can effectively collaborate across service lines to redesign care processes, the perioperative surgical home (PSH) model of care can help lower costs, improve outcomes and enhance patient satisfaction for surgical cases. Persuading hospital administration to commit resources to support new initiatives, however, can prove difficult in today’s health care environment. At the […]
Read MoreThe Society for the Advancement of Blood Management has released a list of five practices clinicians should question as part of the Choosing Wisely campaign. Here are the recommendations: Delay elective surgery in patients who have correctable anemia until the anemia has been treated. To avoid iatrogenic anemia, don’t order blood tests unless they are […]
Read MoreThe Critical-Care Pain Observation Tool (CPOT) and the Behavioral Pain Scale (BPS) may not be optimal tools to assess pain levels in agitated or sedated patients in intensive care units (ICU) but may be useful in a regular clinical setting, according to an observational prospective cohort study published in the Journal of Cardiothoracic and Vascular Anesthesia. […]
Read MoreWritten by Julie Spitzer On average, patients have 11 seconds to explain the reasons for their visit before physicians interrupt, according to a recent study in the Journal of General Internal Medicine. A group of researchers led by Naykky Singh Ospina, MD, of the University of Florida in Gainesville analyzed the first few minutes of tape recorded […]
Read MoreIn a survey of 146 U.S. C-suite hospital executives, reducing costs rose to the top of corporate concerns, the Advisory Board Company found. Nearly two-thirds (62%) of respondents said they were concerned about preparing their organization for sustainable cost control, while 56% cited innovative approaches to expense reduction. Following costs, executives were concerned about exploring diversified, […]
Read MoreAccording to an anatomic comparison recently published in Pain Medicine, bipolar sacroiliac joint (SIJ) radiofrequency ablation (RFA) techniques might better capture sacral lateral branches (LBs) than monopolar techniques. The cadaveric fluoroscopy study compared the percentage of LBs captured when lesions were created in 40 cadaveric SIJs using 4 bipolar and 3 monopolar RFA techniques. In total, 17 […]
Read MoreAddition of a stellate ganglion block (SGB) to a cervical paravertebral block (CPVB) during arthroscopic shoulder surgery may not result in improved analgesia, according to a prospective double-blind randomized controlled trial published in Pain Medicine. A total of 20 adult patients who were scheduled to undergo arthroscopy for non-chronic shoulder disease and non-fractured shoulders were randomly […]
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