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Authors: Samolsky Dekel BG et al Published in Journal of Opioid Management 10 (1), 29-38 (Jan-Feb 2014) OBJECTIVES: Opioid titration is the first challenging stage for rapid control of moderate/severe cancer pain. Evidence shows that sustained-release formulations may be used for opioid titration. We set a pilot assessment of the efficacy and tolerability of our […]
Read MoreAs if managing the broad spectrum of patient pain were not complex enough, results from an Indiana University-Purdue University Indianapolis study has found that patient race, provider bias and clinical ambiguity interact to influence providers’ assessment and treatment decisions. The researchers suggested that understanding these factors and their influence might be an important step toward […]
Read MoreA literature review published in the September issue of Anesthesiology suggests although a majority of studies report positive outcomes, there is currently insufficient evidence to support the clinical use of antidepressants for the treatment of postoperative pain. “There is a need for improved treatment options in the management of postoperative pain, and antidepressants could potentially […]
Read MoreFiring someone is always uncomfortable. And if you haven’t had to do it yet, keep reading, because there’s a good chance you will. When you find yourself delivering the bad news, here are five ways to take some sting out of the situation. Be truthful Employees should know exactly why they’re being let go. Don’t […]
Read MorePublished in J Arthroplasty. 2014 Aug;29(8):1687-90 Authors: Bagsby DT et al Abstract The purpose of this study was to compare a novel liposomal bupivacaine to traditional peri-articular injection (PAI) in a multi-modal pain protocol for total knee arthroplasty (TKA). A retrospective cohort study compared 85 consecutive patients undergoing TKA with a traditional PAI of ropivacaine, […]
Read MoreThe first randomized placebo-controlled trial of paracetamol (acetaminophen) for patients with acute low back pain has shown no effect of the drug on speed of recovery, pain, or many other factors associated with the condition. “The results suggest we need to reconsider the universal recommendation to provide paracetamol as a first-line treatment for low-back pain,” […]
Read MoreDetermined to cement access to reliable and safe sources for crucial IV drug admixtures, a growing number of hospitals are bringing production of compounded sterile products (CSPs) in-house and turning their backs on external compounding pharmacies. Such far-reaching decisions reflect the lingering distrust of outsourced CSPs, according to several administrators from hospitals that have made […]
Read MoreThe goal of any perioperative protocol is to improve patient outcomes after surgery. In colorectal surgery, however, there is minimal evidence to support traditional perioperative practices, such as bowel preparation and fasting before surgery. In the mid-1990s, this gap in understanding prompted a group of surgeons, led by Henrik Kehlet, MD, PhD, from Copenhagen, to […]
Read MoreHospital CEOs should focus less on talking about an organization’s cultureand more on the elements that make up a hospital’s culture, such as mindset, methods, strategies and structures, former physician John Kenagy, M.D., founder of Kenagy & Associates. Health system leaders must develop adaptive concepts that support and foster a culture that can go with […]
Read MoreAuthors: Pugh ME et al., Chest 2014 Jul 146:159 Left heart disease was a more likely cause of pulmonary hypertension in an older population. Pulmonary hypertension is being diagnosed in a growing number of older adults, but whether this trend is due to pulmonary arterial hypertension (PAH; pulmonary hypertension not secondary to left heart disease […]
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