New Joint Commission requirements for total hip, knee replacements focus on opioids, diabetes
Editor's Note The Joint Commission has released revised requirements for the advanced disease-specific care certification for total hip and total knee replacement (THKR). The requirements, which are designed to align with the updated AAOS clinical practice guidelines, go into effect July 1, 2024 and focus largely on addressing opioids and…
Anti-inflammatory drug reduces opioid requests after surgery
Editor's Note: An FDA-approved anti-inflammatory drug used to treat poisoning and liver damage could help reduce patient requests for opioids after surgery, according to findings published October 25 in the Future Medicine journal Pain Management. The study involved 50 patients who were given either a set dose of the anti-inflammatory…
Study: Less-painful propofol alternative non-inferior in general anesthesia induction
Editor's Note: HSK3486 injectable emulsion (ciprofol) is noninferior to propofol in successful induction of general anesthesia, according toa study published December 13 in Anesthesiology. The study also confirmed prior data indicating HSK3486 causes substantially less injection-site pain. The multicenter, randomized (2:1), double-blind, propofol-controlled, phase-4 study evaluated 255 adults undergoing elective surgery…
Stronger quads shown to reduce need for knee replacement surgery
Editor's Note Stronger thigh muscles could help patients to avoid knee replacement surgery, HealthLine November 27 reports. Preliminary research findings were presented at the annual meeting of the Radiological Society of North America. Osteoarthritis is caused by age-related wear and tear and often occurs in those over 50. According to…
Breaking down pain treatments in the OR and ASC
Pain treatments have applications in traditional hospital OR settings and ambulatory surgery centers (ASCs). “The choice of setting depends on the specific needs of the patient, the type of procedure being performed, and the resources available,” says Wang Lushun, MD, senior consultant orthopedic surgeon at Arete Orthopaedic Centre in Singapore.…
ACS addresses opioid prescription misuse with new QI project
Editor's Note The American College of Surgeons (ACS), on September 12, announced a new quality improvement (QI) project that will evaluate the most effective ways to help patients safely manage postoperative pain and reduce the risk of opioid dependence. The project will be conducted in collaboration with Health Care Service…
New CMS rule focuses on postop opioids in outpatient settings
Editor's Note The Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act, which is set to take effect in 2025, will set up a separate Centers for Medicare and Medicaid Services (CMS) payment for certain nonopioid pain management techniques in outpatient and ambulatory surgery center (ASC) settings, the September 12 Becker’s…
ACS: Three tips for managing postop pain
Editor's Note For Pain Awareness Month, the American College of Surgeons (ACS), on September 6, shared three tips for managing pain after surgery. Jonah J. Stulberg, MD, PhD, MPH, FACS, a member of the ACS Patient Education Committee and vice chair of research for the department of surgery at UT…
ASA: New research on epidural anesthesia in the OR, reducing SSIs, decreasing overinflation of breathing tubes
Editor's Note On July 14 and 15, the American Society of Anesthesiologists (ASA) hosted a virtual event, the Anesthesia Quality and Patient Safety Meeting, which brought to light new research on when to administer epidural anesthesia in the OR, an anesthesiologist-led infection prevention program reducing rates of surgical site infections…
Managing MALS during surgery means addressing chronic pain
Median Arcuate Ligament Syndrome (MALS) presents a challenge to anesthesiologists and surgeons alike in the OR. Clinicians often do not know how to identify and treat this condition, and it can go undetected for years. “I think the reason many anesthesiologists, even pain specialists, aren’t well versed or aware of MALS…
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