ASA: Anesthesia drug shortages affecting patient care
Editor's Note The American Society of Anesthesiologists (ASA) on April 25 reported that a national drug shortage of injectable opioids and local anesthetics is negatively affecting care received by patients under anesthesia. An informal survey of 2,500 ASA members, found that 98% are now experiencing drug shortages at their institutions,…
Study: Nearly 1 in 3 patients used no opioids after surgery
Editor's Note Nearly a third of patients used none of the opioids prescribed to them after surgery, finds this study presented by Mayo Clinic researchers April 19 at the American Surgical Association annual meeting in Phoenix, Arizona. This survey of 1,907 patients who had 25 common surgical procedures at three…
OR leaders feel the pain of the opioid crisis
The OR isn’t exempt from the effects of the opioid crisis. Identifying patients taking opioids is part of OR clinicians’ responsibilities, and they also play an important role in preventing opioid addiction. “We have patients who have opioid use disorder [OUD] and neglect to tell us,” says Mary Jo Steiert,…
Editorial
According to the US Centers for Disease Control and Prevention, nearly 2 million Americans have a prescription-related opioid use disorder, and 46 people die from a prescription opioid-related overdose every day—more than a fourfold increase since 1999. Statistics like these are in the news nearly every day, and there is…
ECRI Institute PSO sheds light on opioid use in acute care
OR Manager, Inc., and ECRI Institute have joined in a collaboration to bring OR Manager readers periodic articles on topics such as medical technology management and procurement, risk management, and patient safety. ECRI Institute is an independent nonprofit that researches the best approaches to improving patient care. Opioids are the…
Daily preop opioid use linked to worse outcomes after scoliosis surgery
Editor's Note Daily narcotic use before adult spinal deformity (ASD) surgery was associated with poorer outcomes 2 years postoperatively, this study finds. In this multicenter analysis of 575 patients, 425 had complete 2-year follow-up. A total of 44% reported daily preoperative narcotic use. Compared with non-daily users, daily narcotic users…
Predictors of postop pain in spine surgery patients
Editor's Note The use of nonopioid analgesics intraoperatively was one of eight factors found to predict postoperative pain in the first 24 hours after spine surgery, finds this study that will be presented Saturday April 21 at the 2018 World Congress on Regional Anesthesia & Pain Medicine in New York…
Joint Commission deletes EP on pain management
Editor's Note The Joint Commission on March 20 announced the deletion of RI.01.01.01, element of performance (EP) 8: “The hospital respects the patient’s right to pain management” because it is no longer relevant and necessary to ensure quality of care and safety. The deletion is effective immediately. The Joint Commission’s…
CDC study finds nearly 30% increase in ED visits for opioid overdose
Editor's Note Researchers from the Centers for Disease Control & Prevention (CDC) found that emergency department (ED) visits for opioid overdoses increased 29.7% from July 2016 to September 2017, according to the March 9 Morbidity and Mortality Weekly Report. Every demographic group and all US regions saw increases, but the…
Model helps predict pain, functional outcomes after lumbar spine surgery
Editor's Note In this study, researchers used patient-reported outcome (PRO) scores from 15 hospitals in Washington to create a clinical prediction model for spine surgery patients that explains most of the variability in pain reduction and functional improvement after surgery. The researchers found that after lumbar fusion surgery: 58.0% had…
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