Research reveals racial disparity in postoperative pain management
Editor's Note Black patients are less likely to receive multimodal analgesia and more likely to be given additional oral opioids compared to white patients, according to research presented at the Anesthesiology 2024 annual meeting. According to an October 20 report on the retrospective study from the American Society of Anesthesiologists,…
Music therapy reduces opioid use, anxiety in surgical patients
Editor's Note Music-based interventions administered preoperatively, intraoperatively, and postoperatively can significantly reduce postoperative opioid use and improve mood in patients undergoing same-day surgeries, according to research published October 15 in the Journal of Clinical Medicine. The single-center, prospective, randomized controlled trial evaluated 75 patients aged 18 to 80 who received…
Outpatient, ASC clinicians share perspectives on upcoming NOPAIN Act implementation
Editor's Note On October 14, Anesthesiology News published a monograph featuring clinical perspectives on how “those working in the trenches of postsurgical pain management” are preparing for the Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act, which outlines new, separate Medicare reimbursement for certain non-opioid analgesics in outpatient and ambulatory…
AAP releases first opioid prescribing guidelines for children
Editor's Note The first clinical guidance for prescribing opioids to children recommend combining the drugs with nonopioid medications like acetaminophen or ibuprofen rather than as monotherapy, according to a September 30 report in Healio. Released by The American Academy of Pediatrics (AAP), the guidance also specifies that naloxone should also…
Study on pre, postop opioid use reveals improvements needed for managing young patients
Editor's Note Many youths continue to take opioids months after undergoing surgery, according to a recent multi-institutional study published in JAMA Network. Medical Xpress covered the news July 11. Conducted by researchers from CHOP, Massachusetts General Hospital, University of Pennsylvania, and Stanford Medicine, the study found 1 in 6 youths…
Kidney transplant performed on awake patient
Editor's Note In a first for Northwestern Medicine, surgeons performed a kidney transplant on an awake patient, CBS News reported June 24. John Nicholas, 28, of Chicago, experienced no pain during the May 24 procedure, in which he received an organ from a childhood friend. He was discharged the next…
Two-question survey could help improve pain management, reduce opioid use
Editor's Note A simple, two-question survey could help identify patients most likely to develop chronic pain during recovery from surgery or injury and direct them toward proactive, holistic services that reduce reliance on opioids. NEJM Catalyst published the findings on March 20. Conducted by a research team from Duke University,…
Procedural sedation analgesia considerations for ASC leaders
The promise of quicker recovery and fewer complications from sedation, anesthesia, and pain management have drawn clinicians and patients alike to procedures performed in ambulatory surgery centers (ASCs) and other outpatient settings. However, sedation, anesthesia, and analgesia add their own risks to those of the procedure itself. Understanding the latest…
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…
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