1,313 results match your criteria Perioperative Medication Management


Ultrarestrictive Opioid Prescription Protocol for Pain Management After Gynecologic and Abdominal Surgery.

JAMA Netw Open 2018 Dec 7;1(8):e185452. Epub 2018 Dec 7.

Department of Gynecologic Oncology, Roswell Park Comprehensive Cancer Center, Buffalo, New York.

Importance: Opioids are routinely prescribed for postoperative home pain management for most patients in the United States, with limited evidence of the amount needed to be dispensed. Opioid-based treatment often adversely affects recovery. Prescribed opioids increase the risk of chronic opioid use, abuse, and diversion and contribute to the current opioid epidemic. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2018.5452DOI Listing
December 2018

Interfascial block at the serratus muscle plane versus conventional analgesia in breast surgery: a randomized controlled trial.

Reg Anesth Pain Med 2019 Jan;44(1):52-58

Department of Anesthesiology and Pain Medicine, Hospital de Manises, Valencia, Spain.

Background And Objectives: In the context of opioid-sparing perioperative management, there is still little evidence from randomized controlled trials regarding the effectiveness of interfascial thoracic blocks. This study hypothesizes that receiving a serratus plane block reduces opioid requirements, pain scores, and rescue medication needs.

Methods: This double-blind, randomized controlled study was conducted on 60 adult females undergoing oncologic breast surgery. Read More

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http://dx.doi.org/10.1136/rapm-2018-000004DOI Listing
January 2019

Risk factors for recurrent hematomas after surgery for acute traumatic subdural hematoma.

World Neurosurg 2019 Jan 10. Epub 2019 Jan 10.

Division of Clinical Neurosciences, Department of Neurosurgery, Turku University Hospital and University of Turku, Turku, Finland; Neurovascular Surgery Program, Section of Neurosurgery, The University of Chicago Medicine and Biological Sciences, Chicago, Illinois, US. Electronic address:

Objective: The development of postcraniotomy hematoma (PCH) after surgery for acute traumatic subdural hematoma (aSDH) has been associated with increased risk for poor outcome. The risk factors contributing to PCH remain poorly understood. Our aim was to study potential risk factors for PCH in a consecutive series of surgically evacuated patients with aSDH. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18788750193002
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http://dx.doi.org/10.1016/j.wneu.2018.12.155DOI Listing
January 2019
1 Read

Increasing Compliance of Safe Medication Administration in Pediatric Anesthesia by use of a standardized checklist.

Paediatr Anaesth 2019 Jan 4. Epub 2019 Jan 4.

Department of Pediatric Anesthesiology, Cincinnati Children's Hospital, Cincinnati, Ohio.

Background: Medication errors pose a significant risk perioperatively. In the perioperative environment, common medication administration processes are not typically performed. Given the common administration of potentially harmful medications and the potential for medication errors, patient risk is substantial. Read More

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http://dx.doi.org/10.1111/pan.13578DOI Listing
January 2019

Physicians' and Nurses' Attitudes and Actions Regarding Perioperative Medication Management.

J Perianesth Nurs 2018 Dec 29. Epub 2018 Dec 29.

Purpose: To investigate physicians' and nurses' attitudes and actions related to the prescription and administration of perioperative antibiotics and opioids during a 2-week period.

Design: A quantitative descriptive and analytical research design performed at a Danish University Hospital.

Methods: An email survey using an 18-item questionnaire was sent to 163 nurses and physicians involved in the perioperative period. Read More

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http://dx.doi.org/10.1016/j.jopan.2018.08.005DOI Listing
December 2018
1 Read

Perioperative Analgesia for Patients Undergoing Septoplasty and Rhinoplasty: An Evidence-Based Review.

Laryngoscope 2018 Dec 25. Epub 2018 Dec 25.

Department of Otolaryngology-Head and Neck Surgery, Neurological Institute of New Jersey, Rutgers New Jersey Medical School, Newark, New Jersey.

Objectives/hypothesis: Opioid misuse and diversion is a pressing topic in today's healthcare environment. The objective of this study was to conduct a review of non-opioid perioperative analgesic regimens following septoplasty, rhinoplasty, and septorhinoplasty.

Study Design: Evidence-based systematic review. Read More

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http://dx.doi.org/10.1002/lary.27616DOI Listing
December 2018

Perioperative gabapentin and post cesarean pain control: A systematic review and meta-analysis of randomized controlled trials.

Eur J Obstet Gynecol Reprod Biol 2018 Dec 12;233:98-106. Epub 2018 Dec 12.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA. Electronic address:

Cesarean delivery occurs in roughly one third of pregnancies. Effective postoperative pain control is a goal for patients and physicians. Limiting opioid use in this period is important as some percentage of opioid naïve individuals will develop persistent use. Read More

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http://dx.doi.org/10.1016/j.ejogrb.2018.11.026DOI Listing
December 2018
2 Reads
1.627 Impact Factor

Best practice in the management of benign prostatic hyperplasia in the patients requiring anticoagulation.

Ther Adv Urol 2018 Dec 29;10(12):431-436. Epub 2018 Oct 29.

Indiana University School of Medicine, IU Health Physicians Urology, 1801 N. Senate Blvd., Indianapolis, IN 46202-5114, USA.

In today's aging population, urologists are often treating older patients with multiple comorbidities. Lower urinary tract symptoms from benign prostate hyperplasia (LUTS/BPH) is a common condition that affects men, with increasing prevalence as men age. In a subset of patients, the symptoms are too severe or refractory to medical therapy and, therefore, surgical therapy is required to improve their LUTS. Read More

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http://dx.doi.org/10.1177/1756287218807591DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295789PMC
December 2018
1 Read

Interventional Pain Management and Female Pelvic Pain: Considerations for Diagnosis and Treatment.

Semin Reprod Med 2018 Mar 19;36(2):159-163. Epub 2018 Dec 19.

Division of Pain Medicine, Department of Anesthesiology and Perioperative Medicine, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.

Chronic pelvic pain (CPP) is a recurring and/or constant pain of at least six months duration that has resulted in either functional or psychological disability that can require interventional treatments. Chronic pelvic pain can be visceral, somatic, neuropathic, or a combination. Patients with CPP often suffer from concurrent bowel or bladder dysfunction, sexual dysfunction, depression, and anxiety. Read More

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http://dx.doi.org/10.1055/s-0038-1676104DOI Listing

Pharmacotherapy in Older Adults with Cardiovascular Disease: Report from an American College of Cardiology, American Geriatrics Society, and National Institute on Aging Workshop.

J Am Geriatr Soc 2018 Dec 7. Epub 2018 Dec 7.

Cardiovascular Division, Department of Internal Medicine, Washington University, St. Louis, Missouri.

Objectives: To identify the top priority areas for research to optimize pharmacotherapy in older adults with cardiovascular disease (CVD).

Design: Consensus meeting.

Setting: Multidisciplinary workshop supported by the National Institute on Aging, the American College of Cardiology, and the American Geriatrics Society, February 6-7, 2017. Read More

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http://dx.doi.org/10.1111/jgs.15634DOI Listing
December 2018
2 Reads

Peri-Procedural Antithrombotic Management from a Patient Perspective: A Qualitative Analysis.

Am J Med 2018 Dec 3. Epub 2018 Dec 3.

Center for Bioethics and Social Science in Medicine, University of Michigan, Ann Arbor, MI; Frankel Cardiovascular Center, University of Michigan, Ann Arbor, MI. Electronic address:

Background: Peri-procedural antithrombotic medication management is a complex, often confusing process for patients and their providers. Communication difficulties often lead to suboptimal medication management resulting in delayed or cancelled procedures.

Methods: We conducted telephone surveys with patients taking chronic antithrombotic medications who had recently undergone an endoscopy procedure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00029343183114
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http://dx.doi.org/10.1016/j.amjmed.2018.11.020DOI Listing
December 2018
16 Reads

Perioperative Management of the Rheumatoid Patient.

Clin Podiatr Med Surg 2019 Jan 25;36(1):115-130. Epub 2018 Oct 25.

Foot and Ankle Surgery Residency, SSM Health DePaul Hospital, 12303 DePaul Drive, Suite B1, St Louis, MO 63044, USA. Electronic address:

Rheumatoid arthritis is a complex disease state with multiple associated comorbidities. Perioperative evaluation of the rheumatoid patient from a multidisciplinary approach is necessary to achieve favorable outcomes. A complete history and physical, laboratory, cervical, cardiovascular, pulmonary, and medication assessment before surgery should be performed. Read More

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http://dx.doi.org/10.1016/j.cpm.2018.08.005DOI Listing
January 2019
1 Read

Arteriovenous Graft for Hemodialysis: Effect of Cryotherapy on Postoperative Pain and Edema.

Pain Manag Nurs 2018 Nov 10. Epub 2018 Nov 10.

Department of General Surgery, The First Affiliated Hospital of Shantou University Medical College, Shantou City, Guangdong Province, China.

Background: Arteriovenous grafting offers an alternative for patients whose vessels are unsuitable for arteriovenous fistula. However, as a result of subcutaneous tunnel dissection, postoperative pain and edema of the operated limb present early after surgery. As a traditional therapeutic approach, cryotherapy has the ability to suppress postoperative pain and edema. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15249042173052
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http://dx.doi.org/10.1016/j.pmn.2018.07.002DOI Listing
November 2018
13 Reads

Relationship Between Preoperative Antidepressant and Antianxiety Medications and Postoperative Hospital Length of Stay.

Anesth Analg 2018 Nov 9. Epub 2018 Nov 9.

From the Department of Anesthesiology, Perioperative Care and Pain Medicine, NYU Langone Medical Center, New York University, New York, New York.

Background: Patients on antidepressant or antianxiety medications often have complex perioperative courses due to difficult pain management, altered coping mechanisms, or medication-related issues. This study examined the relationship between preoperative antidepressants and antianxiety medications on postoperative hospital length of stay while controlling for confounding variables.

Methods: From an administrative database of 48,435 adult patients who underwent noncardiac surgery from 2011 to 2014 at a single, large urban academic institution, multivariable zero-truncated negative binomial regression analyses controlling for age, sex, medical comorbidities, and surgical type were performed to assess whether preoperative exposure to antidepressant or antianxiety medication use was associated with postoperative hospital length of stay. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003910DOI Listing
November 2018
7 Reads

Comparison of three different ketofol proportions in children undergoing dental treatment.

Authors:
G Kip D Atabek M Bani

Niger J Clin Pract 2018 Nov;21(11):1501-1507

Department of Paediatric Dentistry, Faculty of Dentistry, Gazi University, Ankara, Turkey.

Aim And Background: Sedation is gaining popularity among dental procedures in children. Ketamine and propofol mixture, known as ketofol, is one of the promising choices in sedation protocols; however, there is no consensus on the exact ratio of ketamine plus propofol especially in dental practice. The aim of present study was to compare perioperative side effect profiles, recovery profiles, and satisfaction rates of both parents' and dentists' following three different ratio of ketofol mixtures in children undergoing dental treatment. Read More

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http://dx.doi.org/10.4103/njcp.njcp_188_18DOI Listing
November 2018

Short-term perioperative iron in major orthopedic surgery: state of the art.

Vox Sang 2018 Nov 9. Epub 2018 Nov 9.

Perioperative Transfusion Medicine, School of Medicine, Málaga, Spain.

In major orthopaedic surgery, it is recommended to detect and correct preoperative anaemia several weeks prior to surgery. However, in many cases, the procedure is urgent or the patient is evaluated shortly before the intervention. As iron deficiency is the leading cause of perioperative anaemia, an exhaustive review of the literature was performed to assess the efficacy and safety of short-term perioperative intravenous, with or without erythropoietin, or postoperative oral or intravenous supplementation in major orthopaedic surgery. Read More

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http://dx.doi.org/10.1111/vox.12718DOI Listing
November 2018
4 Reads

Should a patient with rheumatoid arthritis be a kidney donor?

Clin Rheumatol 2018 Nov 8. Epub 2018 Nov 8.

Division of Rheumatology, Departments of Medicine, Keck School of Medicine, University of Southern California and Los Angeles County + University of Southern California (LAC+USC) Medical Center, Los Angeles, CA, USA.

We cared for a woman with sero-positive rheumatoid arthritis (RA), in clinical remission on oral methotrexate (MTX) and hydroxychloroquine, who wished to donate a kidney to a brother with end-stage renal disease (ESRD). We could find scant literature about this unusual clinical circumstance, and therefore review pertinent aspects of renal disease in RA, perioperative medical management, maintenance of disease remission, outcomes for RA patients who have donated kidneys, and relevant ethical issues. Renal complications in RA are not uncommon, with as many as 50% of patients at risk of reduced eGFR. Read More

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http://link.springer.com/10.1007/s10067-018-4350-5
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http://dx.doi.org/10.1007/s10067-018-4350-5DOI Listing
November 2018
5 Reads

Effectiveness and Sustainability of a Standardized Care Pathway Developed with Use of Lean Process Mapping for the Treatment of Patients Undergoing Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis.

J Bone Joint Surg Am 2018 Nov;100(21):1864-1870

Division of Orthopaedic Surgery & Sports Medicine (M.E.O. and B.D.M.), Center for Translational Science (H.G.-D.), and Division of Anesthesiology, Pain and Perioperative Management (J.C. and S.R.P.), Children's National Health System, Washington, DC.

Background: Recent changes in health care have begun to shift the industry from a volume-based to a value-based focus. This shift has led to standardized care pathways that decrease care variability, improve outcomes, and decrease cost. Although numerous studies have described standardized pathways for adolescent idiopathic scoliosis (AIS), few have demonstrated sustainability. Read More

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http://dx.doi.org/10.2106/JBJS.18.00079DOI Listing
November 2018
5 Reads
5.280 Impact Factor

Preoperative Management of Medications.

Anesthesiol Clin 2018 Dec;36(4):663-675

Department of Anesthesiology and Perioperative Medicine, Centro de Desarrollo de Destrezas Medicas, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Vaco de Quiroga #15, Col. Belisario Dominguez Sección XVI, Mexico City 14080, Mexico.

Increasingly complex medication regimens for many comorbidities in patients for planned surgical and procedural interventions necessitate detailed preoperative evaluation of the pharmacologic therapy, including the indications, the specific drugs, and dosing amount and interval. The implications of continuing or withholding these agents in the perioperative period need to be elucidated, as well as the risks of interactions and side effects. A comprehensive plan of the management of the therapeutic agents should be devised during the preoperative visit, with input from all relevant specialists, and clearly communicated to the patients in a format that ensures their comprehension and consistent compliance. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S19322275183007
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http://dx.doi.org/10.1016/j.anclin.2018.07.012DOI Listing
December 2018
8 Reads

Perioperative Medication Management in Adult Cardiac Surgery: The 2017 European Association for Cardio-Thoracic Surgery Guidelines.

J Cardiothorac Vasc Anesth 2019 02 27;33(2):304-306. Epub 2018 Sep 27.

Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy; Vita-Salute San Raffaele University, Milan, Italy.

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http://dx.doi.org/10.1053/j.jvca.2018.09.029DOI Listing
February 2019
1 Read

[Surgery for inflammatory rheumatic joint destruction].

Authors:
S Rehart M Henniger

Orthopade 2018 Nov;47(11):933-938

Klinik für Orthopädie und Unfallchirurgie, Orthopädische Rheumatologie, AGAPLESION MARKUS KRANKENHAUS, Akademisches Lehr-KH der Goethe-Universität, Wilhelm-Epstein-Str. 4, 60431, Frankfurt am Main, Deutschland.

Orthopaedic and traumatologic involvement in patients with rheumatic diseases require extensive knowledge of these immunologically impairing illnesses. This concerns both the handling of medication and conservative treatment. The destructive processes of the joints and the spine follow established pathways. Read More

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http://dx.doi.org/10.1007/s00132-018-03657-7DOI Listing
November 2018
3 Reads

Perioperative Management and In-Hospital Outcomes After Minimally Invasive Repair of Pectus Excavatum: A Multicenter Registry Report From the Society for Pediatric Anesthesia Improvement Network.

Anesth Analg 2018 Oct 19. Epub 2018 Oct 19.

Department of Anesthesiology, Critical Care and Pain Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

Background: There are few comparative data on the analgesic options used to manage patients undergoing minimally invasive repair of pectus excavatum (MIRPE). The Society for Pediatric Anesthesia Improvement Network was established to investigate outcomes for procedures where there is significant management variability. For our first study, we established a multicenter observational database to characterize the analgesic strategies used to manage pediatric patients undergoing MIRPE. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003829DOI Listing
October 2018
5 Reads
3.472 Impact Factor

Comparing the Efficacy of IV Ibuprofen and Ketorolac in the Management of Postoperative Pain Following Arthroscopic Knee Surgery. A Randomized Double-Blind Active Comparator Pilot Study.

Front Surg 2018 3;5:59. Epub 2018 Oct 3.

Department of Anesthesiology, The Ohio State University Wexner Medical Center, Columbus, OH, United States.

Acute postoperative pain following knee arthroscopy is common in orthopedic surgeries. Managing pain postoperatively combines usage of opioids and non-steroidal anti-inflammatory drugs. The aim of this clinical study was to assess the efficacy of two different analgesic treatment regimens: intravenous (IV) ibuprofen and IV ketorolac for the treatment of postoperative pain pertaining to arthroscopic knee surgery. Read More

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http://dx.doi.org/10.3389/fsurg.2018.00059DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6178884PMC
October 2018
9 Reads

Regional analgesia in neonates undergoing thoracoabdominal surgeries: A pilot study.

J Neonatal Perinatal Med 2018 Oct 10. Epub 2018 Oct 10.

University at Buffalo, Oishei Children's Hosptial, Buffalo, NY, USA.

Objective: The primary aim of this pilot study was to assess feasibility and to evaluate if peri-operative pain management with regional analgesia resulted in decreased use of narcotic medication and earlier return to preoperative respiratory/nutritional status.

Study Design: Cases were defined as infants who received regional analgesia as part of their perioperative anesthetic management. Controls were matched for surgical procedures without regional analgesia. Read More

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http://www.medra.org/servlet/aliasResolver?alias=iospress&am
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http://dx.doi.org/10.3233/NPM-1827DOI Listing
October 2018
7 Reads

Improved Medication Management With Introduction of a Perioperative and Prescribing Pharmacist Service.

J Pharm Pract 2018 Oct 8:897190018804961. Epub 2018 Oct 8.

2 Department of Anaesthesia, Frankston Hospital, Peninsula Health, Frankston, Victoria, Australia.

Background: The medication lists in pre-admission clinic (PAC) questionnaires completed by patients prior to surgery are often inaccurate, potentially leading to medication errors during hospitalization. Studies have shown pharmacists are more accurate when obtaining a medication history and transcribing prescription orders, thereby reducing errors.

Objective: To evaluate the impact of a PeRiopErative and Prescribing (PREP) pharmacist on postoperative medication management. Read More

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http://journals.sagepub.com/doi/10.1177/0897190018804961
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http://dx.doi.org/10.1177/0897190018804961DOI Listing
October 2018
2 Reads

Matched-Pair Analysis of Local Infiltration Analgesia in Total Knee Arthroplasty: Patient Satisfaction and Perioperative Pain Management in 846 Cases.

J Knee Surg 2018 Oct 6. Epub 2018 Oct 6.

Department of Orthopedics, University Medical Center Regensburg, Asklepios Klinikum Bad Abbach, Bad Abbach, Germany.

In the recent past, numerous studies evaluating local infiltration analgesia (LIA) with controversial results have been reported. Efforts have been made to improve patients' outcome regarding operation techniques and material, as well as pain management and anesthetic methods. In this study, postoperative pain management and patient satisfaction were evaluated in patients undergoing total knee replacement surgery with or without intraoperative LIA. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1672156
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http://dx.doi.org/10.1055/s-0038-1672156DOI Listing
October 2018
2 Reads

Pain monitoring and management in a rehabilitation setting after total joint replacement.

Medicine (Baltimore) 2018 Oct;97(40):e12484

Physical Medicine and Rehabilitation Unit, IRCCS-Istituto Ortopedico Rizzoli, Bologna, Italy.

Total hip replacement (THR) and, particularly, total knee replacement (TKR), are painful surgical procedures. Effective postoperative pain management leads to a better and earlier functional recovery and prevents chronic pain. Studies on the control of pain during the postoperative rehabilitation period are not common. Read More

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http://dx.doi.org/10.1097/MD.0000000000012484DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6200489PMC
October 2018
1 Read

Survey of the management of perioperative bridging of anticoagulation and antiplatelet therapy in neurosurgery.

Acta Neurochir (Wien) 2018 Nov 20;160(11):2077-2085. Epub 2018 Sep 20.

Department of Neurosurgery, University Hospital Tuebingen, Eberhard Karls University Tuebingen, Hoppe-Seyler-Straße 3, 72076, Tuebingen, Germany.

Background: A growing number of patients on anticoagulation or antiplatelet therapy (APT) are planned for elective surgery. The management of perioperative anticoagulation and APT is challenging because it must balance the risk of thromboembolism and bleeding, and specific recommendations for the management of bridging in neurosurgical patients are lacking. We surveyed German neurosurgical centers about their management of perioperative bridging of anticoagulation and APT to provide an overview of the current bridging policy. Read More

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http://dx.doi.org/10.1007/s00701-018-3679-5DOI Listing
November 2018
3 Reads

The Effect of Preoperative Medications on Length of Stay, Inpatient Pain, and Narcotics Consumption After Minimally Invasive Transforaminal Lumbar Interbody Fusion.

Clin Spine Surg 2018 Sep 18. Epub 2018 Sep 18.

Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL.

Study Design: This is a retrospective cohort study.

Objective: To determine the association between preoperative medications and length of stay, inpatient pain, and narcotics consumption after a minimally invasive transforaminal lumbar interbody fusion (MIS TLIF).

Summary Of Background Data: Previous studies have identified risk factors for increased length of hospital stay, inpatient pain, and narcotics consumption. Read More

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http://dx.doi.org/10.1097/BSD.0000000000000713DOI Listing
September 2018
1 Read

Multi-disciplinary approach to perioperative risk assessment and post-transplant management for liver transplantation in a patient at risk for Brugada syndrome.

J Perioper Pract 2018 Sep 13:1750458918796013. Epub 2018 Sep 13.

5 Duke Division of Gastroenterology, Duke University School of Medicine, Durham, NC, USA.

Brugada syndrome, an autosomal dominant genetic disorder, is characterised by abnormal electrocardiogram findings and increased risk of ventricular tachyarrhythmias and sudden cardiac death. Our report describes the multi-disciplinary perioperative management of a 28-year-old patient presenting to the Duke Transplant Center with a familial sodium channel gene SCN51 mutation concerning Brugada syndrome. We discuss the preparatory work-up, medication review and appropriate post-surgical follow-up for patients undergoing liver transplant surgery with cardiac monitoring. Read More

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http://dx.doi.org/10.1177/1750458918796013DOI Listing
September 2018
2 Reads

Epidemiology of Persistent Postsurgical Pain Manifesting as Dry Eye-Like Symptoms After Cataract Surgery.

Cornea 2018 Dec;37(12):1535-1541

Bascom Palmer Eye Institute, University of Miami, Miller School of Medicine, Miami, FL.

Purpose: To evaluate the epidemiology of persistent postsurgical pain (PPP) manifesting as dry eye (DE)-like symptoms 6 months after surgery.

Methods: This single-center study included 119 individuals whose cataract surgeries were performed by a single surgeon at the Bascom Palmer Eye Institute and who agreed to participate in a phone survey 6 months after surgery. Patients were divided into 2 groups: the PPP group was defined as those with a Dry Eye Questionnaire-5 score ≥6 and without PPP as those with a Dry Eye Questionnaire-5 score <6 at 6 months after cataract surgery. Read More

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http://dx.doi.org/10.1097/ICO.0000000000001741DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218275PMC
December 2018
2 Reads

[Oxycodone, piritramide and tramadol for the management of postoperative pain : A registry study on use and effectiveness in clinical routine].

Schmerz 2018 Sep 12. Epub 2018 Sep 12.

Klinik für Anästhesiologie und Intensivmedizin, Universitätsklinikum Jena, Am Klinikum 1, 07747, Jena, Deutschland.

Background: In the context of improving perioperative pain management and shortening hospital stays, potent oral analgesics, such as slow release opioids, are gaining increasingly in importance.

Objective: The aim of this study was to compare the use and effectiveness of different opioids in postoperative pain treatment in Germany.

Materials And Methods: Using data from the QUIPS database, the records of 5249 patients were evaluated. Read More

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http://dx.doi.org/10.1007/s00482-018-0322-6DOI Listing
September 2018
1 Read

Periprosthetic Joint Infection in Patients with Inflammatory Joint Disease: Prevention and Diagnosis.

Curr Rheumatol Rep 2018 Sep 10;20(11):68. Epub 2018 Sep 10.

Department of Academic Training, Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.

Purpose Of Review: Periprosthetic joint infection (PJI) is a devastating complication that can occur following total joint arthroplasty (TJA), causing significant morbidity and often requiring revision surgery. This goal of this manuscript is to review the current evidence for the prevention and diagnosis of PJI in patients with inflammatory arthritis.

Recent Findings: Patients with inflammatory arthritis have a higher risk of PJI after TJA; however, there are several preventive, diagnostic, and therapeutic measures that can be optimized to lower the burden of PJI in this population. Read More

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http://link.springer.com/10.1007/s11926-018-0777-6
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http://dx.doi.org/10.1007/s11926-018-0777-6DOI Listing
September 2018
12 Reads

Goal-directed hemodynamic management in patients undergoing primary debulking gynaecological surgery: A matched-controlled precision medicine study.

Gynecol Oncol 2018 11 7;151(2):299-305. Epub 2018 Sep 7.

Department of Anesthesia, Emergency and Intensive Care Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy; Institute of Anesthesiology and Intensive Care Medicine, Università Cattolica del Sacro Cuore, Rome, Italy.

Background: Usefulness of intraoperative goal-directed hemodynamic management (GDHM) for patients without comorbidities is debated. After clinical implementation of a pulse contour analysis-guided GDHM protocol, which foresees early vasopressor use for recruiting unstressed volume, we conducted a matched-controlled analysis to explore its impact on the amount of fluids intraoperatively administered to patients without comorbidities who underwent extended abdominal surgery for ovarian cancer.

Methods: After 1:1 matching accounting for body mass index, oncologic disease severity and intraoperative blood losses, 22 patients treated according to this GDHM protocol were compared to a control group of 22 patients who had been managed according to the clinical decision of attending physicians, taken without advanced monitoring. Read More

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http://dx.doi.org/10.1016/j.ygyno.2018.08.034DOI Listing
November 2018
2 Reads

Development and validation of a guide for the continuity of care in perioperative medication management.

J Orthop Traumatol 2018 Aug 27;19(1). Epub 2018 Aug 27.

Department of Public Health, History of Science and Gynecology, Miguel Hernández University, Alicante, Spain.

Background: Increased longevity and the prevalence of associated pathologies is leading to more hospital admissions involving chronic patients with multiple pathological problems. In orthopedic surgical patients, it is very important to individually evaluate the risk/benefit of maintaining or suppressing chronic medications. For certain medications, there are consensus recommendations, but for others, the available information may be limited or controversial. Read More

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http://dx.doi.org/10.1186/s10195-018-0490-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6110309PMC
August 2018
1 Read

American College of Surgeons' Guidelines for the Perioperative Management of Antithrombotic Medication.

J Am Coll Surg 2018 Nov 24;227(5):521-536.e1. Epub 2018 Aug 24.

Department of Surgery, Moffitt Cancer Center, University of South Florida, Tampa, FL.

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http://dx.doi.org/10.1016/j.jamcollsurg.2018.08.183DOI Listing
November 2018
11 Reads

Designing the ideal perioperative pain management plan starts with multimodal analgesia.

Korean J Anesthesiol 2018 Oct 24;71(5):345-352. Epub 2018 Aug 24.

Department of Perioperative and Pain Medicine, Stanford University School of Medicine, Stanford, CA, USA.

Multimodal analgesia is defined as the use of more than one pharmacological class of analgesic medication targeting different receptors along the pain pathway with the goal of improving analgesia while reducing individual class-related side effects. Evidence today supports the routine use of multimodal analgesia in the perioperative period to eliminate the over-reliance on opioids for pain control and to reduce opioid-related adverse events. A multimodal analgesic protocol should be surgery-specific, functioning more like a checklist than a recipe, with options to tailor to the individual patient. Read More

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http://dx.doi.org/10.4097/kja.d.18.00217DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6193589PMC
October 2018
1 Read

Use of Dexmedetomidine in a Parturient With Multiple Endocrine Neoplasia Type 2A Undergoing Adrenalectomy and Thyroidectomy: A Case Report.

A A Pract 2018 Aug 7. Epub 2018 Aug 7.

From the Departments of Anesthesiology and.

Dexmedetomidine is a selective α2-agonist, frequently used in perioperative medicine as anesthesia adjunct. The medication carries a Food and Drug Administration pregnancy category C designation and is therefore rarely used for parturients undergoing nonobstetric surgery. We are reporting the use of dexmedetomidine in the anesthetic management of a parturient undergoing minimally invasive unilateral adrenalectomy for pheochromocytoma during the second trimester of pregnancy. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000861DOI Listing
August 2018
3 Reads

The Impact of Scripted Pain Education on Patient Satisfaction in Outpatient Abdominal Surgery Patients.

J Perianesth Nurs 2018 Aug 25;33(4):453-460. Epub 2017 Apr 25.

Purpose: Practice guidelines for acute pain management in perioperative patients recommend providing consistent perioperative pain education that includes medication and behavioral techniques to control pain. However, literature indicates that most nurses deliver patient education based on personal preferences, time limitations, and availability of teaching aids. The purpose of this study was to evaluate patient satisfaction with scripted preoperative pain management education for patients undergoing outpatient abdominal surgery. Read More

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http://dx.doi.org/10.1016/j.jopan.2016.02.014DOI Listing
August 2018
1 Read

European Pain Federation (EFIC) position paper on appropriate use of cannabis-based medicines and medical cannabis for chronic pain management.

Eur J Pain 2018 10 4;22(9):1547-1564. Epub 2018 Sep 4.

Pain Center, Sourasky Medical Center, Tel Aviv, Israel.

Cannabis-based medicines are being approved for pain management in an increasing number of European countries. There are uncertainties and controversies on the role and appropriate use of cannabis-based medicines for the management of chronic pain. EFIC convened a European group of experts, drawn from a diverse range of basic science and relevant clinical disciplines, to prepare a position paper to empower and inform specialist and nonspecialist prescribers on appropriate use of cannabis-based medicines for chronic pain. Read More

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http://dx.doi.org/10.1002/ejp.1297DOI Listing
October 2018
2 Reads

Factors affecting development of medication-related osteonecrosis of the jaw in cancer patients receiving high-dose bisphosphonate or denosumab therapy: Is tooth extraction a risk factor?

PLoS One 2018 26;13(7):e0201343. Epub 2018 Jul 26.

Department of Clinical Oral Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Methods for preventing medication-related osteonecrosis of the jaw (MRONJ) in cancer patients who have received high-dose bisphosphonate (BP) or denosumab (Dmab) have not yet been established. Tooth extraction after starting medication has been believed to be a major risk factor for MRONJ, and therefore this procedure tends to be avoided. This study investigated the risk factors for MRONJ, with a special reference to the correlation between tooth extraction and development of MRONJ. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0201343PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6062135PMC
July 2018
3 Reads

Factors associated with intravenous lidocaine in pediatric patients undergoing laparoscopic appendectomy - a retrospective, single-centre experience.

BMC Anesthesiol 2018 Jul 18;18(1):88. Epub 2018 Jul 18.

Department of Anesthesia, University Children's Hospital, Steinwiesstrasse 75, CH-8032, Zurich, Switzerland.

Background: Due to its potential beneficial effects, intra- and postoperative application of intravenous lidocaine has become increasingly accepted over the last couple of years, e.g. in patients undergoing laparoscopic surgical procedures. Read More

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http://dx.doi.org/10.1186/s12871-018-0545-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6052565PMC
July 2018
10 Reads

Novel Multi-Modal Analgesia Protocol Significantly Decreases Opioid Requirements in Inflatable Penile Prosthesis Patients.

J Sex Med 2018 Aug 13;15(8):1187-1194. Epub 2018 Jul 13.

Department of Urology, Einstein Healthcare Network, Philadelphia, PA, USA; Department of Urology/Urologic Oncology, Fox Chase Cancer Center, Philadelphia, PA, USA. Electronic address:

Background: Inflatable penile prosthesis (IPP) surgery is associated with significant perioperative pain that may reduce patient satisfaction. Though various pain management strategies have been proposed, most implanters manage postoperative patients with only prescription opioids. No protocol to date has been implemented and reported for pain management in IPP patients throughout the entire recovery process following surgery. Read More

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http://dx.doi.org/10.1016/j.jsxm.2018.05.017DOI Listing
August 2018
24 Reads

Perioperative safety and complications in treatment of oral and maxillofacial surgery patients under general anesthesia with obstructive sleeping disorders.

J Craniomaxillofac Surg 2018 Sep 12;46(9):1609-1615. Epub 2018 Jun 12.

Department of Oral, Maxillofacial and Facial Plastic Surgery, University Hospital RWTH Aachen, Aachen, Germany.

Patients with sleeping disorders, such as obstructive sleep apnea, (OSA) have a higher risk for postoperative complications after maxillofacial surgery under general anesthesia. The aim of this study was to detect specific complications after oral and maxillofacial surgery. Sixty-nine cases of patients with middle or severe sleep apnea who underwent an operation under general anesthesia in the oral and maxillofacial region were retrospectively analyzed. Read More

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http://dx.doi.org/10.1016/j.jcms.2018.06.005DOI Listing
September 2018
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Marijuana's Influence on Pain Scores, Initial Weight Loss, and Other Bariatric Surgical Outcomes.

Perm J 2018 07;22

At the time of this study an Attending Physician in the Department of Metabolic-Surgical Weight Management at Kaiser Permanente Colorado, and an Assistant Professor of Surgery in the Bariatric Surgery Division in the Department of Surgery at Oregon Health and Science University in Portland.

Introduction: Pain management can be challenging following bariatric surgery, and patients with obesity tend to increase opioid use after undergoing surgery. This report quantifies marijuana (MJ) use and its relationship to pain and other surgery-related outcomes in a population from a state that has legalized MJ.

Methods: Data were collected for consecutive patients undergoing weight reduction surgeries between May 1, 2014 and July 31, 2015. Read More

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http://dx.doi.org/10.7812/TPP/18-002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6047845PMC
July 2018
3 Reads

Perioperative cardiac arrests - A subanalysis of the anesthesia -related cardiac arrests and associated mortality.

J Clin Anesth 2018 Nov 11;50:78-90. Epub 2018 Jul 11.

Department of Anesthesiology, Emergency and Intensive Care, Centro Hospitalar do Porto, Largo Abel Salazar, 4099-001 Porto, Portugal.

Study Objective: To determine the incidence, risk factors, and predictors of survival of perioperative cardiac arrests (PCAs) occurring in patients who underwent non-cardiac and non-obstetric surgery from January 2008 to May 2015 at a tertiary hospital; determine the incidence and risk factors of anesthesia-related PCA.

Design: Retrospective observational study.

Setting: Operating room and postoperative recovery area. Read More

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http://dx.doi.org/10.1016/j.jclinane.2018.06.005DOI Listing
November 2018
4 Reads

Complexities of Perioperative Pain Management in Orthopedic Trauma.

Curr Pain Headache Rep 2018 Jul 10;22(9):58. Epub 2018 Jul 10.

Yale Anesthesiology, Yale-New Haven Hospital, 20 York Street, New Haven, CT, 06510, USA.

Purpose Of Review: This review discusses both obvious and hidden barriers in trauma patient access to pain management specialists and provides some suggestions focusing on outcome optimization in the perioperative period.

Recent Findings: Orthopedic trauma surgeons strive to provide patients the best possible perioperative pain management, while balancing against potential risks of opioid abuse and addiction. Surgeons often find they are ill-prepared to effectively manage postoperative pain in patients returning several months following trauma surgery, many times still dependent on opioids for pain control. Read More

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http://dx.doi.org/10.1007/s11916-018-0713-5DOI Listing
July 2018
37 Reads

Incidence and causes of prolonged mechanical ventilation in children with Down syndrome undergoing cardiac surgery.

J Saudi Heart Assoc 2018 Jul 13;30(3):247-253. Epub 2018 Feb 13.

Pediatric Cardiac Intensive Care, King Abdul Aziz Medical City, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi ArabiacSaudi Arabia.

Introduction: Trisomy 21 is the most common syndrome in children with a 30-50% association with congenital heart disease (CHD). Cardiac surgeries are required in the majority of Down syndrome (DS) with CHD cases. Because of the distinctive abnormalities in their respiratory system, children with DS may require longer positive pressure ventilation after cardiac surgery. Read More

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http://dx.doi.org/10.1016/j.jsha.2018.01.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6026390PMC
July 2018
2 Reads

Opioid Use Disorders: Perioperative Management of a Special Population.

Anesth Analg 2018 Aug;127(2):539-547

From the Departments of Psychiatry.

Opioid-related overdose deaths have reached epidemic levels within the last decade. The efforts to prevent, identify, and treat opioid use disorders (OUDs) mostly focus on the outpatient setting. Despite their frequent overrepresentation, less is known about the inpatient management of patients with OUDs. Read More

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http://dx.doi.org/10.1213/ANE.0000000000003477DOI Listing
August 2018
3 Reads

Review of biologic and behavioral risk factors linking depression and peripheral artery disease.

Vasc Med 2018 10 25;23(5):478-488. Epub 2018 May 25.

1 Department of Surgery, University of California, San Francisco, San Francisco, CA, USA.

The incidence of depression has been rising rapidly, and depression has been recognized as one of the world's leading causes of disability. More recently, depression has been associated with an increased risk of symptomatic atherosclerotic disease as well as worse perioperative outcomes in patients with cardiovascular disease. Additionally, recent studies have demonstrated an association between depression and peripheral artery disease (PAD), which has been estimated to affect more than 200 million people worldwide. Read More

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http://dx.doi.org/10.1177/1358863X18773161DOI Listing
October 2018