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A retrospective cohort study of post colorectal surgery and trips to the emergency department (ED) is discussed in the journal of Diseases of the Colon & Rectum. In order to increase prevention of return ED visits—approximately 11% of patients—researchers characterized the factors that brought...
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In a study presented at the ANESTHESIOLOGY annual meeting, the concerns of postsurgery opioid use, and the groups most at risk, were highlighted. For patients using opioids for the first time for pain management after surgery, certain groups—people who smoke, those who suffer from depression, and...
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A Canadian study at the University of Toronto is looking at the differences in mastectomy pain post-surgery in trans men and cis women. Interestingly, while a large number of cis women—almost 40%—experience persistent pain after a mastectomy, transgender men do not. The latter group also require...
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Postoperative pain in adults. Which is better for pain relief after outpatient surgery, NSAIDs or codeine? An article published in the Canadian Medical Association Journal, or CMAJ, detailed the results of a systematic review and meta-analysis, with patient pain scores as the primary outcome and...
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The Non-Opioids Prevent Addiction in the Nation (NOPAIN) Act was recently introduced into the House of Representatives, after working its way through the senate. Its goal? To make it easier to access non-opioid pain management treatments. The Act hopes to “address payment disincentives for...
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At the American Society of Anesthesiologists pain summit, over a dozen societies discussed principles for acute pain resources for surgeries. ASA President Beverly K. Philip, MD, FACA, FASA, commented, “we learned from each other what progress has been made toward each principle, what challenges or...
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A research letter published in JAMA Surgery compares postsurgery pain relief and patient satisfaction via patient-reported outcomes after common operations. What’s the right balance between excessive prescribing of opioids and inferior pain control? Over 600 patients were surveyed 1 to 3 months...
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The Journal of Controlled Release discusses the use of a bioresorbable poly(ester urea) (PEU) film that delivers etoricoxib, a nonopioid COX-2 inhibitor, for postsurgical pain. The painkillers are released to a wound via a patch, which eventually dissolves. Coauthor Matthew Becker, a professor of...
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In a Pain Management short communication, researchers discussed a study of intravenous meloxicam's efficacy and safety for postsurgery pain, as part of an enhanced recovery after surgery (ERAS) protocol. Over 50 adults who had undergone open or laparoscopic colorectal surgery with bowel resection...
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Researchers reviewed 26 relevant studies of presurgical psychological predictors on the outcomes of knee or hip surgery and found that “there is evidential value for the effect of depression on pain intensity and function, anxiety on pain intensity and function, pain catastrophizing on pain...