Rapid Growth in Medicaid Spending on Medications to Treat Opioid Use Disorder and Overdose (June 2017)
Report used state Medicaid drug utilization files from 2011 to 2016 to assess spending on buprenorphine, naltrexone, and naloxone prescriptions.
AbstractPurpose of ReviewAcetaminophen (paracetamol, APAP) is the most commonly prescribed analgesic for the treatment of acute pain. It is also the most commonly prescribed analgesic and antipyretic for children. There has been extensive clinical use of acetaminophen in nonparenteral forms (e.g., oral or rectal) for over six decades and over 20 years of clinical experience outside the USA with the intravenous (IV) use of acetaminophen.Recent FindingsIn the USA, IV acetaminophen was approved by the Food and Drug Administration in November 2010. Studies indicate that IV acetaminophen is as effective for acute pain rel...
Abstract This educational review presents an overview of opioid use disorder, misuse and overdose among adolescents, and the clinical implications for anesthesiologists. It provides definitions, discusses the epidemiology worldwide, (focusing on North America), and emphasizes the clinical implications of patients with chronic opioid exposure, including perioperative pain management, as well as opioid overdose and prolonged use of opioids after acute exposure. In the USA, opioid use disorder and negative outcomes related to opioids rose dramatically from 1999-2010; concomitantly heroin use and fatal overdoses have ...
Samantha Huntley (pictured) of Missouri died of a heroin overdose at age 20 last month. Now, her mother Julieann Gideon is speaking out about her death.
On September 14, 2017, 27-year old Taquisha Desirae McKitty was brought to Brampton Civic Hospital suffering from a drug overdose. After six days, doctors declared her brain dead despite her family’s wishes. The family filed an injunction to keep McKitty on organ support. On September 28th, Superior Court Justice M.J. Shaw extended that injunction to October 17th so that the family could obtain a second opinion from another physician. It is unclear that they have obtained such an opinion.
Despite the focus on appropriate use of opioids for pain management, many hospitals continue to see adverse events in which patients are injured from unintentional overdoses. To help hospitals prevent patient harm from the use of opioids, ECRI Institute Patient Safety Organization (PSO) conducted a deep dive analysis of adverse events related to opioids in the acute care setting. Executive brief, a leadership infographic, and an interactive tool are available for free download by registering with ECRI.
Details the increased rates of Hepatitis C and how they correlate to the opioid epidemic by looking at West Virginia, which has the highest rates of overdose deaths and new hepatitis B and C infections in the country. Because those infected with hepatitis often do not display symptoms immediately, the disease can go untreated for years, leading eventually to end-stage liver disease. This is one among many diseases that are rising in the midst of the opioid epidemic, and although there is a treatment for it, for many it is not affordable. (May require subscription to view full article.)
We examined predictors of reported naloxone administration in the past year.
The suit claims drug companies played a role in the skyrocketing number of opioid overdoses
Report outlines local police action on the opioid crisis based on the third national Police Executive Research Forum conference held in April 2017.
This study compares the effectiveness and appropriateness of naloxone administration between BLS and ALS providers. METHODS: All Vermont, New Hampshire, and Maine EMS patient encounters between April 1, 2014 and December 31, 2016 where naloxone was administered were examined and 3,219 patients were identified. The proportion of successful reversals of opioid overdose, based on improvement in the Glasgow Coma Scale (GCS), respiratory rate (RR), and provider global assessment (GA) of response to medication was compared between BLS and ALS providers using a Chi-Squared statistic, Fisher's exact or Wilcoxon rank-sum test. ...