Does Preoperative Pain Medication Management Influence Surgical Outcomes in Spinal Fusion

Conditions:   Opioid Use;   Spine Fusion Interventions:   Behavioral: Spinal Fusion Preoperative Opioid Taper;   Other: Non-taper Control Sponsor:   Stanford University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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One of our residents who just graduated 3 months ago texted me this ECG:" Hey Steve, would be grateful for any thoughts on this EKG.  60-something with 2 days of waxing and waning epigastric pain and diaphoresis.  Also diffuse abdominal tenderness. "Presenting ECG:What was my answer?What is the management? My Answer: " Inferior and lateral OMI "Detailed Interpretation:Sinus rhythm.  Left axis deviation, but not quite LAFB (no r-wave in inferior leads; no q-wave in aVL).  There is less than 1 mm STE in inferior leads, with reciprocal ST depression. There are hyperacute T-wav...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs
As a therapist, I sit in the presence of individuals, couples and families who share stories about the challenges in their interpersonal relationships. What remains with me, after decades of being a privileged listener, is a litany of complaints about how yelling is the primary means of communication between them and if not a direct reaction to disagreement, it becomes the default mode when the temperature rises.  As a human being who does my level best to take the professional hat off in my own interactions outside the office and sometimes failing miserably, I know all too well, the temptation to increase the volume ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anger Communication Anger Management Conflict Source Type: blogs
Over the past two decades, the federal and state governments, industry, and professionals have taken significant actions to address opioid abuse, addiction, and overdose, including efforts to determine the appropriateness of prescribing opioid analgesics to patients with acute and chronic pain (Greene, et  al., 2018; Jones, et al., 2018). Without a doubt, many of these efforts have been necessary. Some measures, however, have focused sharply on reducing the supply of prescription opioids, which has contributed toward confusion and fear among prescribers and restricted access to controlled prescript ion medication...
Source: Pain Management Nursing - Category: Nursing Authors: Tags: Editorial Source Type: research
Publication date: Available online 18 October 2019Source: Journal of Cranio-Maxillofacial SurgeryAuthor(s): Amely Hartmann, Claudia Welte-Jzyk, Bilal Al-Nawas, Monika DaubländerSummaryThe aim of this study was to evaluate if patients after orofacial cleft repair experience neurophysiological changes with consecutive chronic pain states after surgery.Patients (n=48) with a repaired orofacial cleft (CLP) recruited in a support group took part in a survey including five questionnaires. They revealed pain states, described cleft situation and history, and epidemiological data. Patients’ quality of life and psycholog...
Source: Journal of Cranio Maxillofacial Surgery - Category: ENT & OMF Source Type: research
Conclusion. Higher pain intensity and disability predicted higher pain-related HCU in the year following a LBP self-management class. The presence of a sleep disorder diagnosis, as recorded in medical records, had a significant independent effect on LBP-related health care visits and costs beyond the influences of pain intensity, disability, and other key demographic and health-related characteristics, but did not moderate these relationships. Level of Evidence: 3
Source: Spine - Category: Orthopaedics Tags: CLINICAL CASE SERIES Source Type: research
Authors: Yang S, Wang D, Xu J, Luo F, Wu W, Zhang Z Abstract Objective: To observe the clinical effect of anterior debridement, decompression, bone grafting, and instrumentation for cervical spinal tuberculosis in four hospitals. Materials and Methods: This research retrospectively analyzed 146 patients with cervical spinal tuberculosis who were treated by anterior debridement, decompression, bone grafting, and instrumentation in four institutions between January 2000 and January 2015. There were 68 males and 78 females with an average age of 31.32 ± 11.69 years. All patients received chemotherapy for 18 mon...
Source: Neurological Research - Category: Neurology Tags: Neurol Res Source Type: research
Sometimes you don’t realize you’ve been drowning until the moment you’re pulled to safety, gulping fresh air again. Like others who’ve battled depression, I didn’t fully comprehend how dark I felt while muddling through it.  Even in my darkest moments, I tried to pretend everything was fine. I’d been raised to be strong and capable during a crisis — to count my blessings and refrain from complaining. Never wanting to burden my family or friends, I often hid my pain. And the more I tried to downplay my sadness, the more isolated I felt.  The terrible se...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Caregivers Personal Burnout caregiving Depression Elderly Self Care Source Type: blogs
The word “schizophrenia” tends to conjure ideas of dramatic imagery: hallucinations, delusions, insane asylums in the general public’s mind. Most people don’t think of the boring parts that consume many with schizophrenia, like lacking the motivation to get out of bed, to make friends… Host Rachel Star Withers, a diagnosed schizophrenic, and co-host Gabe Howard discuss avolition and ways to help motivate loved ones in this episode of Inside Schizophrenia. Family Counselor Ms. Breen joins to share ways to sort through dilemmas. And Rachel does an experiment on her own to address her lack of mo...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Brain and Behavior General Inside Schizophrenia Mental Health and Wellness Motivation and Inspiration Psychology avolition Lack Of Motivation Living With Schizophrenia Source Type: blogs
The literature supports the effectiveness of self-management support (SMS) to improve health outcomes of patients with chronic spine pain. However, patient engagement in SMS programs is suboptimal. The objecti...
Source: Chiropractic and Osteopathy - Category: Complementary Medicine Authors: Tags: Research Source Type: research
Authors: Dave BR, Degulmadi D, Krishnan A, Mayi S Abstract We aim to present the current evidence on various risk factors and surgical treatment modalities for recurrent lumbar disc herniation (rLDH). Using PubMed, a literature search was performed using the Mesh terms "recurrent disc prolapse," "herniated lumbar disc," "risk factors," and "treatment." Articles that were published between January 2010 and May 2017 were selected for further screening. A search conducted through PubMed identified 213 articles that met the initial screening criteria. Detailed analyses showed tha...
Source: Asian Spine Journal - Category: Orthopaedics Tags: Asian Spine J Source Type: research
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