Anesthetic Management in Early Recovery After Surgery Protocols for Total Knee and Total Hip Arthroplasty.

Anesthetic Management in Early Recovery After Surgery Protocols for Total Knee and Total Hip Arthroplasty. J Stud Alcohol Drugs. 2018 Feb;86(1):32-39 Authors: Oseka L, Pecka S Abstract The aim of this integrative review was to provide current, evidence-based anesthetic and analgesic recommendations for inclusion in an Enhanced Recovery After Surgery (ERAS) protocol for patients undergoing total knee arthroplasty (TKA) or total hip arthroplasty (THA). Articles published between 2006 and December 2016 were critically appraised for validity, reliability, and rigor of study. The administration of nonsteroidal anti-inflammatory drugs (NSAIDs), acetaminophen, gabapentinoids, and corticosteroids resulted in shorter hospital length of stay (LOS) and decreased postoperative pain and opioid consumption. A spinal anesthetic block provided benefits over general anesthesia, including decreased 30-day mortality rates, hospital LOS, blood loss, and complications. The use of peripheral nerve blocks for postoperative pain management resulted in lower pain scores, decreased opioid consumption, fewer complications, and shorter hospital LOS. Perioperative anesthetic management in ERAS protocols for patients undergoing TKA and THA should include the administration of acetaminophen, NSAIDs, gabapentinoids, and corticosteroids. Preferred intraoperative anesthetic management in ERAS protocols should consist of spinal anesthesia with light sedation. Postoperative pain should be m...
Source: Journal of Studies on Alcohol and Drugs - Category: Addiction Tags: J Stud Alcohol Drugs Source Type: research

Related Links:

ConclusionsA history of MST is common among older women veterans and associated with a range of medical and mental health diagnoses. These findings call attention to the need for additional research in this understudied population, and the importance of trauma-informed care approaches for women across the lifespan.
Source: Journal of General Internal Medicine - Category: Internal Medicine Source Type: research
STUDY DESIGN: Cross-sectional self-report assessment. Econometric modeling. OBJECTIVES: Identify the relationship of multiple pain indicators, prescription pain medication, nonprescription opioid use, and multiple indicators of quality employment a...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
​Subungual hematomas can be a terror. They are painful, ugly-looking, nefarious, and sometimes confusing. The ultimate goal is to drain the accumulated blood and relieve the painful pressure.The best intervention is easy and straightforward: Leave the nail in place, and evacuate the blood under it. (Hand Surg. 2012;17[1]:151; Am J Emerg Med. 2006;24[7]:875; Emerg Med J. 2003;20[1]:65, http://bit.ly/2mHV1cO.) Then, provide excellent discharge information without prescribing antibiotics.A subungual hematoma in a 21-year-old man who slammed his thumb in a car door about 12 hours before ED arrival. Photo by M. Roberts.Distal...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
What is Vicodin and What Does It Do? According to MedicineNet, Vicodin is a combination of Hydrocodone and Acetaminophen. Hydrocodone is a narcotic pain-reliever and a cough suppressant, similar to codeine. Hydrocodone blocks the receptors on nerve cells in the brain that give rise to the sensation of pain. Acetaminophen is a non-narcotic pain reliever and fever reducer. Acetaminophen works by elevating the threshold to pain. Essentially, in order for pain to be felt, s greater stimulation of the nerves responsible for the sensation of pain is necessary. It reduces fever through its action on the temperature-regulating ce...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction Recovery Detox Resources for Alcohol and Drugs/Opiates Drug Rehab Information Drug Treatment anxiety in withdrawal vicodin withdrawal symptoms Source Type: blogs
Recently I wrote a summary of my readings around cannabis for pain. It’s a hot topic in New Zealand because we’re holding a referendum on cannabis law reform next year, and as expected, all the lobby groups are out in force! My interest is sparked because so many of the people I work with as patients also use cannabis – and the evidence from RCTs is pretty poor. And YET as a recent study colleagues and I carried out with people who have spinal cord injury and neuropathic pain, cannabis is something that holds appeal, and interestingly, seems to provide some useful effects. The study we conducted (see i...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Coping strategies Pain Pain conditions Research cannabis medicinal cannabis qualitative Source Type: blogs
AbstractBackgroundPotential protective effects of nonpharmacological treatments (NPT) against long-term pain-related adverse outcomes have not been examined.ObjectiveTo compare active duty U.S. Army service members with chronic pain who did/did not receive NPT in the Military Health System (MHS) and describe the association between receiving NPT and adverse outcomes after transitioning to the Veterans Health Administration (VHA).Design and ParticipantsA longitudinal cohort study of active duty Army service members whose MHS healthcare records indicated presence of chronic pain after an index deployment to Iraq or Afghanist...
Source: Journal of General Internal Medicine - Category: Internal Medicine Source Type: research
 Psychiatric medications are the religion and politics of the mental health advocacy world — don’t bring them up unless you want a fight to break out. Luckily, here at Not Crazy, we don’t shy away from confrontation.  In this episode, we cover the good, the bad, and the ugly surrounding medications. Like whether or not you should take them. We tackle side effects like feeling numb and sexual dysfunction and share our personal histories with medication therapy. Listen now! (Transcript Available Below) SUBSCRIBE &REVIEW About The Not Crazy Podcast Hosts Gabe Howard is an award-winning wri...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Antidepressant Antipsychotic General Medications Mental Health and Wellness Not Crazy Podcast Psychology Research Sexuality Stimulants Treatment Source Type: blogs
On October 26th, DEA National Take Back Day will once again address a crucial public safety issue. According to the National Survey on Drug Use and Health, 9.9 million Americans misuse controlled prescription drugs – and that study indicates that most of these prescription drugs were either obtained from family and friends or found in the most-neglected staple of every bathroom: the medicine cabinet. What’s the Purpose of DEA National Take Back Day? DEA National Take Back Day gives individuals the chance to dispose of their unwanted prescription drugs in a safe, judgment-free environment. Cleaning out the aver...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction to Pharmaceuticals Painkiller dea national take back day opioids prescription drug abuse prescription drug addiction prescription drug detox prescription drug use prescription drugs prescription medication prescri Source Type: blogs
Are you always in control and always perfectly put together? Are you professionally successful, a great friend, and always showing a happy face to the world?  But what about on the inside? Is there something in the background or in the past that you don’t talk about?  Do you feel disconnected, like no one knows the “real” you? Deep down do you just know something is wrong? Well, you might have “perfectly hidden depression.” Today Gabe speaks with Dr. Margaret Rutherford who has done extensive work on the relationship between perfectionism and depression.  Dr. Rutherford tells u...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Brain and Behavior Depression General Happiness Interview LifeHelper Mental Health and Wellness Perfectionism Personality Podcast Psychiatry Psychology Research Self-Esteem Self-Help The Psych Central Show Trauma Source Type: blogs
CONCLUSIONS: The authors' findings provide insight regarding the mechanisms of spinal cord stimulation failure that resulted in total removal of the implanted system. The relationship between spinal cord stimulation failure and certain psychiatric disorders, such as PTSD, depression, and anxiety, is highlighted. Ultimately, this work may shed light on potential avenues to reduce morbidity and improve patient outcomes. PMID: 31585414 [PubMed - as supplied by publisher]
Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
More News: Acetaminophen | Addiction | Alcoholism | Anesthesia | Anesthesiology | Back Pain | Corticosteroid Therapy | Hospitals | Lortab | Pain | Pain Management | Study