Postoperative Considerations in the Management of Hallux Valgus
Postoperative management of hallux valgus varies widely. Setting preoperative expectations is an important aspect of attaining a successful outcome, but this is not routinely reviewed in the literature. This chapter offers suggestions on successfully navigating this area of patient care. Current concepts focus on pain control, immobilization, and return to activities. This chapter also reviews the current literature in these areas and sets out the authors ’ preferred management in the postoperative setting.
Condition: Pain, Postoperative Interventions: Drug: Depobupivacaine; Drug: OnQ pump; Drug: 0.25% Bupivacaine Sponsor: The Cleveland Clinic Completed
CONCLUSIONS: Our data reveal that a multidisciplinary approach to spine tuberculosis facilitates early and accurate diagnosis and can improve medical and surgical management of this disease. PMID: 32096192 [PubMed - in process]
This study examines the challenges of providing access to pain management for people who have been socially or economically marginalized.Pain
Conclusion: Significant differences in VAS scores were found between the OMTh and placebo groups. These findings underline how OMTh can lead to reduced pain in patients with PFPS. PMID: 32091560 [PubMed - in process]
Authors: Hanna MN, Chambers C, Punyala A, Iqbal A, Singh B, Oruc C, Prakash P, Prajapati Y, Wang Y, Amery Ai Z, Shechter R, Speed TJ, Koch CG, Williams K Abstract The use of opioid analgesics for pain management has increased dramatically over the past decade, with corresponding increases in negative sequelae including overdose and death. Physicians, policymakers, and researchers are focused on finding ways to decrease opioid use and overdose. This crisis calls for a coordinated response that includes the entire healthcare sector. In this work, the authors lay out a blueprint for such a response at the level of the...
CONCLUSIONS: Utilization of drugs that harness endogenous opioid antinociception in accordance with varying physiological states represents a novel approach for effective pain management while mitigating the present epidemic of death by synthetic opioid overdose. PMID: 32091619 [PubMed - as supplied by publisher]
CONCLUSIONS: This study further supports the role that prescription opioids play in the transition to heroin use. It suggests that oxycodone is the most common prescription opioid used prior to heroin initiation. Additionally, it reports descriptive information as to how and where prescription opioids are obtained. PMID: 32091617 [PubMed - as supplied by publisher]
Authors: Meuser T, Nardi-Hiebl S, Eberhart L, Paul M, Böttger R, Reutershan J Abstract OBJECTIVE: Assessment and allocation of required staff time for postoperative pain management for two different pa-tient-controlled technologies, sufentanil sublingual tablet system (SSTS) and intravenous analgesia (PCiA). DESIGN: Activity-based evaluation. SETTING: The study was conducted at four German hospitals based on the availability of the two technologies studied and their respective bed capacity broadly reflecting the German hospital landscape. PATIENTS AND PARTICIPANTS: Staff activities were recorded fo...
CONCLUSION: Opioids are commonly dispensed in the ED for SLE patients. This is true even for patients utilizing the ED for SLE-related disease activity/complications. PMID: 32091614 [PubMed - as supplied by publisher]
CONCLUSION: Pre-emptive intrathecal morphine analgesia is an effective technique for controlling surgical stress re-sponse and post-lumbar laminectomy pain. PMID: 32091613 [PubMed - as supplied by publisher]