34: Baseline pain medication use before and after anti-opioid legislation in a preoperative urogynecologic population

Despite the increasing morbidity and mortality of the opioid epidemic, the rates of pain medication use among the urogynecology patient population is not known. Our objective was to describe the baseline prevalence of preoperative opioid and neuropathic pain medication use in patients presenting for urogynecologic surgery and to determine whether this rate changed before and after passage of anti-opioid state legislation.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Non-Oral Poster Source Type: research

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The Country of mine with 140 crore population, is under complete lockdown mode. We are anxiously tense in one aspect,  but enjoying the free time due to the peculiar “Corona effect” on cardiac emergencies. Unable to understand you . . . please go away What happened to our 24/7 busy CCU ?  Does it happen only in my hospital? Can’t be.  Let me check it right now. I called my fellow, who has since become a leading cardiologist in the nearby town. I have since called many of my close contacts. In both Government and private hospitals. The pooled data were analyzed in a virtual cloud memory. I...
Source: Dr.S.Venkatesan MD - Category: Cardiology Authors: Tags: acute coronary syndrome Cardiology -guidelines Cardiology -Interventional -PCI cardiology -Therapeutics Ethics in Medicine Uncategorized Acute corona vs coronary syndrome ethics in cardiology evidence based cardiology Source Type: blogs
Medicines to alleviate breathing difficulty, relieve pain and sedate coronavirus patients are in very high demand, depleting stock around the country.
Source: NYT Health - Category: Consumer Health News Authors: Tags: your-feed-science Shortages Drugs (Pharmaceuticals) Coronavirus (2019-nCoV) Sedatives Ventilators (Medical) Antibiotics Stockpiling Asthma Epidemics American Hospital Assn Drug Enforcement Administration Food and Drug Administratio Source Type: news
Conclusions: Continuing shifts in society's cultural landscape, ongoing emphasis on value versus volume, and other industry fiscal imperatives continue to evoke an evolution in end-of-life care. The attainment of successful outcomes by professional case managers with those populations will be dependent on awareness and comprehension of regulations, legislation, and reimbursement; the influences of ongoing industry trends; availability of emerging resources; and ongoing technological advances. Ethical excellence remains at the core of case management across the interprofessional workforce and the transitions of care. Imp...
Source: Professional Case Management - Category: Health Management Tags: Articles Source Type: research
AbstractPurpose of ReviewEffective acute pain management has evolved considerably in recent years and is a primary area of focus in attempts to defend against the opioid epidemic. Persistent postsurgical pain (PPP) has an incidence of up to 30 –50% and has negative outcome of quality of life and negative burden on individuals, family, and society. The 2016 American Society of Anesthesiologists (ASA) guidelines states that enhanced recovery after surgery (ERAS) forms an integral part of Perioperative Surgical Home (PSH) and is now recomm ended to use a multimodal opioid-sparing approach for management of postoperative...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research
The field of abdominal organ transplantation is multifaceted, with the clinician balancing recipient comorbidities, risks of the surgical procedure, and the pathophysiology of immunosuppression to ensure optimal outcomes. An underappreciated element throughout this process is acute pain management related to the surgical procedure. As the opioid epidemic continues to grow with increasing numbers of transplant candidates on opioids as well the increase in the development of enhanced recovery after surgery protocols, there is a need for greater focus on optimal postoperative pain control to minimize opioid use and improve ou...
Source: Transplantation - Category: Transplant Surgery Tags: Reviews Source Type: research
Acute pain represents one of the most common reasons for emergency department (ED) visits. In the opioid epidemic that North America faces, there is a significant demand for novel effective pain control modalities, especially in the acute setting.
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Clinical Reviews Source Type: research
[African Arguments] What can we learn from Ebola about the potential impacts of COVID-19?
Source: AllAfrica News: Health and Medicine - Category: African Health Source Type: news
The opioid epidemic has had far reaching consequences for bariatric surgeons. We have had an awakening and have collectively realized that our sub-specialty has to do a better job at protecting our patients from this destructive addiction process. In a study of nine hospital systems in the US, 4.0% of patients who were not chronic opioid users prior to bariatric surgery converted to chronic use after surgery.1 Another similar study indicated that 77% of bariatric surgical patients who were on chronic pain medicines prior to surgery, not only remained on opioid therapy post surgically , but collectively increased their over...
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
The overprescribing of opioid pain relievers (OPR) has led to a significant increase in opioid addiction and overdose. A cornerstone of combating the opioid epidemic is the development of peri-operative evidence based guidelines to standardize OPR prescribing practices and of opioid sparing Enhanced Recovery After Surgery (ERAS) protocols. ERAS has been found to reduce the volume of OPR prescribed while improving outcomes and overall patient satisfaction in adult gynecologic and multiple pediatric surgical specialties.
Source: Journal of Pediatric and Adolescent Gynecology - Category: OBGYN Authors: Source Type: research
DISCUSSION AND IMPLICATIONS: Older adults have high rates of chronic pain and MCC that may reduce their pain management options. The opioid epidemic and policies addressing it have the potential to negatively affect patient-clinician relationships and patients' pain self-management. Clinicians may be able to mitigate these unintended consequences by actively conveying respect to the patient, empowering patients in their pain self-management activities, and proactively addressing worries and fears patients may own related to their current and future pain management regimens. PMID: 32222760 [PubMed - as supplied by publisher]
Source: The Gerontologist - Category: Geriatrics Authors: Tags: Gerontologist Source Type: research
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