Assessment of post-operative opioid prescribing practices in a community hospital ambulatory surgical center

CONCLUSIONS: One week after outpatient surgery, patients consumed one-third of physician-prescribed opioids, yet they reported high pain management satisfaction. Our study will inform the development of a patient-centered interdisciplinary perioperative education program to more effectively tailor multimodal pain management in ambulatory surgical patients and collaterally reduce the number of retained opioids.PMID:34259335 | DOI:10.5055/jom.2021.0634
Source: Journal of Opioid Management - Category: Addiction Authors: Source Type: research

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Conditions:   Analgesia, Patient-Controlled;   Postoperative Pain, Acute Interventions:   Procedure: lateral tap block;   Procedure: posterior tap block Sponsor:   Ankara City Hospital Bilkent Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
This study assessed comprehensive clinical outcomes including quality of life (QoL) and body composition change 1  year after DFT and DTR.MethodsWe retrospectively reviewed prospectively collected data from 51 to 18 patients who underwent DTR and DFT, respectively, between September 2014 and December 2018. Short-term surgical outcomes, presence of reflux esophagitis, nutritional supplementation, medications, nutritional status (laboratory results and body composition analysis), and QoL measured preoperatively and at 1  year postoperatively were compared between both groups.ResultsBoth groups did not differ signif...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
Endometriosis, affecting 5-10% of reproductive-age women, is a common contributor to dysmenorrhea and chronic pelvic pain. Diagnosis requires laparoscopic tissue biopsy, but careful pelvic examination, and/or imaging with either ultrasound or MRI, may identify patients who should receive empiric first-line therapy. The presence of dyschezia, particularly with cyclical exacerbation, should raise suspicion for bowel or rectovaginal septum involvement, and a greater need for surgical management. Treatment of dysmenorrhea includes hormonal suppression of the menstrual cycle, and/or analgesics; more severe cases with strong pai...
Source: Gastroenterology Clinics of North America - Category: Gastroenterology Authors: Source Type: research
ConclusionsAlthough the incidence of peptic ulcer disease is decreasing, it appears that the incidence of complications is rising. Laparoscopic approach, especially when performed by laparoscopic surgery experts, could be a treatment option for difficult duodenal ulcer perforations with less pain, shorter hospital stay and reduced morbidity.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
CONCLUSIONS: CTSEA was a successful anesthetic alternative procedure for LSG surgery.PMID:34981323 | DOI:10.1007/s11695-021-05796-x
Source: Hand Surgery - Category: Surgery Authors: Source Type: research
AbstractPurpose of ReviewThis review highlights advances in care of patients with severe epidermolysis bullosa (EB) that impact the anesthesiologist. Topics covered include EB molecular genetics, preoperative assessment, intra- and postoperative anesthetic care. Related topics include advances in common procedures performed on EB patients and new clinical practice guidelines.Recent FindingsThe latest EB nomenclature has largely eliminated eponyms. Molecular classification has revealed direct links to cardiomyopathy in several subtypes. Other molecular/genetic links to phenotypic associations such as muscular dystrophy and ...
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research
CONCLUSIONS: Several analgesic techniques have been investigated. We found that abdominal wall blocks were as effective as thoracic epidural analgesia for pain management but with lower hospital stay and better recovery. We registered this review on PROSPERO (ID: CRD42021279228).PMID:34925820 | PMC:PMC8648937 | DOI:10.1016/j.amsu.2021.103124
Source: Annals of Medicine - Category: Internal Medicine Authors: Source Type: research
CONCLUSIONS: Post-operative LNG-IUD is widely used to reduce endometriosis-related pain and to improve operative outcomes. This review demonstrates that there is no high-quality evidence to support this practice. This review highlights the need for further studies with large sample sizes to assess the effectiveness of post-operative adjuvant hormonal IUD on the core endometriosis outcomes (overall pain, most troublesome symptom, and quality of life).PMID:34928503 | DOI:10.1002/14651858.CD005072.pub4
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Source Type: research
CONCLUSION: The results of this study indicate that LPL offers a higher stone free rate with less bleeding in patients with single particle or limited particles staghorn stones with extrarenal pelvis but is associated with a higher duration of operation. The application of LPL in patients with multiple stones carries a lower achievement and is not encouraged.PMID:34927230 | DOI:10.22037/uj.v18i.6831
Source: Urology Journal - Category: Urology & Nephrology Authors: Source Type: research
CONCLUSIONS: Post-operative LNG-IUD is widely used to reduce endometriosis-related pain and to improve operative outcomes. This review demonstrates that there is no high-quality evidence to support this practice. This review highlights the need for further studies with large sample sizes to assess the effectiveness of post-operative adjuvant hormonal IUD on the core endometriosis outcomes (overall pain, most troublesome symptom, and quality of life).PMID:34928503 | DOI:10.1002/14651858.CD005072.pub4
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Source Type: research
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