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Factors Associated With Increased Opioid Prescriptions Following Anterior Cruciate Ligament Reconstruction in Opioid-Na ïve Patients
CONCLUSIONS: Older age and preoperative diagnosis of depression are associated with greater opioid doses after ACLR. In addition, the vast majority of opioid prescriptions are written by orthopaedic surgeons on the day of ACLR and decreased considerably by four weeks after surgery. Patients receiving opioid prescriptions by nonorthopaedic surgeon medical providers receive significantly greater doses.LEVEL OF EVIDENCE: Level IV, retrospective cohort study.PMID:37645399 | PMC:PMC10461142 | DOI:10.1016/j.asmr.2023.04.023
Source: Pain Physician - August 30, 2023 Category: Anesthesiology Authors: Sercan Yalcin Peter Y Joo William McLaughlin Jay Moran Dennis Caruana Michael Flores Jonathan Grauer Michael Medvecky Source Type: research
Ludwig's angina and acute myocardial infarction: A case report
Clin Case Rep. 2023 Aug 24;11(9):e7832. doi: 10.1002/ccr3.7832. eCollection 2023 Sep.ABSTRACTLudwig's angina was first described in 1839 by German physician, Wilhelm Frederick Von Ludwig as a rapidly and fatal progressive gangrenous cellulitis and edema of the soft tissues of the neck and floor of the mouth with rapid spread to other places like anterior mediastinum. However, Type 2 acute myocardial infarction (MI) due to Ludwig's angina has not been documented. A 62-year-old male presented to the emergency department with visible anterior neck swelling for 1 week, which was preceded by a tooth arch 1 week prior, the patie...
Source: Pain Physician - August 28, 2023 Category: Anesthesiology Authors: Ronald Kato Umar Ssebagala Kainembabazi Katrina Source Type: research
Impact of warm saline irrigation, hyperthermic intraperitoneal chemotherapy on postoperative pain in primary ovarian cancer from the KOV-HIPEC-01 randomized trial
CONCLUSION: The addition of HIPEC to cytoreductive surgery did not lead to increased postoperative pain, as demonstrated by a reduction in the use of analgesics and lower scores on postoperative pain scales during the early postoperative period.PMID:37634257 | DOI:10.1016/j.ygyno.2023.08.006
Source: Gynecologic Oncology - August 27, 2023 Category: Cancer & Oncology Authors: Ji Hyun Kim Kyung Nam Park Eun Young Park Min Jung Jang Yoen Jung Park Youseok Kim Suk-Joon Chang Sang-Yoon Park Jung Yeon Yun Myong Cheol Lim Source Type: research
More time in a community setting: A service evaluation of the impact of intrathecal drug delivery systems on place of care of patients with cancer pain
CONCLUSION: In patients with advanced cancer, the successful establishment of intrathecal analgesia is associated with more time in the community and a lower morphine equivalent daily dose at end of life. The study has low numbers, and the sample was retrospectively selected. Nevertheless, these findings suggest the initial investment of time in an inpatient setting may be beneficial. Further research is required, using larger, prospective studies of patient outcomes in this setting.PMID:37632373 | DOI:10.1177/02692163231191548
Source: Palliative Medicine - August 26, 2023 Category: Palliative Care Authors: Alison Mitchell Lesley Somerville Nicola Williams Jonathan McGhie Alex McConnachie Gordon McGinn Jiyoung Lee Source Type: research
