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Total 4085 results found since Jan 2013.
Opioid prescription and consumption after hospital discharge following laparoscopic bariatric surgery
Background: In the current opioid crisis, patients undergoing bariatric surgery may be at an increased risk of harms related to opioid overconsumption due to impulse control deficits and postoperative changes in drug absorption mechanisms. Therefore, surgeons should minimize these risks while ensuring effective postoperative pain management. Previous studies have addressed patterns of opioid prescribing and consumption in other surgical populations; however, there is a lack of research focused on bariatric surgery.
Source: Clinical Nutrition ESPEN - September 21, 2023 Category: Nutrition Authors: Shrieda Jain, Maxime L. Gagner, Anne-Sophie Poirier, Hiba Elhaj, Pepa Kaneva, Naser Alali, Lawrence Lee, Mohsen Alhashemi, Liane Feldman, Michel Gagner, Amin Andalib, Julio F. Fiore Source Type: research
Reduction of pain after laparoscopic bariatric surgery by personalized checkpoint acupuncture
Background: Optimal pain management after bariatric surgeries remains a challenge in clinical practice. Acupuncture (AC) is known to be effective in postoperative pain management, but clinical efficacy depends on the rationale of AC point selection.
Source: Clinical Nutrition ESPEN - September 21, 2023 Category: Nutrition Authors: Erfan Ghanad, Sophie Staff, Christel Wei ß, Mario goncalves, Maria Joao Santos, Nuno Correia, David Ghezel-Ahmadi, Georgi Vassilev, Florian Herrle, Christoph Reissfelder, Johannes Greten, Mirko Otto, Cui Yang Source Type: research
Effect of acupuncture combined with rehabilitation on Postoperative gastrointestinal dysfunction after abdominal operation
Background: Postoperative gastrointestinal dysfunction is one of the most common complications in patients undergoing abdominal general anesthesia. The incidence of PGD in patients undergoing abdominal surgery is 10% to 30%. PGD patients have a long hospital stay, heavy economic burden, high risk of infection and other complications. Maintaining normal gastrointestinal function is considered an important part of ERAS after abdominal surgery, reducing the pain of surgery, preventing organ dysfunction and complications, and speeding recovery.
Source: Clinical Nutrition ESPEN - September 21, 2023 Category: Nutrition Authors: Wenting Xing Source Type: research
A service evaluation of the use of sublingual ketamine for acute postoperative pain following colorectal surgery within an ERAS pathway.
Background: Ketamine, an N-methyl-D-aspartate (NMDA) antagonist, is increasingly used as a perioperative adjunct to opioid anaesthesia for acute postoperative pain, with the intention of reducing postoperative opioid consumption [1]. There is little published evidence reporting the use of ketamine as a continued adjunct for acute post abdominal surgery pain, despite the additional utility of a sublingual administration route and it exhibiting no adverse effects on gut motility. Within one hospital at our institution, we have developed a sublingual postoperative ketamine protocol for patients recovering from major abdominal...
Source: Clinical Nutrition ESPEN - September 21, 2023 Category: Nutrition Authors: Jayne Mundy, Todd Leckie, James Smith, Sophie Clarke, Inge Bateman, Howard Wakeling, Luke Hodgson Source Type: research
Enhanced Recovery After Surgery (ERAS ®) Protocol for Liver Surgery: The impact of epidural catheter placement
Background:Compare the use of intraoperative vasopressors, postoperative mobility and pain between patients with epidural catheter and patients without epidural catheter, but with a strategy of multimodal analgesia, undergoing open liver surgery. We also assessed for differences in the following outcomes: length of stay, fluid therapy, complications rate, postoperative nausea and vomiting and return of bowel function.
Source: Clinical Nutrition ESPEN - September 21, 2023 Category: Nutrition Authors: Marta R. Pardal, Andr é N. Miranda, Ana Filipa Carvalheiro, Ana Isabel Marques Source Type: research
Pain Management in 23-hr Robotic Prostatectomy at a Freestanding Ambulatory Oncology Center
We describe our enhanced recovery program (ERP) experience, with trends in opioid use in the robotic prostatectomy population. The progress of our robotic prostatectomy enhanced recovery program, with an importance on compliance and auditing is also reported.
Source: Clinical Nutrition ESPEN - September 21, 2023 Category: Nutrition Authors: Anoushka Afonso, Patrick McCormick, Hanae Tokita Source Type: research
Enhanced Recovery After Surgery (ERAS ®) Consensus Recommendations for Neonatal Perioperative Pain Assessment, Education, and Management
Background: Enhanced Recovery After Surgery (ERAS ®) guidelines have been successfully used in a variety of adult and pediatric surgical specialties. However, neonates have unique physiological and social perioperative needs which warrant specialized protocols. We developed neonatal pain assessment, education, and management consensus recommendati ons to inform future neonatal guidelines, enhance quality of care, and improve perioperative pain management for neonates.
Source: Clinical Nutrition ESPEN - September 21, 2023 Category: Nutrition Authors: Brandon Pentz, Kristin Short, Mercedes Pilkington, Tyara Marchand, Saffa Aziz, Jennifer Y. Jam, Adam Spencer, Megan A. Brockel, Scott Else, Duncan McLuckie, Andrew Franklin, David De Beer, Mehul V. Raval, Michael Scott, Mary E. Brindle Source Type: research
Thoracic epidural analgesia versus wound catheter plus intra-thecal opiate for open liver resections as part of a comprehensive ERAS pathway.
Background: Thoracic epidurals have long been the gold standard for post-operative pain relief, but with concerns of side effects such as hypotension and reduced mobility, there has been a recent move away from them in favour of trunk blocks. We have recently introduced wound catheters and intra-thecal opiate as part of our well-established ERAS pathway. We sought to evaluate the efficacy of this technique.
Source: Clinical Nutrition ESPEN - September 21, 2023 Category: Nutrition Authors: Ahsan J. Kamran, Mathanke Vivekanandan, Matthew Judd, James Sheehan, Chris Jones Source Type: research
Patient-Controlled Epidural Analgesia vs Intravenous Patient-Controlled Analgesia in early recovery and pain control in gynecologic cancer
Background: To examine early recovery and postoperative pain control in patients who undergo laparotomy for gynecological tumors in relation to epidural or intravenous analgesia.
Source: Clinical Nutrition ESPEN - September 21, 2023 Category: Nutrition Authors: A. Plana, A. Norbeck, E. Rooijackers, C. Bohlen, M. Asp, K. Levin, P Lindvall Kannisto Source Type: research
Efficacy of Lanreotide for management of patients with chronic small bowel obstruction receiving palliative home Parenteral Nutrition and patients with non-malignant chronic small bowel obstruction receiving home parenteral nutrition
We report our experience of Lanreotide in the management of high output stoma (HOS), abdominal pain, nausea and vomiting in the setting of chronic small bowel obstruction (SBO) of malignant and non-malignant origin in patients receiving home parenteral nutrition (HPN).
Source: Clinical Nutrition ESPEN - September 21, 2023 Category: Nutrition Authors: F. Kokwaro, N. Gladii, A. Woods, R. Holman Source Type: research
Development of a bupivacaine sustained release formulation for non-opioid analgesia following instrumented spinal surgery
Background: Patients undergoing instrumented spine surgery experience severe pain. Current opioid-based pain treatment provides a delicate balance between analgesic effect and side effects, delaying recovery. Local anesthetics such as bupivacaine have the potential to provide non-opioid pain relief, but are hampered by rapid systemic absorption and a duration of action that does not match the duration of severe pain. To enhance recovery after surgery through sustained and precise non-opioid pain treatment, BR-003 was developed.
Source: Clinical Nutrition ESPEN - September 21, 2023 Category: Nutrition Authors: Jasper Steverink, Floris van Tol, Kwame Amponsah, Hein Jonkman, Jessica Marvela, Suzanne Bruins, Andre Smorenburg, Bas Oosterman, Susanna Piluso, Jos Malda, Jorrit-Jan Verlaan Source Type: research
Laparoscopic transversus abdominis plane block as a lower risk alternative to thoracic epidural anaesthesia in bowel resection – better pain control in the course of time
Background: ERAS concepts try to avoid opiates after surgery with their side effects and poorer postoperative recovery in patients. Therefore, transversus abdominis plane (TAP) block is a good option to reduce opiate consumption in bowel surgery and is a good alternative to thoracic epidural anaesthesia (TEA) which is still often used in abdominal surgery.
Source: Clinical Nutrition ESPEN - September 21, 2023 Category: Nutrition Authors: Vanessa Hartwig, Mario Kaufmann, Tim-Janick Dorwarth, Justus Benrath, Christoph Reissfelder, Florian Herrle Source Type: research
Comprehensive geriatric assessment to predict adverse events in elderly patients undergoing posterior lumbar fusion surgery
ConclusionsThese results indicate that preoperative screening preoperative delirium, cognitive, nutrition and CCI are essential to prevent postoperative major AEs of the surgical elderly.
Source: European Spine Journal - September 21, 2023 Category: Orthopaedics Source Type: research
Vutrisiran: A Review in Polyneuropathy of Hereditary Transthyretin-Mediated Amyloidosis
In conclusion, vutrisiran is an efficacious and generally well-tolerated alternative option for the treatment of polyneuropathy of hATTR amyloidosis, which has the potential advantage of infrequent subcutaneous dosage.
Source: Drugs - September 20, 2023 Category: Drugs & Pharmacology Source Type: research
