Publications by authors named "Christine L Oryhan"
Introduction: Opioid administration has the benefit of providing perioperative analgesia but is also associated with adverse effects. Opioid-free anesthesia (OFA) may reduce postoperative opioid consumption and adverse effects after laparoscopic bariatric surgery. In this randomized controlled study, we hypothesized that an opioid-free anesthetic using lidocaine, ketamine, and dexmedetomidine would result in a clinically significant reduction in 24-hour postoperative opioid consumption when compared with an opioid-inclusive technique.
View Article and Find Full Text PDFIntroduction: Surgical site infection is a potential complication of spinal cord stimulator (SCS) implantation. Current understanding of the epidemiology, diagnosis, and treatment of these infections is based largely on small clinical studies, many of which are outdated. Evidence-based guidelines for management of SCS-related infections thus rely instead on expert opinion, case reports, and case series.
View Article and Find Full Text PDFArticle Synopsis
- Spinal cord stimulation is a recognized treatment for chronic pain but carries risks of complications, particularly infections, which this article aims to better understand by analyzing data from previous surgeries.
- A review of 2737 spinal cord stimulator implants showed an overall infection rate of 2.45%, indicating a lower incidence compared to earlier studies, while examining various risk factors and preventative measures.
- The study found that diabetes, tobacco use, and obesity did not significantly increase infection rates; however, using occlusive dressings and post-operative antibiotics were associated with lower infection rates.