Publications by authors named "Genewoo Hong"
Introduction: Ambulatory hip arthroscopies are associated with moderate-to-severe pain often requiring opioid analgesia. Novel motor-sparing blocks, the pericapsular nerve group (PENG) and lateral femoral cutaneous nerve (LFCN) block, have shown efficacy in hip surgery.
Purpose: We sought to investigate the analgesic benefits of these novel blocks in terms of opioid-sparing and discharge efficiency.
Article Synopsis
- - The study examined trends in patient characteristics and outcomes for hip fracture repair surgeries in the USA from 2016 to 2021, focusing on data from a large healthcare dataset.
- - Key findings included a slight decline in median patient age, a decrease in the proportion of female patients, and an increase in patients with multiple comorbidities, although the overall complication rates showed a downward trend.
- - General anesthesia remained the most common type used for these surgeries, but its usage overall decreased, while internal fixation procedures also saw a decline in frequency over the study period.
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View Article and Find Full Text PDFFree academic discourse and the law: the case of liposomal bupivacaine.
Reg Anesth Pain Med
October 2023
Liposomal bupivacaine has been the topic of intense academic debate over the past years culminating in an industry-initiated libel lawsuit against the American Society of Anesthesiologists and various other defendants. In this Daring Discourse, we first aim to provide a general overview of main themes in the ongoing controversy: (1) between-study heterogeneity, (2) the high number of negative high-quality reviews and meta-analyses, (3) publication bias in the context of an active role of industry and (4) difference between statistical and clinical significance. We then discuss the contents of the lawsuit, its potential implications and what the recent resolution of this lawsuit means for the future of research and the academic discourse on liposomal bupivacaine.
View Article and Find Full Text PDFWith an aging population, orthopedics has become one of the largest and fastest growing surgical fields. However, data on the use of critical care services (CCS) in patients undergoing orthopedic procedures remain sparse. We sought to elucidate the prevalence and characteristics of patients requiring CCS and intermediate levels of care after orthopedic surgeries at a high-volume orthopedic medical center.
View Article and Find Full Text PDFPeripheral nerve block anesthesia/analgesia for patients undergoing primary hip and knee arthroplasty: recommendations from the International Consensus on Anesthesia-Related Outcomes after Surgery (ICAROS) group based on a systematic review and meta-analysis of current literature.
Reg Anesth Pain Med
November 2021
Background: Evidence-based international expert consensus regarding the impact of peripheral nerve block (PNB) use in total hip/knee arthroplasty surgery.
Methods: A systematic review and meta-analysis: randomized controlled and observational studies investigating the impact of PNB utilization on major complications, including mortality, cardiac, pulmonary, gastrointestinal, renal, thromboembolic, neurologic, infectious, and bleeding complications.Medline, PubMed, Embase, and Cochrane Library including Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, NHS Economic Evaluation Database, were queried from 1946 to August 4, 2020.
Article Synopsis
- Tranexamic acid (TXA) is increasingly used in orthopedic surgeries to reduce blood loss and may also decrease the likelihood of periprosthetic joint infections (PJI).
- A study examined data from 914,990 patients who underwent total hip or knee replacements, finding that 46% received TXA on surgery day and only 0.13% developed PJI within 90 days.
- The results indicated that TXA administration significantly lowered the odds of PJI, suggesting its potential importance in infection prevention in joint surgeries, though further research on its mechanisms and optimal dosage is needed.
Article Synopsis
- The study aimed to analyze anaesthetic practices in hip and knee arthroplasty to improve healthcare outcomes through an international expert consensus.
- A systematic review of 94 studies found that neuraxial anaesthesia generally resulted in fewer major complications than general anaesthesia, with the exception of urinary retention.
- The conclusion recommends primary neuraxial anaesthesia for knee arthroplasty due to better postoperative outcomes, although the evidence level is considered low with a weak recommendation.
Introduction: Joint arthroplasty practice is highly dynamic to adapt to economic changes and advances in medicine. This study provides updates of the current perioperative practice on healthcare resource utilization.
Methods: The study included total knee arthroplasty, total hip arthroplasty, and total shoulder arthroplasty within the healthcare cost and utilization project New York State database from 2007 to 2013 (ie, 202,100, 127,872, and 8858 cases, respectively).