Publications by authors named "R Ivie"
Purpose Of Review: Breast surgery is common and may result in significant acute as well as chronic pain. A wide range of pharmacologic interventions is available including opioids, non-steroidal anti-inflammatory drugs (NSAIDs), N-methyl-D-aspartate (NMDA) receptor antagonists, anticonvulsants, and other non-opioids with analgesic properties. We present a review of the evidence for these pharmacologic interventions.
View Article and Find Full Text PDF»: Methamphetamine use by orthopaedic trauma patients has risen to epidemic proportions.
»: Perioperative methamphetamine use by orthopaedic trauma patients requires physicians to consider both medical and psychosocial factors during treatment.
»: Behavioral and psychosocial effects of methamphetamine use present barriers to care.
Daring discourse: should acute pain medicine be a stand-alone service?
Reg Anesth Pain Med
June 2021
Acute pain medicine (APM) has been incorporated into healthcare systems in varied manners with some practices implementing a stand-alone acute pain service (APS) staffed by consultants who are not simultaneously providing care in the operating room (OR). In contrast, other practices have developed a concurrent OR-APS model where there is no independent team beyond the intraoperative care providers. There are theoretical advantages of each approach primarily with respect to patient outcomes and financial cost, and there is little evidence to instruct best practice.
View Article and Find Full Text PDFObjectives: This study sought to compare the efficacy and safety of single-injection stellate ganglion block (SGB) with a novel continuous-infusion SGB procedure.
Background: SGB for ventricular arrhythmia (VA) storm is typically performed with a single injection of local anesthetic agents.
Methods: Eighteen patients underwent left-sided SGB (9 single injection and 9 continuous infusion).