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Enhanced Recovery After Surgery (ERAS) cardiac turnkey order set for perioperative pain management in cardiac surgery: Proceedings from the American Association for Thoracic Surgery (AATS) ERAS Conclave 2023.
JTCVS Open
December 2024
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, School of Medicine, Baltimore, Md.
Objective: Optimal perioperative pain management is an essential component of perioperative care for the cardiac surgical patient. This turnkey order set is part of a series created by the Enhanced Recovery After Surgery Cardiac Society, first presented at the Annual Meeting of The American Association for Thoracic Surgery in 2023. Several guidelines and expert consensus documents have been published to provide guidance on pain management and opioid reduction in cardiac surgery.
View Article and Find Full Text PDFShort-term clinical outcomes of mirogabalin for carpal tunnel syndrome: A single-center retrospective pilot study.
J Orthop
June 2025
Department of Orthopedic Surgery, Niigata University Medical and Dental Hospital, 754 Asahimachi-dori Ichibancho, Chuo-ku, Niigata-shi, Niigata, 951-8520, Japan.
Aims & Objectives: Carpal tunnel syndrome (CTS) is a common condition caused by compression of the median nerve, leading to neuropathic pain such as numbness and nocturnal discomfort, thus impacting daily life. Mirogabalin besylate (MGB), a novel gabapentinoid, shows promise for neuropathic pain, but its efficacy in CTS remains unclear.Therefore, this pilot study aimed to evaluate the short-term clinical outcomes of MGB for CTS.
View Article and Find Full Text PDFHistory of Preoperative Use of Gabapentin Before Lower Extremity Bypass Predisposes Patients to a High Risk of Opioid Use and Dependence in a Dose-Dependent Manner.
J Surg Res
November 2024
Division of Vascular Surgery, Pennsylvania State University College of Medicine, Hershey, Pennsylvania.
Introduction: This study assesses the association of preoperative use of gabapentinoids (GBPs) with postoperative risk of opioid-related disorders in peripheral artery disease patients undergoing lower extremity bypass operation.
Methods: This is a retrospective propensity score-matched analysis of patients undergoing peripheral artery bypass in TriNetX, a multicenter national database. Two study groups were constituted based on the preoperative history of prescribed GBPs.
In response to "Gabapentinoid prescribing patterns and predictors utilizing neural networks: Comment".
Am J Emerg Med
December 2024
Georgetown University, School of Medicine, United States of America; Department of Emergency Medicine, MedStar Washington Hospital Center, United States of America.
Multimodal Analgesia and Small Opioid Prescriptions are the New Standard in Total Joint Arthroplasty: A Survey of the American Association of Hip and Knee Surgeons Membership.
J Arthroplasty
September 2024
Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania.
Article Synopsis
- - The study aimed to evaluate the analgesia and anesthesia practices among members of the American Association of Hip and Knee Surgeons (AAHKS) and track changes over time, using a survey distributed in May 2023.
- - A total of 527 surgeons (16% response rate) participated, revealing a significant decrease in prescribed opioid pills after total knee (from 49 to 32) and total hip arthroplasties (from 44 to 18), along with increased use of multimodal analgesics, rising from 74% to 93%.
- - The findings indicate a growing trend towards multimodal pain management strategies, with more surgeons implementing peripheral nerve blocks and local infiltration anesthesia alongside traditional methods.
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