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Mashup Score: 1Surgical opioid-avoidance protocol: a postoperative pharmacological multimodal analgesic intervention in diverse patient populations - 2 year(s) ago
Introduction This study evaluated the effect of a surgical opioid-avoidance protocol (SOAP) on postoperative pain scores. The primary goal was to demonstrate that the SOAP was as effective as the pre-existing non-SOAP (without opioid restriction) protocol by measuring postoperative pain in a diverse, opioid-naive patient population undergoing inpatient surgery across multiple surgical…
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Mashup Score: 2Years of potential life lost from COVID-19 and the opioid crisis in 2020–2021 in Northern New England - 2 year(s) ago
The Centers for Disease Control and Prevention (CDC) reports that in the USA, COVID-19 mortality far exceeds that of the opioid crisis, with 350,831[1][1] vs 68,630[2][2] deaths, respectively, in 2020. However, their age demographics are drastically different, with adults over age 65 accounting for
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Mashup Score: 9
Background Perineural catheters placed parallel to the nerve course are reported to have lower migration rates than those placed perpendicular to it. However, catheter migration rates for a continuous adductor canal block (ACB) remain unknown. This study compared postoperative migration rates of proximal ACB catheters placed parallel and perpendicular to the saphenous nerve. Methods Seventy…
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Mashup Score: 8There remains a role for neuraxial anesthesia for hip fracture surgery in the post-REGAIN era - 2 year(s) ago
Two recent, large-scale, randomized controlled trials comparing neuraxial anesthesia with general anesthesia for patients undergoing surgical fixation of a hip fracture have sparked interest in the comparison of general and neuraxial anesthesia. These studies both reported non-superiority between general and neuraxial anesthesia in this patient cohort, yet they have limitations, like their sample…
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Mashup Score: 0Ultrasound-guided flexor sheath block as a valid alternative to blind techniques for finger pain treatment: the horseshoe sign - 2 year(s) ago
Background The flexor sheath digital block allows effective analgesia and anesthesia for finger pain control. To date, only blind techniques are described in the literature in patients with finger fractures, supposedly due to the superficial position of the structures used as landmarks. We describe an ultrasound-guided technique with a definite endpoint to achieve this block. To our knowledge,…
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Mashup Score: 3Case of phrenic sparing high thoracic erector spinae block for forequarter amputation - 2 year(s) ago
Regional anesthesia for postsurgical shoulder pain in patients with severe respiratory disease remains a challenge for the anesthesiologist.[1 2][1] We present a case of forequarter amputation in a patient with severe refractory chronic pain and poor respiratory function. An elderly patient
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Mashup Score: 1Lipid emulsion for reversal of acute cannabinoid toxicity? - 2 year(s) ago
We read with interest the first American Society of Regional Anesthesia (ASRA) Pain Medicine guidelines for managing perioperative patients using cannabis and cannabinoids by Shah and colleagues.[1][1] This was a pertinent and long-awaited addition to the literature; as the authors note, the
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Mashup Score: 1Accuracy of injection pressure measurement at peripheral nerves using high-resolution 40 MHz ultrasound in an anesthetized porcine model - 2 year(s) ago
Background Fluid injection pressure measurement is promoted as a marker of needle tip position that discriminates between tissue layers. However, clinical ultrasound has insufficient resolution to identify the exact position of the needle tip. Our primary objective was to use 40 MHz ultrasound in anesthetized pigs in order to precisely locate the tip of the needle and measure opening injection…
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Mashup Score: 0
Background This randomized trial compared pericapsular nerve group block and periarticular local anesthetic infiltration in patients undergoing primary total hip arthroplasty. We hypothesized that, compared with pericapsular nerve group block, periarticular local anesthetic infiltration would decrease the postoperative incidence of quadriceps weakness at 3 hours fivefold (ie, from 45% to…
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Mashup Score: 0Genicular nerve and fracture site chemical neurolysis for distal femoral fracture: a case report - 2 year(s) ago
Background Distal femur fractures account for approximately 3%–6% of all femoral fractures. Non-operative management may be an attractive option for the elderly with significant perioperative mortality risk. Adequate pain control is a major barrier to non-operative fracture management. Chemical neurolysis has been described for analgesic management of proximal hip fractures, however no…
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Surgical opioid-avoidance protocol: a postoperative pharmacological multimodal analgesic intervention in diverse patient populations https://t.co/k4voI8OZx1 #opioids #postop #acutepain #opioidavoidance @mayacampara, @sgmemtsoudis @dr_rajgupta @ESchwenkMD @ASRA_Society https://t.co/pHGELR8aBe