Orthopedic Pain Management

Lumbar spinal fusion ED readmissions affect HCAHPS scores: 5 key trends

A new study published in The Spine Journal examines emergency department visits among lumbar spine surgery patients. The study specifically targets how the ED visits associate with Hospital Consumer Assessment of Healthcare Providers and Systems surveys. The study covers patients undergoing lumbar spine surgery between 2013 and 2015, excluding patients with spinal malignancy or scoliosis.

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Pain Management Modalities after Total Knee Arthroplasty: A Network Meta-analysis of 170 Randomized Controlled Trials

Optimal analgesia for total knee arthroplasty remains challenging. Many modalities have been used, including peripheral nerve block, periarticular infiltration, and epidural analgesia. However, the relative efficacy of various modalities remains unknown. The authors aimed to quantify and rank order the efficacy of available analgesic modalities for various clinically important outcomes.

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Are Surgeons Contributing to the Opioid Crisis?

Surgeons who over-prescribe opioids to help patients manage their post-operative pain may be unwittingly “fueling addiction and death by overdose,” says Atul A. Gawande, MD, MPH, the notable surgeon and bestselling author. He says surgeons have a responsibility to combat the opioid crisis and should take advantage of electronic prescribing to limit use of the powerful painkillers.

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Use of regional anesthesia positively impacted bundled payments

“Regional anesthesia is a great way to address all these challenges: tackling pain in a non-opioid technique and getting patients up and moving,” Sonia Szlyk, MD, said at the Interdisciplinary Conference on Orthopedic Value-Based Care. “One of the reasons why regional is so impactful is because it allows us to be opioid sparing. Opioid-related adverse events are costly and common.”

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