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Is It Time to Reconsider Postoperative Epidural Analgesia in Patients Undergoing Elective Ventral Hernia Repair? An AHSQC Analysis.
Posted Date: 7/17/2018 3:20:00 PM
Issue: General Surgery - July 30, 2018 - Vol. 47 - No. 12
Author(s): Raminder Nirula, MD, MPH
Patients undergoing complex ventral hernia repair have a longer hospital length of stay if they receive an epidural compared to those who did not.
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Opioids' Effect on Healing of Venous Leg Ulcers.
Posted Date: 7/17/2018 3:17:00 PM
Issue: Dermatology - July 30, 2018 - Vol. 35 - No. 1
Author(s): Rashmi Unwala, MD, FAAD
Patients on opioids have delayed wound healing of venous leg ulcers.
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Anatomical Study of the Innervation of Anterior Knee Joint Capsule: Implication for Image-Guided Intervention.
Posted Date: 7/11/2018 2:33:00 AM
Issue: Anesthesiology - July 30, 2018 - Vol. 46 - No. 9
Author(s): Jacob Hutchins, MD
According to an anatomical study of the innervation of anterior knee joint capsule by Tran et al, the innervation of the anterior capsule of the knee has been found consistent between cadavers with little crossover among the 4 quadrants.
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Dexamethasone as an Adjuvant to Femoral Nerve Block in Children and Adolescents Undergoing Knee Arthroscopy: A Prospective, Randomized, Double-Blind, Placebo-Controlled Trial.
Posted Date: 7/11/2018 2:33:00 AM
Issue: Anesthesiology - July 30, 2018 - Vol. 46 - No. 9
Author(s): Jacob Hutchins, MD
Neither perineural nor intramuscular dexamethasone provide any additional analgesic benefit above a femoral nerve block in pediatric patients undergoing knee arthroscopy.
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Effect of Epidural Infusion Bolus Delivery Rate on the Duration of Labor Analgesia: A Randomized Clinical Trial.
Posted Date: 7/11/2018 2:33:00 AM
Issue: Anesthesiology - July 30, 2018 - Vol. 46 - No. 9
Author(s): Andrew D. Sedivy, MD
Despite differences in infusion rates, no difference has been found in the percent of supplemental boluses for breakthrough pain.
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Pectoral I Block Does Not Improve Postoperative Analgesia After Breast Cancer Surgery: A Randomized, Double-Blind, Dual-Centered Controlled Trial.
Posted Date: 7/11/2018 2:33:00 AM
Issue: Anesthesiology - July 30, 2018 - Vol. 46 - No. 9
Author(s): Jacob Hutchins, MD
The addition of a Pectoralis 1 block with bupivacaine to local wound infiltration and multimodal analgesia provides no additional analgesic benefit in patients undergoing breast cancer surgery.
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Peripheral Nerve Blocks for Hip Fractures: A Cochrane Review.
Posted Date: 7/11/2018 2:33:00 AM
Issue: Anesthesiology - July 30, 2018 - Vol. 46 - No. 9
Author(s): Krasimir George Bojanov, MD
In hip fracture patients, peripheral nerve blocks reduce pain on movement within 30 minutes of block placement as well as reduce pneumonia, time to mobilization, and analgesic drugs cost.
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Plasma Ropivacaine Concentrations Following Local Infiltration Analgesia in Total Knee Arthroplasty: A Pharmacokinetic Study to Determine Safety Following Fixed-Dose Administration.
Posted Date: 7/11/2018 2:33:00 AM
Issue: Anesthesiology - July 30, 2018 - Vol. 46 - No. 9
Author(s): Jacob Hutchins, MD
The median peak ropivacaine concentration after local infiltration with ropivacaine and epinephrine in total knee arthroplasty has been observed to be well below toxic levels.
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Randomized Clinical Trial of Preoperative High-Dose Methylprednisolone on Postoperative Pain at Rest After Laparoscopic Appendectomy.
Posted Date: 7/11/2018 2:33:00 AM
Issue: Anesthesiology - July 30, 2018 - Vol. 46 - No. 9
Author(s): Krasimir George Bojanov, MD
Methylprednisolone 125 mg IV given 30 minutes prior to laparoscopic surgery for appendicitis does not significantly reduce postoperative pain at rest.
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Hydroxychloroquine Effectiveness in Reducing Symptoms of Hand Osteoarthritis: A Randomized Trial.
Posted Date: 7/10/2018 3:58:00 AM
Issue: Internal Medicine - July 30, 2018 - Vol. 56 - No. 5
Author(s): Lauren Brown, MD
Hydroxychloroquine is not effective for pain relief or functional improvement in hand osteoarthritis.
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Intravenous Acetaminophen for Postoperative Supratentorial Craniotomy Pain: A Prospective, Randomized, Double-Blinded, Placebo-Controlled Trial.
Posted Date: 7/10/2018 3:50:00 AM
Issue: Neurosurgery - July 30, 2018 - Vol. 19 - No. 5
Author(s): Luc Jasmin, MD, PhD, FRCS(C), FACS
The addition of IV acetaminophen to treat postoperative craniotomy pain did not result in a reduction in narcotic use, as demonstrated in a prospective, double-blinded protocol.
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Improving the Safety of Opioid Use for Acute Noncancer Pain in Hospitalized Adults: A Consensus Statement From the Society of Hospital Medicine.
Posted Date: 6/27/2018 9:13:00 PM
Issue: Hospital Medicine - June 30, 2018 - Vol. 16 - No. 4
Author(s): Joseph R. Sweigart, MD, FACP

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CGRP – A Target for Acute Therapy in Migraine: Clinical Data.
Posted Date: 6/22/2018 3:15:00 PM
Issue: Neurosurgery - June 30, 2018 - Vol. 19 - No. 4
Author(s): Luc Jasmin, MD, PhD, FRCS(C), FACS

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Evaluation of Postoperative Recovery in Day Surgery Patients Using a Mobile Phone Application: A Multicentre Randomized Trial.
Posted Date: 6/22/2018 2:36:00 PM
Issue: Anesthesiology - June 30, 2018 - Vol. 46 - No. 8
Author(s): Jacob Hutchins, MD
An e-assessment via a mobile phone app is associated with improved quality of recovery in day-surgery patients.
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Intrathecal Morphine for Laparoscopic Segmental Colonic Resection as Part of an Enhanced Recovery Protocol: A Randomized Controlled Trial.
Posted Date: 6/22/2018 2:36:00 PM
Issue: Anesthesiology - June 30, 2018 - Vol. 46 - No. 8
Author(s): Jacob Hutchins, MD
Intrathecal morphine provides more effective analgesia versus IV opioids for pain after laparoscopic colon surgery.
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Sensory Assessment and Regression Rate of Bilateral Oblique Subcostal Transversus Abdominis Plane Block in Volunteers.
Posted Date: 6/22/2018 2:36:00 PM
Issue: Anesthesiology - June 30, 2018 - Vol. 46 - No. 8
Author(s): Jacob Hutchins, MD
Bilateral subcostal transversus abdominis plane blocks reliably produce analgesia to the T7 to T12 dermatomes with variable blockade of T6 and L1.
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An Educational Intervention Decreases Opioid Prescribing After General Surgical Operations.
Posted Date: 6/18/2018 1:40:00 PM
Issue: General Surgery - June 30, 2018 - Vol. 47 - No. 10
Author(s): Alexander L. Colonna, MD, FACS
Educating surgeons about the number of opioid pills that patients actually need for postoperative pain control have been found to significantly decrease overprescription of opioids.
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Defining Optimal Length of Opioid Pain Medication Prescription After Common Surgical Procedures.
Posted Date: 6/18/2018 1:40:00 PM
Issue: General Surgery - June 30, 2018 - Vol. 47 - No. 10
Author(s): Marta McCrum, MD, MPH
Optimal length of postoperative opioid prescriptions may lie between the median prescription length and early nadir of refills for a particular procedure.
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Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized Clinical Trial.
Posted Date: 6/15/2018 7:20:00 PM
Issue: Cancer Management - June 30, 2018 - Vol. 47 - No. 12
Author(s): Jonathan J. Beitler, MD, MBA, FACR, FASTRO

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