scholarly journals Perioperative pain management following total joint arthroplasty: A review and update to an institutional pain protocol

2018 ◽  
Vol 9 (1) ◽  
pp. 40-45 ◽  
Author(s):  
Kimberly L Stevenson ◽  
Alexander L Neuwirth ◽  
Neil Sheth
Keyword(s):  
Pain Management ◽  
Total Joint Arthroplasty ◽  
Joint Arthroplasty ◽  
Perioperative Pain ◽  
Perioperative Pain Management

scholarly journals An Investigation into the Perceptions of Veterinarians towards Perioperative Pain Management in Calves

Animals ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. 1882
Author(s):  
Ria van Dyke ◽  
Melanie Connor ◽  
Amy Miele
Keyword(s):  
Pain Management ◽  
Bos Taurus ◽  
Current Work ◽  
Regulatory Regime ◽  
Perioperative Pain ◽  
Developmental Age ◽  
Perioperative Pain Management ◽  
Current Minimum ◽  
On Farm ◽  
Influence Perceptions

While veterinarians are instrumental to the welfare of calves (Bos taurus), limited knowledge exists concerning veterinary perceptions towards perioperative pain management in calves. As a part of a larger, nationwide study investigating the perceptions of veterinarians towards calf welfare, the current work sought to quantify veterinary perceptions towards perioperative pain management, including barriers to its use, and investigate demographic influences affecting those perceptions. An electronic mixed-methods survey was completed by 104 veterinarians registered with the Veterinary Council of New Zealand. The current work revealed that most veterinarians considered a multimodal approach as the most effective method for ameliorating perioperative pain in calves, rejected the practice of differential treatment based on developmental age, and perceived that postprocedural pain persists beyond 24 h for the majority of procedures included in the survey. Despite this, veterinarians identified certain barriers that may inhibit the provision of pain mitigation on-farm, including costs, inadequate recognition of pain, and ingrained farming practices. Certain demographic effects were found to influence perceptions towards perioperative pain management, including gender, the number of years since graduation, and species emphasis. Nevertheless, the current work demonstrated considerable support among veterinarians to improve pain management protocols during routine husbandry procedures. The asymmetries that exist between the current minimum provisions of perioperative pain management and veterinary perspectives suggest that substantive improvements are necessary in order to reconcile New Zealand’s existing regulatory regime with developments in scientific knowledge.

Planning for Perioperative Pain Management

2016 ◽  
Vol 5 (2) ◽  
pp. 303-318 ◽  
Author(s):  
Rebecca Dale ◽  
Tiffany Chen ◽  
Jane Ballantyne
Keyword(s):  
Pain Management ◽  
Perioperative Pain ◽  
Perioperative Pain Management

Implementation of a Standardized Perioperative Pain Management Protocol to Reduce Opioid Prescriptions in Otolaryngologic Surgery

2022 ◽  
pp. 019459982110711
Author(s):  
Michael T. Chang ◽  
M. Lauren Lalakea ◽  
Kimberly Shepard ◽  
Micah Saste ◽  
Amanda Munoz ◽  
...  
Keyword(s):  
Pain Management ◽  
Postoperative Pain ◽  
Lower Amount ◽  
Opioid Use ◽  
Protocol Implementation ◽  
Perioperative Pain ◽  
Management Protocol ◽  
Before And After ◽  
Perioperative Pain Management ◽  
Low Levels

Objective To evaluate the efficacy of implementing a standardized multimodal perioperative pain management protocol in reducing opioid prescriptions following otolaryngologic surgery. Study Design Retrospective cohort study. Setting County hospital otolaryngology practice. Methods A perioperative pain management protocol was implemented in adults undergoing otolaryngologic surgery. This protocol included preoperative patient education and a postoperative multimodal pain regimen stratified by pain level: mild, intermediate, and high. Opioid prescriptions were compared between patient cohorts before and after protocol implementation. Patients in the pain protocol were surveyed regarding pain levels and opioid use. Results We analyzed 210 patients (105 preprotocol and 105 postprotocol). Mean ± SD morphine milligram equivalents (MMEs) prescribed decreased from 132.5 ± 117.8 to 53.6 ± 63.9 ( P < .05) following protocol implementation. Mean MMEs prescribed significantly decreased ( P < .05) for each procedure pain tier: mild (107.4 to 40.5), intermediate (112.8 to 48.1), and high (240.4 to 105.0). Mean MMEs prescribed significantly decreased ( P < .05) for each procedure type: endocrine (105.6 to 44.4), facial plastics (225.0 to 50.0), general (160.9 to 105.7), head and neck oncology (138.6 to 77.1), laryngology (53.8 to 12.5), otology (77.5 to 42.9), rhinology (142.2 to 44.4), and trauma (288.0 to 24.5). Protocol patients reported a mean 1-week postoperative pain score of 3.4, used opioids for a mean 3.1 days, and used only 39% of their prescribed opioids. Conclusion Preoperative counseling and standardization of a multimodal perioperative pain regimen for otolaryngology procedures can effectively lower amount of opioid prescriptions while maintaining low levels of postoperative pain.

Team Approach: Multimodal Perioperative Pain Management in Upper-Extremity Surgery

JBJS Reviews ◽  
2018 ◽  
Vol 6 (8) ◽  
pp. e5-e5 ◽  
Author(s):  
Thomas M. Stewart ◽  
Nicholas Pulos ◽  
Timothy B. Curry ◽  
Halena M. Gazelka ◽  
Michael J. Brown ◽  
...  
Keyword(s):  
Pain Management ◽  
Upper Extremity ◽  
Team Approach ◽  
Perioperative Pain ◽  
Perioperative Pain Management

scholarly journals Major lower limb amputation audit – introduction and implementation of a multimodal perioperative pain management guideline

2018 ◽  
Vol 12 (4) ◽  
pp. 257-258
Author(s):  
David C Bosanquet ◽  
Graeme K Ambler ◽  
Cherry-Ann Waldron ◽  
Emma Thomas-Jones ◽  
Lucy Brookes-Howell ◽  
...  
Keyword(s):  
Pain Management ◽  
Lower Limb ◽  
Lower Limb Amputation ◽  
Limb Amputation ◽  
Management Guideline ◽  
Perioperative Pain ◽  
Perioperative Pain Management
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