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Battle Post-op Pain Without Opioids - April 2016 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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1 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A P R I L 2 0 1 6 O ur April 2003 cover seems sort of silly now, given today's deadly opioid epidemic. "Are You Undertreating Post- op Pain?" the words POST-OP PAINin golden caps, a tear rolling down the anguished patient's face, sounded the alarm that you might be neglecting your patients' surgical pain. "Post-op pain can profoundly hinder outcomes, and the failure to appropriately assess and treat pain is fast becoming a liability issue," our story read. Back then, the problem was that post-op patients suffered signifi- cant unrelieved pain. You were encouraged to treat pain as the "fifth vital sign." You could only describe what followed as excessive excess. Sales of opioid painkillers quadrupled over the past decade, leading patients down the pathway to abuse and addiction, where many would dig their own graves with the scripts you'd written for them. Many who became addicted to heroin say that they got their start with the opioids their surgeons sent them home with. "These efforts unwittingly led to the overuse of opioids, resulting in increased opioid side effects — nausea, vomiting, constipation and respiratory depression — and contributing to the opioid crisis," says Prescription to Addiction? We've gone from one extreme to the other with managing post-op pain. Editor's Page Dan O'Connor Presorted Standard U.S. Postage Paid Mechanicsburg, PA Permit 218 What it Takes to Pass the CASC Exam P. 30 FASA/SAMBA ISSUE • What I Saw at SAGES • Is Your Staff at Risk for Latex Allergy? • Getting Docs Excited about Accreditation P. ?? P. 78 P. ?? P. 66 P. ?? P. 54 Outpatient S urgery Outpatient S urgery www outpatientsurgery.net April 2003 Magazine How to assess the many indicators of the fifth vital sign. How to assess the many indicators of the fifth vital sign. Are You Undertreating POST-OP PAIN? Are You Undertreating POST-OP PAIN? Patient Warming p. 36 • How to ID Your Cataract Patients p. 74 Benchmarking in Ambulatory Surgery p. 90 • New Safety Column p. 94 r 3:56 PM Page 1 • CHANGING TIMES Thirteen years and very different views on post-op pain separate these Outpatient Surgery covers.

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