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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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scribing more opioid painkillers for patients who are undergoing com- mon surgeries than ever before (osmag.net/A9fXFj). In the study, researchers ana- lyzed insurance claims from 2004 through 2012 for 4 common outpatient procedures — carpal tunnel repair, laparoscopic gall bladder removal, knee arthroscopy and hernia repair — and found that 4 out of 5 patients filled a prescription for an opioid pain medication within 7 days of surgery. The amount of opioids prescribed during the study period also increased. This comes after the announcement of new CDC guidelines on pre- scribing opioids, which suggest providers limit the drugs' duration for patients suffering from acute pain to 3 days or less in most situations. Under the guidelines, taking opioids to treat acute pain for more than 7 days should "rarely" occur. In light of these developments, providers need new approaches to combat post-op pain, says Kara Settles, MD, assistant professor of anesthesiology at the UMKC School of Medicine in Kansas City, Mo. Her solution? "Two words: multimodal approach." Here are 5 trends that could boost your post-op pain management plan. In a multimodal approach, the emphasis is centered on "achieving optimal pain relief with minimum toxicity" and combining drugs that have different mechanisms of action to produce a more synergistic effect. A P R I L 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 4 7 • MORE REGIONAL One of the biggest trends in post-op pain management is ultrasound-guid- ed nerve blocks, says Gregory Hickman, MD. Andrews Institute ASC

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