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Acute Pain Is Associated With Chronic Opioid Use After Total Knee Arthroplasty
Background and Objectives Pain scores are routinely reported in clinical practice, and we wanted to examine whether this routinely measured, patient-reported variable provides prognostic information, especially with regard to chronic opioid use, after taking preoperative and perioperative variables into account in a preoperative opioid user population. Methods In 32,874 preoperative opioid users undergoing primary total knee arthroplasty at Veterans Affairs hospitals between 2010 and 2015, we compared preoperative and perioperative characteristics in patients reporting lower versus higher acute pain (scores ≤4/10 vs...
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Original Articles Source Type: research

Pharmacokinetics of 400 mg Locally Infiltrated Ropivacaine After Total Knee Arthroplasty Without Perioperative Tourniquet Use
Conclusions Although great interindividual variability in ropivacaine concentration was found, both total and unbound maximum serum concentrations remained below the assumed systemic toxic thresholds in all samples. Clinical Trial Registration This study was registered at Netherlands Trial Registry (http://www.trialregister.nl), trial ID NTR6306. (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Original Articles Source Type: research

Gastric Ultrasound for the Regional Anesthesiologist and Pain Specialist
This article in our series on point-of-care ultrasound (US) for the regional anesthesiologist and pain management specialist describes the emerging role of gastric ultrasonography. Although gastric US is a relatively new point-of-care US application in the perioperative setting, its relevance for the regional anesthesiologist and pain specialist is significant as our clinical practice often involves providing deep sedation without a secured airway. Given that pulmonary aspiration is a well-known cause of perioperative morbidity and mortality, the ability to evaluate for NPO (nil per os) status and risk stratify patients sc...
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Regional Anesthesia and Acute Pain: Review Article Source Type: research

The Effects of Smoking on Spinal Cord Stimulation Outcomes: Another Reason to Quit
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - September 22, 2018 Category: Anesthesiology Tags: Editorial Source Type: research

Scientific Abstracts and ePosters: World Congress on Regional Anesthesia and Pain Medicine April 19–21, 2018 New York, New York
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - July 24, 2018 Category: Anesthesiology Tags: Special Article Source Type: research

Sudden Intrathecal Drug Delivery Device Motor Stalls: A Case Series Update
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - July 24, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Reply to Dr Salvadores de Arzuaga et al
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - July 24, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Regarding “Comparison of Continuous Proximal Versus Distal Adductor Canal Blocks for Total Knee Arthroplasty: A Randomized, Double-Blind, Noninferiority Trial”
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - July 24, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Contribution of Intrathecal Morphine to Postoperative Morphine Equivalent Consumption Must Be Considered
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - July 24, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Reply to Dr Coraci et al
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - July 24, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

The Lateral Femoral Cutaneous Nerve: Ultrasound Support in Nerve Assessing
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - July 24, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Reply to Dr Hiscock et al
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - July 24, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Are Surrogate Outcomes a Valid Method for Determining the Incidence of Local Anesthetic Systemic Toxicity?
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - July 24, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Reply to Drs Saxena and Loganathan
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - July 24, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research

Does the Use of Regional Anesthesia for Below-Knee Amputation Reduce the Need for Perioperative Blood Transfusions?
No abstract available (Source: Regional Anesthesia and Pain Medicine)
Source: Regional Anesthesia and Pain Medicine - July 24, 2018 Category: Anesthesiology Tags: Letters to the Editor Source Type: research