Anesthesia and analgesia
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Anesthesia and analgesia · Feb 2019
Observational StudyPreoperative Echocardiography for Patients With Hip Fractures Undergoing Surgery: A Retrospective Cohort Study Using a Nationwide Database.
Routine preoperative echocardiography before operative repair of hip fracture does not reduce mortality or postoperative complcayions.
pearl -
Anesthesia and analgesia · Feb 2019
Opioid Oversupply After Joint and Spine Surgery: A Prospective Cohort Study.
Many patients receive prescription opioids at hospital discharge after surgery, yet little is known regarding how often these opioids go unused. We estimated the prevalence of unused opioids, use of nonopioid analgesics, and storage and disposal practices after same-day and inpatient surgery. ⋯ After joint and spine surgery, many patients reported unused opioids, infrequent use of analgesic alternatives, and lack of knowledge regarding safe opioid storage and disposal. Interventions are needed to better tailor postoperative analgesia and improve the safe storage and disposal of prescription opioids.