Postoperative pain can be detrimental to patients’ recovery

Aasvang et al. discuss the multifactorial pathogenesis for reduced postdischarge physical and cognitive function after fast-track hip and knee arthroplasty. The…

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Inflammation can limit the effectiveness of local anesthetics

The increased acidity associated with the inflammatory process, common to every surgical procedure, can make it more difficult for local anesthetics to prevent …

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Adverse events: what’s the real cost of opioid therapy?

As the postoperative patient’s local anesthetic wears off, the surgeon’s choice of analgesia can be as difficult as it is important. Opioids are readily ava…

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How effective is liposomal bupivacaine? A look at the bigger picture

Dozens of clinical trials have been published to test the efficacy of liposomal bupivacaine (LB) against the endpoints of reducing postoperative pain, length of…

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Wound Infiltration: an effective vehicle for local anesthetics?

Pain pumps can be complex to use and maintain. Do they demonstrate their benefits—and the efficacy of the medication they hold—reliably enough to offset the…

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Guidelines for Postoperative Pain Management

Postoperative pain management is integral not only to the procedure itself, but also to the patient’s preoperative counseling and education; to their l…

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The surgical setting as a gateway for opioid addiction

The surgical setting can play a significant role in fueling the opioid crisis. How do the short- and long-term consequences of opioids affect patients?

In th…

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