Regional anesthesia and pain medicine
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Reg Anesth Pain Med · May 2023
Sarcopenia is associated with an increase in long-term use of analgesics after elective surgery under general anesthesia.
To elucidate the association of presurgical sarcopenia and long-term non-opioid analgesic and opioid use after elective surgery under general anesthesia. ⋯ The aim of this study was to compare the long-term use of non-opioid analgesics and opioids after elective surgery under general anesthesia between patients with and without sarcopenia. Results suggest that patients with sarcopenia are more likely to have increased use of non-opioid analgesics and opioids after surgery. Further research is needed to determine if sarcopenia can be modified prior to surgery and if this impacts the need for long-term pain management with these medications.
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Reg Anesth Pain Med · May 2023
Clinical TrialResidual anti-Xa activity in plasma of patients presenting for electively planned neuraxial regional anesthesia.
To determine the incidence of increased anti-Xa activity within plasma levels 24 hours after administration of therapeutic dose low-molecular-weight heparin in patients presenting for elective neuraxial anesthesia. ⋯ Relevant residual anticoagulant activity, as measured by plasma anti-Xa levels within a prophylactic range, is measurable 24 hours after the last administration of therapeutic dose low-molecular-weight heparin.
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Reg Anesth Pain Med · May 2023
Association of patient characteristics with the receipt of regional anesthesia.
Regional anesthesia (RA) may improve patient-related outcomes, including decreased operative complications, shortened recovery times, and lower hospital readmission rates. More analyses are needed using a diverse set of databases to examine characteristics associated with the receipt of RA. ⋯ RA use varies with respect to race, insurance status, and type of surgery.