Administering acetaminophen during surgery may reduce the incidence of postoperative shivering, a common side effect affecting up to half of patients. Acetaminophen significantly reduced shivering severity and body temperature in patients who received it compared to those receiving a placebo.
Older patients with diabetes are at an 84% higher risk of developing postoperative cognitive dysfunction (POCD) than those without diabetes. POCD affects 10-13% of patients after major surgery, particularly seniors, and can result in increased complications and impaired quality of life.
A study of 61 patients found that almost 75 percent experienced an improvement in their migraine intensity after a three- to seven-day course of inpatient treatment with ketamine. The drug has been shown to provide powerful pain control for patients with many painful conditions.
The study found that opioid use decreased from 1 in 4 to 1 in 12 among hip and knee replacement patients between 2006 and 2014. Multimodal therapy increased, especially in small and medium-sized hospitals, leading to reduced opioid use and improved pain management.
A single-center study compared outcomes of 222 hip fracture patients treated before and after implementing the Perioperative Surgical Home (PSH) model. PSH patients had reduced mortality rates, fewer ER visits, and higher discharge rates to home care.
A recent study has found that patients often overestimate their anticipated level of pain following surgery, which can lead to unnecessary anxiety. Patients receiving regional anesthesia, such as peripheral nerve blocks or epidurals, were more likely to overestimate their postoperative pain.
A study of 690 women found that both short and long surgical incisions for cesarean births are associated with increased pain after delivery. The authors recommend an optimal range of 12-17cm for cesarean incision length to minimize post-delivery pain.