Postoperative Rebound Pain: Our Current Understanding About the Role of Regional Anesthesia and Multimodal Approaches in Prevention and Treatment

Luebbert, Elizabeth; Rosenblatt, Meg A.

doi:10.1007/s11916-023-01136-z

Cited by 8 publications

(1 citation statement)

References 33 publications

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“…Peripheral nerve blocks have been shown to decrease the need for post-operative opioids in anterior cruciate ligament (ACL) reconstruction (p=0.048) and decrease hospital stay (p<0.001), improve range of motion (p=0.008), and decrease self-reported pain scores in the first three post-operative days in total knee arthoplasty and total hip arthroplasty (p<0.001) [ 43 , 44 ]. While peripheral nerve blocks have been shown to help improve post-operative pain, they are not perfect and have been shown to be associated with rebound pain which has the potential to patient dissatisfaction and avoidable hospital resource utilization [ 45 ]. In addition, more research is needed to identify medical comorbidities that may propagate opioid addiction.…”

Section: Reviewmentioning

confidence: 99%

A Review of Federal and Statewide Guidelines and Their Effects on Orthopedics

Braithwaite,

Tarazi,

Gruber

et al. 2023

Cureus

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In the past three decades, the use of opioids has risen tremendously. Pain was named the "fifth patient vital sign" in the 1990s, and from that point, opioid usage has continued to grow throughout the 2010s leading to its recognition as a crisis. The United States is responsible for 80% of the global opioid usage while only accounting for less than 5% of the global population. Previously opioids were mostly used to treat acute pain, however, opioids have been most recently used to manage chronic pain as well. The opioid crisis has presented new challenges in treating pain while preventing the abuse of these medications in a system that lacks standardization of treatment guidelines across the United States. Therefore, the authors of this review examine the current national recommendations to help manage the ongoing opioid crisis and explore how they may impact orthopedic patient care.

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Section: Reviewmentioning

confidence: 99%