The authors concluded that for many patients, same-day joint replacement is a safe alternative to an extended hospital stay. Same-day joint replacement minimizes the time patients spend in the hospital and reduces hospital resources, and it did not appear to lead to readmissions. In addition, patients were often more satisfied when recovering comfortably at home.
“The success of our ERAS pathway stems from multidisciplinary stakeholder engagement. Surgeons, anesthesiologists, nurses, physical/occupational therapists, social workers, dieticians, and information technology are just some of the services involved in developing and implementing the best strategies for patient care,” Singh said. “The patient and caretaker are also an integral part of the team and vital to successful pathway completion.”
Padma Gulur, M.D., of Duke Anesthesiology and Duke Health in Chapel Hill, North Carolina, and colleagues found that wearing eyeglasses that filter a certain wavelength on the green light spectrum seems to reduce pain-related anxiety and the need for opioids to manage chronic pain in patients with fibromyalgia.
The authors randomly assigned 34 patients with fibromyalgia to wear various shades of eyeglasses four hours a day for two weeks. Ten patients wore blue eyeglasses, 12 wore clear eyeglasses, and 12 wore green eyeglasses. The researchers found that the patients who wore green eyeglasses experienced reduced anxiety compared with patients who wore other shades of glasses, who saw no reduction in anxiety. In addition, patients who wore green eyeglasses used fewer opioid drugs.
“Green light-based therapy using specialized eyeglasses results in reduction of pain-related fear and anxiety,” Gulur said.
ASA: Preoperative Cannabis Use Tied to Higher Pain After Surgery
TUESDAY, Nov. 1, 2022 (HealthDay News) — While presurgical cannabis use is not associated with postoperative opioid use, it is significantly associated with time-weighted average pain scores in the first 24 hours, according to a study presented at the annual meeting of the American Society of Anesthesiologists, held from Oct. 22 to 25 in New Orleans.
ASA: Same-Day Hip, Knee Replacement Feasible for Selected Patients
TUESDAY, Nov. 1, 2022 (HealthDay News) — Despite the pandemic and same-day admission limitations, effective multidisciplinary collaborations within Enhanced Recovery After Surgery pathways can improve services and provide continuity of care for total joint replacements, according to a study presented at the annual meeting of the American Society of Anesthesiologists, held from Oct. 22 to 25 in New Orleans.
ASA: Green Light Therapy for Pain-Related Anxiety Studied in Fibromyalgia
Ruling Out Other Conditions Needed With Suspected Interstitial Cystitis 
Acupuncture Interventions Effective for Chronic Neck Pain 
Restrictive Strategy for Gallstone Surgery Does Not Change Five-Year Outcomes 
Surgery Effective for Thoracic Ossification of Posterior Longitudinal Ligament 
Machine Learning Can ID Risk for Persistent Opioid Use After Surgery 
Suicide Risk Higher for Cancer Patients Not Proceeding With Recommended Surgery 
Women Have Lower Risk for Postoperative A-Fib After Cardiac Surgery 
Outcomes Similar for Neoadjuvant ICI-Based Therapy, Upfront Surgery for Liver Cancer 
