Whoa. Def worth reading and investigating further. Wonder if this begs the question of how effective multimodal is amongst chronic pain or opioid tolerant patients?
-
-
-
But..but..I thought we need this the most among chronic pain and opioid tolerant patients...
I think this begs the question that multimodal analgesia won’t be complete or effective without some form of #RegionalAnesthesia
- Još 2 druga odgovora
Novi razgovor -
-
-
Interesting result but prob not too surprising. Preemptive analgesia vs preventive for preop Tylenol and Gaba. Ketamine and Lido might not add much for simpler spine surgeries I would think.
-
I believe this study in regards to big multilevel spine surgery.
- Još 1 odgovor
Novi razgovor -
-
-
Without doing a deep dive into this paper (I’m on vacation), possible this fell at the same hurdle as many analgesic RCTs? Pain follows a U-shaped distribution, so v little difference between means in either arm. Ideally risk-stratify first, then randomise the high-risk group.
-
Thanks for your interest. We focused on patients who needs better pain management, that is, high risk for post op pain. Also, agree with skewed pain data, that is why medians were analyzed for pain score and opioid consumption. Have a nice vacation.
- Još 1 odgovor
Novi razgovor -
-
-
But Methadone has some good results for spine


@rljohnsonmd@ESoffinHvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi
-
-
-
There was a very interesting study presented 2 years ago at IASP looking at post op pain s/p mastectomy patients who were screened preop for pain catastrophizing. The patients were then randomized to an ERAS multimodal path and a path that was standard care.
Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi
-
-
-
They found that those WITHOUT pain catastrophizing did fine regardless of the pathway. Those who carastrophized did markedly better with ERAS and multimodal.
Hvala. Twitter će to iskoristiti za poboljšanje vaše vremenske crte. PoništiPoništi
-
-
-
Yikes! A multimodals clinical trial that got stopped early due to futility! Now we have to find a targeted pain approach that works for major spine surgery!
- Još 1 odgovor
Novi razgovor -
Čini se da učitavanje traje već neko vrijeme.
Twitter je možda preopterećen ili ima kratkotrajnih poteškoća u radu. Pokušajte ponovno ili potražite dodatne informacije u odjeljku Status Twittera.