• Family of patient who died after orthopedic surgery wins $35M verdict against hospital
  • Orthopedic surgeon wins $20M verdict against Johnson & Johnson
  • Minnesota orthopedic group hit with $111M negligence verdict
  • Orthopedic patient's death highlights potential dangers of prior authorization
  • Spine surgeon's video hits 1 million views on TikTok
  • Spine surgeon killed in Oklahoma hospital shooting
  • Spine surgeon owes $17M to paralyzed patient
  • Providence to pay $22.7M to settle unnecessary spine surgery allegations
  • Spine surgeon gets jail time for abusing patient during hospital visit
  • 'They're on really thin ice': Why 1 insurer has drawn spine surgeons' ire
  • Connecticut hospital to appeal $12.5M verdict to family of patient who died after orthopedic surgery
  • Orthopedic surgeon must face suit in patient's death
  • Spine surgeon 1 of 9 physician billionaires on Forbes' 2022 list
  • 23 spine device companies to watch in 2022
  • 4 spine technologies that promised more than they delivered
  • Orthopedic surgeon salary vs. average household income in each state
  • Orthopedic surgeon's health system exit steeped in controversy
  • Terminated orthopedic surgeon contracts with another New York hospital
  • Orthopedic surgeon convicted of battery at hospital
  • Billionaire spine surgeon buys $23.9M mansion
  • UArizona neurosurgery chair dies after motorcycle collision
  • Texas spine surgeon sued by State Farm over 'unnecessary' procedures
  • The spine tech surgeons say will explode in the next 5 years
  • Could Medtronic's spine business be the next medtech spinoff?
  • Ex-NFL player gets 5 years in prison for $2.9M healthcare fraud scheme
  • 41 'rising stars' in orthopedics
  • Orthopedic surgeon indicted in $10M telemedicine fraud scheme
  • Neurosurgeon's startup hits $1.2B valuation
  • Orthopedic surgeon fined for operating on wrong knee
  • Lawsuits build against Aetna's spine surgery coverage
  • Good news, bad news for orthopedic surgeons: 6 observations
  • Former spine surgeon owes $13M to 2 women over unnecessary procedures
  • Walmart's latest partnership pushes retailer into spine care
  • Texas spine surgeon's $11M verdict being appealed
  • 10 power players in orthopedics
  • Rothman Orthopaedics to become national brand, but no 'aspirations to go beyond US'
  • Sports medicine physician fired amid misconduct allegations involving patients
  • Orthopedic surgeon allegedly exaggerated patient visits to defraud insurers
  • Top orthopedic hospital in every state: US News
  • Orthopedic surgeon asking for misconduct charges to be dropped
  • Spinal anesthesia tied to increased opioid use after hip surgery

    Spinal anesthesia tied to increased opioid use after hip surgery

    Alan Condon -  

    Spinal anesthesia is increasingly being used instead of general anesthesia to improve patient comfort and reduce opioid use, but it could be having the opposite effect on hip fracture patients, according to research published June 13 in Annals of Internal Medicine.

    "In our study, patients who got spinal anesthesia did get fewer opioids in the operating room, but they ended up having more pain, and more prescription pain medication use after surgery," said lead author Mark Neuman, MD, anesthesiologist and past-chair of the Penn Medicine Opioid Task Force, said. "While our study can't determine conclusively whether this was due to the spinal anesthesia itself or the fact that fewer opioids were given up front, this is a result that should make people examine some of the assumptions informing current care pathways."

    To confirm whether assumptions about spinal anesthesia and reduced pain were accurate, researchers at the University of Pennsylvania in Philadelphia examined 1,600 patients who underwent hip fracture surgery between 2016 and 2021. About half of enrollees had spinal anesthesia and the other half had general anesthesia, with each patient asked to assess their pain levels at varying intervals and outline their prescription painkiller use after surgery.

    Overall, patients rated their worst pain the day after surgery. Spinal anesthesia patients indicated slightly higher levels of their worst pain, averaging 7.9 out of 10 compared to 7.6 among those who had general anesthesia, according to the study.

    Spinal anesthesia patients were 33 percent more likely than general anesthesia patients to have taken prescription painkillers about two months after surgery, according to the study. No significant difference in prescription painkiller use was noted at six and 12 months after surgery, but researchers said the results are still reason to be wary.

    "Even though the 180- and 365-day findings are not statistically significant, the 60-day finding is still concerning, since there could be medication-related harms like respiratory depression or over-sedation that could still occur over the short term," Dr. Neuman said.

    Researchers aim to conduct another study comparing the effects of spinal anesthesia and general anesthesia on total hip replacements.

    Copyright © 2022 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

    Featured Learning Opportunities

    Featured Webinars

    Featured Podcast

    Featured Whitepapers