Recommendations for disclosure of artificial intelligence in scientific writing and publishing: a regional anesthesia and pain medicine modified Delphi study.

Introduction: The use of artificial intelligence (AI) in the scientific process is advancing at a remarkable speed, thanks to continued innovations in large language models. While AI provides widespread benefits, including editing for fluency and clarity, it also has drawbacks, including fabricated content, perpetuation of bias, and lack of accountability. The editorial board of (RAPM) therefore sought to develop best practices for AI usage and disclosure.

Sedation technique considerations for nonoperating room anesthesia: a narrative review and update.

Purpose Of Review: Sedation techniques for nonoperating room anesthesia (NORA) are vital for ensuring patient comfort and cooperation during diagnostic and therapeutic procedures outside traditional operating rooms. The increasing prevalence of these procedures in diverse settings necessitates adapting sedation practices to unique challenges in monitoring, equipment availability, and emergency preparedness.

Recent Findings: The choice of sedation technique depends on the procedure, patient health status, and the nonsurgical environment's resources.

Safety of nonoperating room anesthesia: a narrative review.

Purpose Of Review: Nonoperating room anesthesia (NORA) has become increasingly relevant as diagnostic and therapeutic procedures move beyond traditional surgical settings. This shift introduces unique safety challenges, making it crucial to evaluate how NORA can maintain patient safety and procedural efficiency despite the lack of standardized environments and resources typical of operating rooms.

Recent Findings: Studies reveal that NORA often involves patients with complex comorbidities, requiring meticulous risk assessment and preparation.

Closed claims analysis in nonoperating room anesthesia.

Purpose Of Review: Nonoperating room anesthesia (NORA) is an evolving field driven by technological advancements that enable minimally invasive procedures outside operating rooms. While expanding access to interventional procedures, NORA environments introduce impcatful challenges, including patient complexity, rapid procedural turnover, preoperative assessment, inconsistent team familiarity, and limited emergency preparedness.

Recent Findings: Closed claims data analysis provides critical insights into risks associated with NORA procedures.

Persistent Opioid Use Following Major Orthopedic Surgery.

Purpose Of Review: This narrative review addresses the growing public health concern of persistent opioid use following major orthopedic surgery. It aims to identify and analyze the critical factors that contribute to the transition from acute to persistent opioid consumption in this context.

Recent Findings: Patient-related characteristics, including pre-existing conditions and prior substance use, are critical predictors of prolonged opioid use.

Optimization of Postoperative Opioids Use Following Spine Surgery.

Purpose Of Review: The present investigation evaluated the use of opioids for postoperative pain relief in spinal surgery patients.

Recent Findings: Pain management is a crucial component of postoperative care that greatly impacts patient outcomes. Postoperative pain management has been shown to allow for earlier mobility, discharge, and return to normal life.

Creating a Framework for Minimizing Opioid Consumption after Office Based Surgery.

Purpose Of Review: Herein we review recent trends in opioid prescribing, the rise in office-based surgeries, and propose a framework to minimize opioid consumption following such procedures.

Recent Findings: Outpatient surgical procedures are increasing year over year in the United States. This observed increase is expected to continue due to the financial incentives to perform outpatient procedures.

The recent trend of twin epidemic in the United States: a 10-year longitudinal cohort study of co-prescriptions of opioids and stimulants.

Background: In recent years, the use of central nervous system stimulant medications has increased among the population already using opioids, referred to as a "twin epidemic." There is an increasing concern about its harmful outcomes in large populations. However, very few studies examined the co-prescription pattern of these two drug categories over a long period, and there is currently no clear restriction on stimulant prescriptions among patients under opioid treatment in the United States.

A genome-wide Association study of the Count of Codeine prescriptions.

Opioid prescription records in existing electronic health record (EHR) databases are a potentially useful, high-fidelity data source for opioid use-related risk phenotyping in genetic analyses. Prescriptions for codeine derived from EHR records were used as targeting traits by screening 16 million patient-level medication records. Genome-wide association analyses were then conducted to identify genomic loci and candidate genes associated with different count patterns of codeine prescriptions.

Factors Influencing Neuromuscular Blockade Reversal Choice in the United States Before and During the COVID-19 Pandemic: Retrospective Longitudinal Analysis.

Background: Neuromuscular blockade (NMB) agents are a critical component of balanced anesthesia. NMB reversal methods can include spontaneous reversal, sugammadex, or neostigmine and the choice of reversal strategy can depend on various factors. Unanticipated changes to clinical practice emerged due to the COVID-19 pandemic, and a better understanding of how NMB reversal trends were affected by the pandemic may help provide insight into how providers view the tradeoffs in the choice of NMB reversal agents.

Adjuvant Analgesics in Acute Pain - Evaluation of Efficacy.

Purpose Of The Review: Acute postoperative pain impacts a significant number of patients and is associated with various complications, such as a higher occurrence of chronic postsurgical pain as well as increased morbidity and mortality.

Recent Findings: Opioids are often used to manage severe pain, but they come with serious adverse effects, such as sedation, respiratory depression, postoperative nausea and vomiting, and impaired bowel function. Therefore, most enhanced recovery after surgery protocols promote multimodal analgesia, which includes adjuvant analgesics, to provide optimal pain control.

Modern Approaches to the Treatment of Acute Facial Pain.

Purpose Of Review: Acute facial pain presents a complex challenge in medical practice, requiring a comprehensive and interdisciplinary approach to its management. This narrative review explores the contemporary landscape of treating acute facial pain, delving into pharmacological, non-pharmacological, and advanced interventions. The significance of tailored treatment strategies, rooted in the diverse etiologies of facial pain, such as dental infections, trigeminal neuralgia, temporomandibular joint disorders, sinusitis, or neurological conditions like migraines or cluster headaches, is underscored.

Anesthesia-Related Closed Claims in Free-Standing Ambulatory Surgery Centers.

Background: As higher acuity procedures continue to move from hospital-based operating rooms (HORs) to free-standing ambulatory surgery centers (ASCs), concerns for patient safety remain high. We conducted a contemporary, descriptive analysis of anesthesia-related liability closed claims to understand risks to patient safety in the free-standing ASC setting, compared to HORs.

Methods: Free-standing ASC and HOR closed claims between 2015 and 2022 from The Doctors Company that involved an anesthesia provider responsible for the claim were included.

Cannabinoids for Acute Pain Management: Approaches and Rationale.

Purpose Of The Review: Acute pain management remains a challenge and postoperative pain is often undermanaged despite many available treatment options, also including cannabinoids.

Recent Findings: In the light of the opioid epidemic, there has been growing interest in alternative care bundles for pain management, including cannabinoids as potential treatment to decrease opioid prescribing. Despite the lack of solid evidence on the efficacy of cannabinoids, their use among patients with pain, including those using opioids, is currently increasing.

Transitional Pain Service: An Update.

Purpose Of Review: Chronic Postsurgical Pain (CPSP) and the risk for long-term opioid dependency are known complications following major surgery. The idea of Transitional Pain Service (TPS) has been introduced as an interdisciplinary setting to manage pain in the perioperative continuum. We expand on the basic framework and principles of TPS and summarize the current evidence of the TPS and possible interventions to adress postoperative pain.

Nerve Blocks for Craniotomy.

Purpose Of Review: Postcraniotomy headache (PCH) is a common adverse event and can lead to various complications and decreased quality of life.

Recent Findings: To reduce postcraniotomy pain and associated complications, a multimodal pain therapy including analgesics, analgesic adjuncts, and regional anesthesia is essential. The use of opioids should be minimized to facilitate prompt postoperative neurosurgical assessment.

Stimulant Drugs and Stimulant Use Disorder.

The authors aim to summarize several key points of stimulant drugs and stimulant use disorder, including their indications, short-term and long-term adverse effects, current treatment strategies, and association with opioid medications. The global prevalence of stimulant use has seen annual increase in the last decade. Multiple studies have shown that stimulant use and stimulant use disorder are associated with a range of individual and public health issues.

Perioperative Evaluation of Brain Health.

As the global population is aging and surgical needs rise, the occurrence of perioperative neurocognitive disorders (PND) is becoming a significant concern. PND refers to cognitive changes that occur before or after surgery, including neurocognitive disorders, postoperative delirium, and delayed neurocognitive recovery. To address this issue, a brain health assessment initiative within a multidisciplinary team is an emerging concept.