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American Society of Anesthesiologists, Oct. 2-5

ANESTHESIOLOGY 2020 The annual meeting of the American Society of Anesthesiologists was held virtually this year from Oct. 2 to 5 and attracted...
Neonates with prolonged arterial line/central venous line use have fewer skin breaks and have significantly larger thalamic volumes early in life compared with those with restricted line use

Skin Breaks Drop With Prolonged AL/CVL Use in Neonates

Larger thalamic volumes seen with prolonged arterial line, central venous line use and fewer skin breaks
Most older adults using cannabis report initiating use after the age of 60 years primarily to treat pain

Cannabis Use Common in Older Adults

Most indicate using after age 60 years for medical purposes
For U.S. veterans with unhealthy alcohol use

Reducing Drinking May Improve Pain Interference Symptoms

Improvement seen in tobacco smoking, cannabis use, cocaine use, although confidence intervals wide
Exposure to maternal epidural analgesia during vaginal delivery may increase the later risk for autism spectrum disorders for children

Maternal Epidural During Birth Linked to Later Autism in Kids

Autism risk seems to increase with longer duration of epidural exposure
Evidence-based guidelines successfully reduce postoperative opioid prescribing without increased refill rates

One Size May Not Fit All for Postoperative Opioid Prescribing

Guidelines reduce postoperative opioid prescribing but may result in inadequate pain control for some
For U.S. adults with problem substance use who use nonmedical opioids

For Substance Abusers, Odds of Opioid Use Up With Cannabis Use

For adults using nonmedical opioids, odds of opioid use are increased on days when cannabis is used
Patients with prior cannabis use may need higher doses of intraoperative inhaled anesthetic and postoperative opioids

ASA: Cannabis Users May Need More Anesthesia During Surgery

Also, higher subjective pain scores seen postoperatively among cannabis users
Prescription pain medication abuse decreased significantly from 2007 to 2018

ASA: Sustained Decrease Seen in Prescription Opioid Abuse in U.S.

Significant declines seen from 2002 to 2013 and 2014 and from 2015 to 2016, 2017, 2018

September 2020 Briefing – Pain Management

Here are what the editors at HealthDay consider to be the most important developments in Pain Management for September 2020. This roundup includes the...