Excess Opioid Medication Video Summary
Postoperative pain management in orthopaedic surgery accounts for a substantial portion of opioid medications prescribed in the United States. https://goo.gl/rZaM3y #JBJS #JBJSVideoSummaries
Tags: opioid, Orthopaedic, Orthopedic, pain, prescription
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A randomized control trial investigating the benefit of prolonged antibiotics after spinal surgery with closed-suction drains.
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In the most recent issue of The Journal, Urquhart et al. present their investigation of prolonged antibiotics in posterior spinal surgery in which closed-suction drains are used.
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552 patients undergoing posterior spinal surgery were enrolled and randomized to receive 24 or 72 hours of post-operative intravenous antibiotics. All patients received closed-suction drains at the end of surgery. The primary outcome investigated was the rate of surgical site infection (deep or organ or space) within 1 year of the surgical procedure.
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At the conclusion of the study, infections occurred in 17 patients (6.0%) in the 24-hour group and in 14 patients (5.2%) in the 72-hour group (p = 0.714). Interestingly, patients in the 72-hour antibiotic group had a median hospital stay that was 1 day longer (p < 0.001) than the 24-hour group.
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These findings suggest no added benefit of prolonged post-operative antibiotics in posterior spinal fusion even when a closed-suction drain is in place. Furthermore, prolonged antibiotics may increase hospital stay.
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This article can be found on jbjs.org in the October 2nd issue of The Journal.
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Today's Elite Reviewer profile features Dr. Donald Anderson of @uiowa: https://orthobuzz.jbjs.org/2019/10/08/elite-reviewer-spotlight-donald-anderson/
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