2024
Practice Advisory for Postoperative Pain Management of Cardiac Surgical Patients - A Report by Society of Cardiovascular Anesthesiologists
Makkad B, Heinke T, Sheriffdeen R, Meng M, Kachulis B, Grant M, Popescu W, Brodt J, Khatib D, Wu C, Kertai M, Bollen B. Practice Advisory for Postoperative Pain Management of Cardiac Surgical Patients - A Report by Society of Cardiovascular Anesthesiologists. Journal Of Cardiothoracic And Vascular Anesthesia 2024 DOI: 10.1053/j.jvca.2024.10.014.Peer-Reviewed Original ResearchCardiac surgeryPostoperative pain managementPain managementManagement of cardiac surgical patientsOpioid-related adverse effectsRisk of postoperative cardiopulmonary complicationsFast-track extubationAssociated with serious adverse effectsCardiac surgical patientsPostoperative pain controlPostoperative cardiopulmonary complicationsFascial plane blocksSerious adverse effectsPractice advisoryAdverse effectsPromote early recoverySociety of Cardiovascular AnesthesiologistsNon-pharmacological therapiesPlane blockSevere painCardiopulmonary complicationsMultimodal analgesiaNeurological sequelaePain controlRegional analgesiaERAS® Cardiac Turnkey Order Set for Perioperative Pain Management in Cardiac Surgery: Proceedings from the AATS ERAS Conclave 2023
Gregory A, Arora R, Chatterjee S, Crisafi C, Morton-Bailey V, Rea A, Salenger R, Engelman D, Grant M, Group E, Cangut B, Crotwell S, Lobdell K, McConnell G, Reddy S. ERAS® Cardiac Turnkey Order Set for Perioperative Pain Management in Cardiac Surgery: Proceedings from the AATS ERAS Conclave 2023. JTCVS Open 2024 DOI: 10.1016/j.xjon.2024.08.018.Peer-Reviewed Original ResearchPerioperative pain managementCardiac surgeryPain managementOpioid administrationOptimal perioperative pain managementOpioid-related adverse eventsClass IShort-acting synthetic opioidLong-acting opioidsCardiac surgical patientsControl post-operativelyNon-steroidal anti-inflammatory drugsAssociated with delayed recoveryLong-term adverse effectsOpioid-based analgesiaEvidence-based order setsOpioid-sparing medicationsAnti-inflammatory drugsComprehensive multimodal approachExpert consensus documentRate of postoperative recoveryOpioid reductionInadequate analgesiaIntravenous analgesicsPost-operatively
2023
Practice Advisory for Preoperative and Intraoperative Pain Management of Cardiac Surgical Patients: Part 2
Makkad B, Heinke T, Sheriffdeen R, Khatib D, Brodt J, Meng M, Grant M, Kachulis B, Popescu W, Wu C, Bollen B. Practice Advisory for Preoperative and Intraoperative Pain Management of Cardiac Surgical Patients: Part 2. Anesthesia & Analgesia 2023, 137: 26-47. PMID: 37326862, DOI: 10.1213/ane.0000000000006506.Peer-Reviewed Original ResearchConceptsIntraoperative pain managementCardiac surgical patientsCardiac surgeryPain managementPractice advisorySurgical patientsEffective postoperative pain controlMultimodal analgesic strategyPostoperative pain controlPain management strategiesCardiac surgical proceduresPreoperative patient evaluationMeaningful patient outcomesHealth care costsAnalgesic strategiesMultimodal analgesicsOpioid exposurePain controlPerioperative usePostoperative distressFunctional recoveryPatient evaluationPatient outcomesRegional techniquesSurgical proceduresPractice Advisory for Preoperative and Intraoperative Pain Management of Thoracic Surgical Patients: Part 1
Makkad B, Heinke T, Sheriffdeen R, Khatib D, Brodt J, Meng M, Grant M, Kachulis B, Popescu W, Wu C, Bollen B. Practice Advisory for Preoperative and Intraoperative Pain Management of Thoracic Surgical Patients: Part 1. Anesthesia & Analgesia 2023, 137: 2-25. PMID: 37079466, DOI: 10.1213/ane.0000000000006441.Peer-Reviewed Original ResearchConceptsIntraoperative pain managementThoracic surgical patientsPain managementThoracic surgerySurgical patientsPractice advisoryEffective postoperative pain controlMultimodal analgesic strategyPostoperative pain controlPersistent postoperative painPain management strategiesPreoperative patient evaluationRelevant patient outcomesThoracic surgical proceduresAnalgesic strategiesMultimodal analgesicsOpioid exposurePain controlPostoperative painPerioperative usePostoperative distressFunctional recoveryPatient evaluationPatient outcomesRegional techniquesPain management and opioid stewardship in adult cardiac surgery: Joint consensus report of the PeriOperative Quality Initiative and the Enhanced Recovery After Surgery Cardiac Society
Grant M, Chappell D, Gan T, Manning M, Miller T, Brodt J, Workgroup P, Shaw A, Engelman D, Mythen M, Guinn N, Aronson S, Schwartz J, Arora R, Morton-Bailey V, Brudney C, Bennett-Guerrero E, Reddy V, Guzzi L, Brown J, Crisafi C. Pain management and opioid stewardship in adult cardiac surgery: Joint consensus report of the PeriOperative Quality Initiative and the Enhanced Recovery After Surgery Cardiac Society. Journal Of Thoracic And Cardiovascular Surgery 2023, 166: 1695-1706.e2. PMID: 36868931, DOI: 10.1016/j.jtcvs.2023.01.020.Peer-Reviewed Original ResearchConceptsCardiac surgery patientsEnhanced recovery programmeHigh-dose opioidsOpioid stewardshipSurgery patientsPain managementCardiac surgeryNonopioid medicationsProvider educationOpioid prescription practicesCardiac surgery populationOptimal pain managementRole of opioidsAdult cardiac surgeryRegional anesthesia techniquesLevel of evidencePotential side effectsOptimal analgesiaOpioid administrationSurgery populationOpioid usePerioperative carePrescription practicesAnesthesia techniquesConsensus recommendations
2022
Regional analgesia for cardiac surgery
Grant M, Gregory A, Ouanes J. Regional analgesia for cardiac surgery. Current Opinion In Anaesthesiology 2022, 35: 605-612. PMID: 35900740, DOI: 10.1097/aco.0000000000001169.Peer-Reviewed Original ResearchConceptsCardiac surgeryRegional analgesiaRegional techniquesCardiac surgical settingChest wall blocksOpioid-sparing analgesiaOpioid-sparing approachPain management expertsPerioperative patient careOpioid requirementsOpioid administrationPain controlPain managementPerioperative carePatients' qualityRegional anesthesiaAnalgesiaSurgical settingSurgeryPatient careCareAnesthesiaAdministrationSituational Awareness of Opioid Consumption: The Missing Link to Reducing Dependence After Surgery?
Engelman D, Crisafi C, Hodle T, Stiles J, Nathanson B, Zarbock A, Grant M. Situational Awareness of Opioid Consumption: The Missing Link to Reducing Dependence After Surgery? Anesthesia & Analgesia 2022, 135: 653-658. PMID: 35110517, DOI: 10.1213/ane.0000000000005923.Peer-Reviewed Original Research
2018
An Innovative Perioperative Pain Program for Chronic Opioid Users: An Academic Medical Center’s Response to the Opioid Crisis
Hanna M, Speed T, Shechter R, Grant M, Sheinberg R, Goldberg E, Campbell C, Theodore N, Koch C, Williams K. An Innovative Perioperative Pain Program for Chronic Opioid Users: An Academic Medical Center’s Response to the Opioid Crisis. American Journal Of Medical Quality 2018, 34: 5-13. PMID: 29790369, DOI: 10.1177/1062860618777298.Peer-Reviewed Original ResearchConceptsChronic opioid usersOpioid usersOpioid usePain managementChronic pain specialistsPerioperative pain controlPreoperative opioid weaningPain management educationOpioid-related deathsNationwide public health crisisOpioid weaningOpioid prescriptionsOpioid utilizationPain controlPublic health crisisPain specialistsPain programPain treatmentPreoperative evaluationPrescription opioidsSurgical hospitalizationOpioid epidemicRegional anesthesiaMedicine specialistsSurgical setting
2017
Postoperative Multimodal Analgesia Pain Management With Nonopioid Analgesics and Techniques: A Review
Wick E, Grant M, Wu C. Postoperative Multimodal Analgesia Pain Management With Nonopioid Analgesics and Techniques: A Review. JAMA Surgery 2017, 152: 691-697. PMID: 28564673, DOI: 10.1001/jamasurg.2017.0898.Peer-Reviewed Original ResearchConceptsNonsteroidal anti-inflammatory agentsAnti-inflammatory agentsERAS pathwayPostoperative bleedingN-methyl-D-aspartate (NMDA) classMultimodal analgesia approachGlutamate receptor antagonistsCurrent opioid epidemicComplex surgical proceduresAnalgesic regimensOpioid consumptionLess opioidsMultimodal analgesiaNarcotic analgesiaNonopioid analgesicsHospital dischargeMost patientsPain managementRegional analgesiaSurgery pathwayReceptor antagonistClinical trialsOpioid epidemicEffective adjunctSurgical care