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Brown, Michael J.

https://orcid.org/0000-0002-8973-5075

Mayo Clinic

Mayo Clinic

Citations 1

Team Approach: Multimodal Perioperative Pain Management in Upper-Extremity Surgery
Stewart, Thomas M. , Pulos, Nicholas , Curry, Timothy B. , Gazelka, Halena M. , Brown, Michael J. , Shin, Alexander Y. , Shin, Alexander Y , Pulos, Nicholas

JBJS Reviews | August 21, 2018 | Volume: 6 | Issue: 8 | Pages: e5-e5

10.2106/jbjs.rvw.17.00190 Get It

* Rates of opioid use and abuse continue to rise in the United States, as do opioid-related deaths. Many patients who misuse opioids receive their first exposure in the perioperative setting. * Postoperative opioid use reduction in patients who have undergone an upper-extremity procedure can be difficult secondary to the often-painful nature of orthopaedic procedures. Postoperative pain can prevent timely discharge from hospitals and is a major cause for emergency medicine visits following outpatient upper-extremity surgical procedures. * Utilization of a multidisciplinary, multimodal, home-going continuous peripheral nerve block catheter protocol may be able to comfortably allow patients to recover in an outpatient setting after an upper-extremity surgical procedure, with a diminished opioid requirement.