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EDITORIAL
Nabil M Elkassabany, Edward R Mariano
No abstract text is available yet for this article.
December 2019: Anesthesiology
#22
EDITORIAL
Nabil Elkassabany, Joseph M Neal
No abstract text is available yet for this article.
October 2019: Current Opinion in Anaesthesiology
#23
JOURNAL ARTICLE
Sarah Rudasill, Daniel J Gittings, Nabil M Elkassabany, Jiabin Liu, Charles L Nelson, Atul F Kamath
Malnutrition is a modifiable risk factor for poor outcomes in patients undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA). The purpose of this study is to highlight risk factors for hypoalbuminemia and develop a predictive model that identifies patients at risk for this condition before THA or TKA. The study retrospectively reviewed the National Surgical Quality Improvement Program database to analyze preoperative independent risk factors for a diagnosis of hypoalbuminemia in adult patients who underwent THA or TKA...
2019: Journal of Surgical Orthopaedic Advances
#24
JOURNAL ARTICLE
Stavros G Memtsoudis, Crispiana Cozowicz, Janis Bekeris, Dace Bekere, Jiabin Liu, Ellen M Soffin, Edward R Mariano, Rebecca L Johnson, Mary J Hargett, Bradley H Lee, Pamela Wendel, Mark Brouillette, George Go, Sang J Kim, Lila Baaklini, Douglas Wetmore, Genewoo Hong, Rie Goto, Bridget Jivanelli, Eriphyli Argyra, Michael J Barrington, Alain Borgeat, Jose De Andres, Nabil M Elkassabany, Philippe E Gautier, Peter Gerner, Alejandro Gonzalez Della Valle, Enrique Goytizolo, Paul Kessler, Sandra L Kopp, Patricia Lavand'Homme, Catherine H MacLean, Carlos B Mantilla, Daniel MacIsaac, Alexander McLawhorn, Joseph M Neal, Michael Parks, Javad Parvizi, Lukas Pichler, Jashvant Poeran, Lazaros A Poultsides, Brian D Sites, Otto Stundner, Eric C Sun, Eugene R Viscusi, Effrossyni G Votta-Velis, Christopher L Wu, Jacques T Ya Deau, Nigel E Sharrock
BACKGROUND: Evidence-based international expert consensus regarding anaesthetic practice in hip/knee arthroplasty surgery is needed for improved healthcare outcomes. METHODS: The International Consensus on Anaesthesia-Related Outcomes after Surgery group (ICAROS) systematic review, including randomised controlled and observational studies comparing neuraxial to general anaesthesia regarding major complications, including mortality, cardiac, pulmonary, gastrointestinal, renal, genitourinary, thromboembolic, neurological, infectious, and bleeding complications...
September 2019: British Journal of Anaesthesia
#25
JOURNAL ARTICLE
Nabil M Elkassabany
No abstract text is available yet for this article.
July 23, 2019: Pain Medicine
#26
JOURNAL ARTICLE
Veena Graff, Lu Cai, Ignacio Badiola, Nabil M Elkassabany
BACKGROUND AND OBJECTIVES: Music medicine is a non-pharmacologic intervention that is virtually harm-free, relatively inexpensive and has been shown to significantly decrease preoperative anxiety. In this study we aim to compare the use of music to midazolam as a preoperative anxiolytic prior to the administration of an ultrasound-guided single-injection peripheral nerve block. METHODS: In this randomized controlled study we compared the anxiolytic effects of intravenous midazolam (1-2 mg) with noise-canceling headphone-delivered music medicine...
July 18, 2019: Regional Anesthesia and Pain Medicine
#27
REVIEW
Brandon S Kandarian, Nabil M Elkassabany, Mallika Tamboli, Edward R Mariano
The subspecialty of regional anesthesiology and acute pain medicine (RAAPM) is in a position to lead changes that may impact the current opioid crisis. At the hospital level, RAAPM experts can implement evidence-based multimodal analgesic clinical pathways featuring regional anesthesia. Multimodal analgesia consists of using two or more analgesic modalities targeting pain pathways at various levels to improve pain control, while also aiming to reduce opioid utilization and related adverse effects. These types of pathways or protocols have been widely applied in the joint replacement population...
March 2019: Best Practice & Research. Clinical Anaesthesiology
#28
JOURNAL ARTICLE
Kellie M Jaremko, Eric S Schwenk, Amy C S Pearson, Jonathan Hagedorn, Ankeet D Udani, Gary Schwartz Md, Nabil M Elkassabany, Anne Snively, Edward R Mariano
No abstract text is available yet for this article.
July 1, 2019: Korean Journal of Anesthesiology
#29
REVIEW
Jessica Lynn Gross, Alison R Perate, Nabil M Elkassabany
It is imperative to find the balance between pain control and addressing the opioid epidemic. Opioids, although effective in the acute pain management, have multiple side effects and can lead to dependence, abuse, overdose, or death. Physicians should identify patients who abuse opioids, using their states' prescription drug-monitoring programs and use screening tools to identify patients at increased risk of developing opioid dependence. Multimodal analgesic plans, incorporating regional techniques, and nonopioid medications should be employed to reduce the amount of opioids received by patients...
March 2019: Anesthesiology Clinics
#30
JOURNAL ARTICLE
Charles L Nelson, Atul F Kamath, Nabil M Elkassabany, Zhenggang Guo, Jiabin Liu
INTRODUCTION: Low serum albumin is associated with higher perioperative complications following total hip arthroplasty (THA). The distinct threshold for a significant rise in perioperative complications has not been defined for THA. The purpose of this study was to define the threshold at which perioperative complications rise after THA. METHODS: We analysed the American College of Surgeons NSQIP database from 2006 to 2013. Our study cohort included unilateral primary THA with reported preoperative albumin levels...
March 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
#31
JOURNAL ARTICLE
Nabil M Elkassabany, Anthony Wang, Jason Ochroch, Matthew Mattera, Jiabin Liu, Andrew Kuntz
OBJECTIVES: Pain control after shoulder arthroscopy can be challenging, often relying on opioids. The study aims to measure the quality of recovery (QoR) before and after implementation of a "Multimodal Perioperative Pain Protocol" (MP3) in patients undergoing ambulatory shoulder arthroscopy. DESIGN: Prospective cohort study. SETTING: Free-standing ambulatory surgery facility of a tertiary care academic center. SUBJECTS: Patients undergoing ambulatory shoulder arthroscopy...
May 1, 2019: Pain Medicine
#32
EDITORIAL
Nabil M Elkassabany, Edward R Mariano
No abstract text is available yet for this article.
September 2018: Anesthesiology Clinics
#33
REVIEW
Nabil M Elkassabany, Stavros G Memtsoudis, Edward R Mariano
Demonstrating value added to patients' experience through regional anesthesiology and acute pain medicine is critical. Evidence supporting improved outcomes can be derived from prospective studies or retrospective cohort studies. Population-based studies relying on existing clinical and administrative databases are helpful when an outcome is rare and detecting a change would require studying large numbers of patients. This article discusses the effect of regional anesthesiology and acute pain medicine interventions on mortality and morbidity, infection rate, cancer recurrence, inpatient falls, local anesthetic systemic toxicity, persistent postsurgical pain, and health care costs...
September 2018: Anesthesiology Clinics
#34
REVIEW
Taras Grosh, Nabil M Elkassabany
Enhanced recovery after surgery (ERAS) protocols depend on multidisciplinary care and should be peer-reviewed and data-driven. ERAS has reduced hospital length of stay and complications, simultaneously improving patient outcomes. ERAS protocol after shoulder arthroplasty features multidisciplinary collaboration among different perioperative services and multimodal analgesia with a focus on regional anesthesia. Despite success, adoption is not universal because ERAS protocols are resource intensive. They require clinicians invested in the success of these programs and patients who can take charge of their own health...
September 2018: Anesthesiology Clinics
#35
JOURNAL ARTICLE
Toby N Weingarten, Andreas H Taenzer, Nabil M Elkassabany, Linda Le Wendling, Olga Nin, Michael L Kent
Objective: In the setting of an expanding prevalence of acute pain medicine services and the aggressive use of multimodal analgesia, an overview of systems-based safety gaps and safety concerns in the setting of aggressive multimodal analgesia is provided below. Setting: Expert commentary. Methods: Recent evidence focused on systems-based gaps in acute pain medicine is discussed. A focused literature review was conducted to assess safety concerns related to commonly used multimodal pharmacologic agents (opioids, nonsteroidal anti-inflammatory drugs, gabapentanoids, ketamine, acetaminophen) in the setting of inpatient acute pain management...
November 1, 2018: Pain Medicine
#36
JOURNAL ARTICLE
Taras Grosh, Nabil M Elkassabany
No abstract text is available yet for this article.
July 24, 2017: Anesthesia and Analgesia
#37
JOURNAL ARTICLE
Hospital-Based Acute Care Within 7 Days of Discharge After Outpatient Arthroscopic Shoulder Surgery.
Jiabin Liu, David N Flynn, Wai-Man Liu, Lee A Fleisher, Nabil M Elkassabany
BACKGROUND: The rate of hospital-based acute care (defined as hospital transfer at discharge, emergency department [ED] visit, or subsequent inpatient hospital [IP] admission) after outpatient procedure is gaining momentum as a quality metric for ambulatory surgery. However, the incidence and reasons for hospital-based acute care after arthroscopic shoulder surgery are poorly understood. METHODS: We studied adult patients who underwent outpatient arthroscopic shoulder procedures in New York State between 2011 and 2013 using the Healthcare Cost and Utilization Project database...
February 2018: Anesthesia and Analgesia
#38
JOURNAL ARTICLE
Nabil M Elkassabany, Daniel Abraham, Stephanie Huang, Brandon Kase, Finnah Pio, Eric Hume, Craig Israelite, Jiabin Liu
OBJECTIVES: Spinal anesthesia (SA) for Total Knee Arthroplasty (TKA) may be associated with better patients' outcomes. This study aims to assess the association between preoperative education about the advantage of SA over general anesthesia (GA) for TKA and the likelihood of patient choice of NA. METHODS: Patients undergoing unilateral primary TKA were identified. Type of anesthesia (GA or SA), attendance of the (joints class), patient demographics, ASA status, anticoagulation status, and diagnosis of back problems were recoded...
September 2017: Patient Education and Counseling
#39
RANDOMIZED CONTROLLED TRIAL
Andrew K Wong, Lauren Georgiades Keeney, Liting Chen, Rebekah Williams, Jiabin Liu, Nabil M Elkassabany
OBJECTIVE: This study aims to assess diaphragmatic excursion and measure pulmonary functions as measures of the degree to which the phrenic nerve is blocked after ISB with two different concentrations of ropivacaine: 0.2% and 0.1%. DESIGN: Randomized, double-blinded study. SETTING AND PATIENTS: Ambulatory surgical facility. SUBJECTS: Fifty patients undergoing shoulder arthroscopy for rotator cuff repair. METHODS: Patients were randomized to receive ultrasound-guided ISB with 20 mL of either 0...
December 2016: Pain Medicine
#40
JOURNAL ARTICLE
Nabil M Elkassabany, Molly Passarella, Samir Mehta, Jiabin Liu, Mark D Neuman
OBJECTIVES: To determine hospital-level predictors of readmission after hip fracture or potentially related inpatient care processes. DESIGN: Retrospective cohort study. SETTING: U.S. acute care hospitals. PARTICIPANTS: Fee-for-service Medicare beneficiaries who underwent hip fracture surgery between 2007 and 2009 (N = 458,526). MEASUREMENTS: Information was obtained on hospital case volumes, teaching status, bed count, nurse staffing, and technological capabilities from Medicare files, and multivariable logistic regression was used to measure the association between these factors and an endpoint of readmission or death at 30 days and between these factors and the timing of surgery...
August 2016: Journal of the American Geriatrics Society
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