2022
Perineural Methylprednisolone Depot Formulation Decreases Opioid Consumption After Total Knee Arthroplasty
Del Toro-Pagán NM, Dai F, Banack T, Berlin J, Makadia SA, Rubin LE, Zhou B, Huynh P, Li J. Perineural Methylprednisolone Depot Formulation Decreases Opioid Consumption After Total Knee Arthroplasty. Journal Of Pain Research 2022, 15: 2537-2546. PMID: 36061486, PMCID: PMC9432382, DOI: 10.2147/jpr.s378243.Peer-Reviewed Original ResearchWhite blood cell countTotal knee arthroplastyActive pain scoresCumulative opioid consumptionOpioid consumptionPostoperative opioid consumptionMethylprednisolone acetateMPA groupPain scoresPostoperative dayNerve blockDEX groupKnee arthroplastySingle-injection nerve blocksConsecutive TKA patientsDaily opioid consumptionPosterior knee (IPACK) blockLocal anesthetic adjuvantBlood cell countLength of stayHigher restKnee blockHospital stayTKA patientsSecondary outcomesGlucocorticoid minimizes local anesthetic infusion requirement through adductor canal block and improves perioperative prosthetic joint range of motion in total knee arthroplasty
Baldev K, Dai F, Barrett C, Zhou B, Shah M, Howie B, Boominathan P, Zhao X, Li J. Glucocorticoid minimizes local anesthetic infusion requirement through adductor canal block and improves perioperative prosthetic joint range of motion in total knee arthroplasty. PLOS ONE 2022, 17: e0261949. PMID: 35081134, PMCID: PMC8791457, DOI: 10.1371/journal.pone.0261949.Peer-Reviewed Original ResearchConceptsAdductor canal blockTotal knee arthroplastyContinuous adductor canal blockPain scoresCanal blockTreatment groupsKnee arthroplastyOpioid consumptionOpioid usageGlucocorticoid injectionSingle-injection adductor canal blockControl groupSingle-center retrospective studyUnilateral total knee arthroplastyNumeric pain scoresPerioperative opioid usageCenter retrospective studyPostoperative day 1Use of glucocorticoidsLocal anesthetic adjuvantLength of stayAmount of ropivacaineRopivacaine infusionDischarge dispositionInfusion requirements
2021
Transmuscular Quadratus Lumborum and Lateral Femoral Cutaneous Nerve Block in Total Hip Arthroplasty
Li J, Dai F, Ayala K, Zhou B, Schonberger RB, Sharma A. Transmuscular Quadratus Lumborum and Lateral Femoral Cutaneous Nerve Block in Total Hip Arthroplasty. The Clinical Journal Of Pain 2021, 37: 366-371. PMID: 33577193, PMCID: PMC8035232, DOI: 10.1097/ajp.0000000000000923.Peer-Reviewed Original ResearchConceptsLateral femoral cutaneous nerve blockCutaneous nerve blockTotal hip arthroplastyOpioid consumptionLength of stayPeriarticular injectionNerve blockTreatment groupsControl groupHip arthroplastySpinal anesthesiaHospitalization costsQuadratus lumborumElective total hip arthroplasty patientsTransmuscular quadratus lumborum blockVisual analog scale painTotal hip arthroplasty patientsAdequate pain controlLower pain scoresPostoperative day 1Quadratus lumborum blockHip arthroplasty patientsMean VASOpioid reductionImproved analgesia
2020
Integrated Fragility Hip Fracture Program: A Model for High Quality Care
Morris JC, Moore A, Kahan J, Shapiro M, Li J, Spadaccino B, Baumgaertner M, O'Connor MI. Integrated Fragility Hip Fracture Program: A Model for High Quality Care. Journal Of Hospital Medicine 2020, 15: 461-467. PMID: 32118555, DOI: 10.12788/jhm.3365.Peer-Reviewed Original ResearchConceptsHip fracture programLength of stayEvidence-based protocolsHip fractureClinical outcomesMultidisciplinary careOperating roomFracture programYale-New Haven HospitalAdverse effectsBlood transfusion utilizationVenous thromboembolic complicationsFragility hip fractureHip fracture careHigh-quality careSignificant reductionIndex admissionTransfusion utilizationElderly patientsThromboembolic complicationsBlood transfusionFracture careMyocardial infarctionFixation complicationsMAIN OUTCOME