2023
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
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
Situational 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
2020
Opioid-Sparing Cardiac Anesthesia: Secondary Analysis of an Enhanced Recovery Program for Cardiac Surgery.
Grant M, Isada T, Ruzankin P, Gottschalk A, Whitman G, Lawton J, Dodd-O J, Barodka V. Opioid-Sparing Cardiac Anesthesia: Secondary Analysis of an Enhanced Recovery Program for Cardiac Surgery. Anesthesia & Analgesia 2020, 131: 1852-1861. PMID: 32889848, DOI: 10.1213/ane.0000000000005152.Peer-Reviewed Original ResearchConceptsIntraoperative opioid administrationEnhanced recovery programmeOpioid administrationCardiac surgeryNonopioid interventionsPostoperative outcomesNumber of interventionsOpioid patientsSecondary analysisSerratus anterior plane blockMorphine sulfate equivalentsOpioid-sparing strategiesPostoperative pain scoresFuture prospective studiesLength of stayLinear mixed-effects regression modelsMixed-effects regression modelsIntraoperative dexmedetomidineLower opioidPreoperative gabapentinMultimodal analgesiaPain scoresPostoperative complicationsOpioid usePlane blockNew Persistent Opioid Use After Aortic and Mitral Valve Surgery in Commercially Insured Patients
Clement K, Canner J, Whitman G, Lawton J, Grant M, Sussman M. New Persistent Opioid Use After Aortic and Mitral Valve Surgery in Commercially Insured Patients. The Annals Of Thoracic Surgery 2020, 110: 829-835. PMID: 32004502, DOI: 10.1016/j.athoracsur.2019.12.031.Peer-Reviewed Original ResearchConceptsNew persistent opioid usePersistent opioid useAortic valve replacementMitral valve replacementMitral valve repairOpioid-naive patientsMitral valve surgeryOpioid useValve replacementValve repairOpioid prescriptionsValve surgeryPerioperative periodRisk factorsMitral valve replacement/repairValve replacement/repairMultivariable logistic regressionHealthcare paymentsTotal healthcare paymentsReplacement/repairOpioid prescribingPrescription opioidsCostly complicationEmergency departmentPatients
2019
Predictors of new persistent opioid use after coronary artery bypass grafting
Clement K, Canner J, Lawton J, Whitman G, Grant M, Sussman M. Predictors of new persistent opioid use after coronary artery bypass grafting. Journal Of Thoracic And Cardiovascular Surgery 2019, 160: 954-963.e4. PMID: 32007246, DOI: 10.1016/j.jtcvs.2019.09.137.Peer-Reviewed Original ResearchMeSH KeywordsAdministrative Claims, HealthcareAgedAmbulatory CareAnalgesics, OpioidCoronary Artery BypassDatabases, FactualDrug Administration ScheduleDrug PrescriptionsFemaleHumansMaleMiddle AgedOpioid-Related DisordersPain, PostoperativePractice Patterns, Physicians'Retrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeConceptsNew persistent opioid usePersistent opioid useCoronary artery bypassArtery bypassOpioid useOpioid prescriptionsPerioperative periodNaïve patientsChronic obstructive pulmonary diseaseAmount of opioidsAppropriate opioid prescribingObstructive pulmonary diseaseMultivariable logistic regressionPrescription opioid overdosePrior substance abuseInsurance claims dataOpioid requirementsOutpatient opioidsOpioid prescribingCardiac surgeryPulmonary diseaseOpioid dependenceProspective studyRisk factorsFemale genderAmerican Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy
Edwards D, Hedrick T, Jayaram J, Argoff C, Gulur P, Holubar S, Gan T, Mythen M, Miller T, Shaw A, Thacker J, McEvoy M, Geiger T, Gordon D, Grant M, Grocott M, Gupta R, Hah J, Hurley R, Kent M, King A, Oderda G, Sun E, Wu C. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Management of Patients on Preoperative Opioid Therapy. Anesthesia & Analgesia 2019, Publish Ahead of Print: &na;. PMID: 30768461, DOI: 10.1213/ane.0000000000004018.Peer-Reviewed Original ResearchConceptsOpioid-related complicationsPerioperative managementConsensus recommendationsPerioperative Quality Initiative Joint Consensus StatementJoint consensus statementPerioperative treatment strategiesChronic opioid useHigh-risk groupPathways of careStandard of careHealth care providersHealth care teamOpioid therapyPreoperative opioidsMultimodal analgesiaPerioperative outcomesOpioid usePain specialistsRisk patientsCare management practicesElective surgeryFree anesthesiaOpioid dependenceRisk stratificationCare teamAmerican Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Opioid Minimization in Opioid-Naïve Patients.
Wu C, King A, Geiger T, Grant M, Grocott M, Gupta R, Hah J, Miller T, Shaw A, Gan T, Thacker J, Mythen M, McEvoy M. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Perioperative Opioid Minimization in Opioid-Naïve Patients. Anesthesia & Analgesia 2019, 129: 567-577. PMID: 31082966, PMCID: PMC7261519, DOI: 10.1213/ane.0000000000004194.Peer-Reviewed Original ResearchConceptsPersistent postoperative opioid useOpioid-naïve patientsPostoperative opioid useOpioid-free anesthesiaOpioid useOpioid minimizationPerioperative Quality Initiative Joint Consensus StatementNew persistent postoperative opioid useJoint consensus statementOpioid-based medicationsPerioperative opioid useEnhanced recovery pathwayQuality InitiativePerioperative periodPain interventionsConsensus statementConsensus recommendationsSurgical careConsensus documentEnhanced recoverySuperior outcomesRecovery pathwaysDelphi processAmerican SocietyAnesthesia
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
2016
Patient outcomes and provider perceptions following implementation of a standardized perioperative care pathway for open liver resection
Page A, Gani F, Crowley K, Lee K, Grant M, Zavadsky T, Hobson D, Wu C, Wick E, Pawlik T. Patient outcomes and provider perceptions following implementation of a standardized perioperative care pathway for open liver resection. British Journal Of Surgery 2016, 103: 564-571. PMID: 26859713, DOI: 10.1002/bjs.10087.Peer-Reviewed Original ResearchConceptsPost-ERAS groupPerioperative care pathwaysERAS pathwayOpen liver surgeryHospital stayPerioperative outcomesPostoperative complicationsOpioid useLiver surgeryCare pathwayProviders' perceptionsMean pain scoreOpen liver resectionShorter hospital stayImproved perioperative outcomesGroup of patientsCent of providersPerioperative pathwayPain scoresERAS programLiver resectionSurgery pathwayDisease characteristicsHepatic surgeryHospital costs