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Auteur Robert G. Smith
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Ajouter le résultat dans votre panier Affiner la rechercheAn Appraisal of Using Opioids in Patients with Opioid Use Disorder / Robert G. Smith in Journal of the American Podiatric Medical Association, vol. 113, 03 (Mai 2023)
[article]
in Journal of the American Podiatric Medical Association > vol. 113, 03 (Mai 2023)
Titre : An Appraisal of Using Opioids in Patients with Opioid Use Disorder Type de document : article de périodique Auteurs : Robert G. Smith Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]Analgésiques morphiniques
[Thésaurus Mesh]Collecte de données
[Thésaurus Mesh]Douleur postopératoire
[Thésaurus Mesh]Gestion de la douleur
[Thésaurus Mesh]Podologie
[Thésaurus Mesh]Troubles liés à une substanceRésumé : Podiatric physicians have come to realize that opioid use disorder (OUD) is a public health crisis causing morbidity, mortality, lost productivity, and legal cost in the United States. Opioid analgesics are efficient first-line pain relievers for acute and chronic lower-extremity pain syndrome. Perioperative pain management strategies have been proposed using opioid stewardship, but there are few standardized protocols to guide podiatric medical providers treating patients with OUD. First, we describe the pharmacology of therapeutic agents used as medications for addiction treatment for OUD and substance use disorder (SUD). Second, we offer criteria for selecting acute pain and perioperative management in patients with OUD and SUD per current medical literature. Finally, we review the literature applying opioid stewardship in the context of prescribing opioid analgesics in the presence of OUD and SUD.
Three hypothetical clinical scenarios grounded in clinical-based literature are described with congruent data and founded guidelines. The first and second scenarios describe acute pain and perioperative management in patients with OUD receiving methadone and buprenorphine-naloxone, respectively. The third scenario describes acute pain and perioperative management in a patient with SUD receiving intravenous naltrexone. We hope that the lower-extremity specialist will appreciate that thoughtful management of acute perioperative pain among patients who receive medications for addiction treatment for OUD is critically important given the risks of destabilization during the perioperative period. The literature reveals the lack of rigorous evidence on acute pain management in patients who receive medication for OUD; however, some clinical evidence supports the practice of continuing methadone or buprenorphine for most patients during acute pain episodes.Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Antibiotic stewardship : the lower-extremity physician’s prescription for effectively treating infection / Robert G. Smith in Journal of the American Podiatric Medical Association, vol.104, 1 (Janvier 2014)
[article]
in Journal of the American Podiatric Medical Association > vol.104, 1 (Janvier 2014) . - 77-84
Titre : Antibiotic stewardship : the lower-extremity physician’s prescription for effectively treating infection Type de document : article de périodique Auteurs : Robert G. Smith, Auteur Article en page(s) : 77-84 Descripteurs (mots clés) : [Thésaurus Mesh]Antibactériens
[Thésaurus Mesh]Infection
[Thésaurus Mesh]Membre inférieur
[Thésaurus Mesh]Thérapie moléculaire cibléePermalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité Périodique Erasme - périodiques Périodiques Disponible Périodique Erasme - périodiques Périodiques Disponible Fracture healing : an apraisal of the effects of frequently prescribed medications / Robert G. Smith in Journal of the American Podiatric Medical Association, vol.105, 2 (Mars, avril 2015)
[article]
in Journal of the American Podiatric Medical Association > vol.105, 2 (Mars, avril 2015) . - p. 160-172
Titre : Fracture healing : an apraisal of the effects of frequently prescribed medications Type de document : article de périodique Auteurs : Robert G. Smith, Auteur Année de publication : 2015 Article en page(s) : p. 160-172 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:C:Consolidation osseuse:Consolidation osseuse / effets des médicaments et des substances chimiques
[Thésaurus Mesh]Traitement médicamenteuxPermalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité J Périodique Erasme - périodiques Périodiques Disponible Postoperative Opioid-Prescribing Practice in Foot and Ankle Surgery / Brandon M. Brooks in Journal of the American Podiatric Medical Association, vol.113, 05 (Septembre 2023)
[article]
in Journal of the American Podiatric Medical Association > vol.113, 05 (Septembre 2023)
Titre : Postoperative Opioid-Prescribing Practice in Foot and Ankle Surgery Type de document : article de périodique Auteurs : Brandon M. Brooks ; Bradley M. Brooks ; Brady M. Brooks ; Adam E. Fleischer ; Robert G. Smith ; Rachel H. Albright Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus Mesh]:C:Cheville:Cheville / chirurgie
[Thésaurus Mesh]:P:Pied:Pied / chirurgie
[Thésaurus Mesh]Analgésiques morphiniques
[Thésaurus Mesh]Douleur postopératoire
[Thésaurus Mesh]États-Unis d'Amérique
[Thésaurus Mesh]Ordonnances
[Thésaurus Mesh]Ordonnances médicamenteuses
[Thésaurus Mesh]PodologieRésumé : Background: Approximately 3,900 Americans die every month of opioid overdose. The total economic burden of the opioid epidemic is estimated to be more than $78 billion annually. We sought to determine whether postoperative opioid-prescribing practice variation exists in foot and ankle surgery. Methods: We administered a voluntary, anonymous, online questionnaire consisting of six foot and ankle surgery scenarios followed by a demographics section. The purpose of the demographics section was to gather characteristics of podiatric foot and ankle surgeons. We invited podiatric foot and ankle surgeons practicing in the United States to complete the questionnaire via e-mail from the American Podiatric Medical Association’s membership list. For each scenario, respondents selected the postoperative opioid(s) that they would prescribe at the time of surgery, as well as the dose, frequency, and number of “pills” (dosage units). We developed multiple linear regression models to identify associations between prescriber characteristics and two measures of opioid quantity: dosage units and morphine milligram equivalents. Results: Eight hundred sixty podiatric foot and ankle surgeons completed the survey. The median number of dosage units never exceeded 30 regardless of the foot and ankle surgery. Years in practice correlated with reduction in dosage units at the time of surgery. Compared with the orthopedic community, podiatric foot and ankle surgeons prescribe approximately 25% less dosage units than orthopedic foot and ankle surgeons. Conclusions: Postoperative opioid-prescribing practice variation exists in foot and ankle surgery. Further research is warranted to determine whether additional education is needed for young surgeons. ( Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Risk Management and Mitigating Risk Opportunities for Opioid Prescribing / Robert G. Smith in Journal of the American Podiatric Medical Association, vol.113, 05 (Septembre 2023)
[article]
in Journal of the American Podiatric Medical Association > vol.113, 05 (Septembre 2023)
Titre : Risk Management and Mitigating Risk Opportunities for Opioid Prescribing Type de document : article de périodique Auteurs : Robert G. Smith Année de publication : 2023 Langues : Anglais (eng) Descripteurs (mots clés) : [Thésaurus HELB]:Paramédical:Podologue
[Thésaurus Mesh]:A:Addiction:Addiction / prévention et contrôle
[Thésaurus Mesh]Analgésiques morphiniques
[Thésaurus Mesh]États-Unis d'Amérique
[Thésaurus Mesh]Gestion du risque
[Thésaurus Mesh]Ordonnances médicamenteusesRésumé : All clinicians are ethically obliged to prescribe responsibly and cautiously to diminish the potential for opioid diversion and to help minimize the growth of the current opioid abuse epidemic. Podiatric physicians should establish procedures to better control and limit opioid prescription and develop analgesic regimens to treat pain. The main purpose and goal of this review is to present data congruent with clinical, medical, and legal reports for allowing an appreciation of the possibility of the risk assumed when ordering and prescribing opioids within the podiatric medical profession. First, the concept and process of risk management, illustrated using a root cause analysis approach, is introduced, and application of these principles specifically to opioid prescribing is presented. Then, several examples found in both the medical and legal literature documenting the reasons for opioid prescription risk are presented. Finally, mitigating strategies for safe opioid prescribing are offered so that mitigation of opioid harm can be possible and realized by the lower-extremity specialist. Risk management strategies and tools to mitigate opioid harm, lessen opioid adverse effects, and reduce opioid deaths are presented narratively and graphically Permalink : https://bibliotheque.helb-prigogine.be/opac_css/index.php?lvl=notice_display&id= [article]Exemplaires
Cote Support Localisation Section Disponibilité aucun exemplaire Shoe dermatitis : a review of current concepts / Robert G. Smith in The Foot, vol.18, 1 (Mars 2008)
PermalinkUS Food and Drug Administration Black Box Warnings / Robert G. Smith in Journal of the American Podiatric Medical Association, vol. 110, 01 (Janvier-février 2020)
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