A5025278481- Anesthesia and Pain Management
- Hip disorders and treatments
- Orthopaedic implants and arthroplasty
- Cardiac, Anesthesia and Surgical Outcomes
- Shoulder Injury and Treatment
- Maternal and fetal healthcare
- Total Knee Arthroplasty Outcomes
- Nausea and vomiting management
- Musculoskeletal pain and rehabilitation
- Opioid Use Disorder Treatment
- Pain Management and Opioid Use
- Orthopedic Infections and Treatments
- Spine and Intervertebral Disc Pathology
- Hemodynamic Monitoring and Therapy
- Maternal and Perinatal Health Interventions
- COVID-19 Impact on Reproduction
- Anesthesia and Sedative Agents
- Sports injuries and prevention
- Pediatric Pain Management Techniques
- Cardiac Valve Diseases and Treatments
- Venous Thromboembolism Diagnosis and Management
- Blood transfusion and management
- Atrial Fibrillation Management and Outcomes
- Ultrasound in Clinical Applications
- COVID-19 and healthcare impacts
Brigham and Women's Hospital
2019-2024
Harvard University
2019-2024
The University of Texas Health Science Center at Houston
2024
University of Kentucky
2024
International Paper (United States)
2024
Center for Pain and the Brain
2020-2024
Commonwealth Fund
2024
Harvard University Press
2024
Committee on Publication Ethics
2022
American Society of Anesthesiologists
2022
There is increasing interest in defining meaningful improvement patient-reported outcomes. Knowledge of the thresholds and determinants for successful femoroacetabular impingement (FAI) outcomes evolving.To define preoperative outcome score determine clinical/demographic patient factors predictive achieving minimal clinically important difference (MCID) after arthroscopic FAI surgery.Cohort study (diagnosis); Level evidence, 2.A prospective institutional hip preservation registry was...
Background: The impact of proximal femoral and combined acetabular version on patient-reported outcomes after arthroscopic surgery for femoroacetabular impingement (FAI) remains undefined. purpose this study was to identify associations as well (McKibbin index) with disease-specific, validated, following correction symptomatic FAI. Methods: A prospective hip arthroscopy registry utilized evaluate 243 patients who underwent correct Femoral the McKibbin index were measured prospectively...
In the past 16 years, number of prescription opioids sold in United States, as well deaths from opioids, has nearly quadrupled. However, overall amount pain reported by patients not changed significantly. Specific information about opioid prescriptions perioperative period is lacking. Of studies that have been published, investigators shown majority unused postoperative pills. Moreover, appear to lack disposal pills.To compare pills prescribed versus numbers left after outpatient shoulder...
The minimal clinically important difference (MCID) has been defined in orthopaedics and is the smallest change that a patient considers meaningful. Less known about improvements perceives as considerable, or substantial clinical benefit (SCB). For young, highly functioning cohort with femoroacetabular impingement (FAI), SCB an measure of success.To derive for FAI treatment identify outcome score thresholds variables predictive SCB.Cohort study (diagnosis); Level evidence, 2.The modified...
The outcomes of hip arthroscopy in the treatment dysplasia are variable. Historically, arthroscopic severe (lateral center-edge angle [LCEA] <18°) resulted poor and iatrogenic instability. However, milder forms dysplasia, favorable have been reported.To compare after for femoroacetabular impingement (FAI) borderline dysplastic (BD) patients compared with a control group nondysplastic patients.Cohort study; Level evidence, 3 METHODS: Between March 2009 July 2012, BD (LCEA, 18°-25°) 46 (55...
Adverse local tissue reactions (ALTR) around metal-on-metal (MOM) hip arthroplasties are increasingly being recognized as a cause of failure. These may be associated with intraoperative damage and complication rates high 50% after revision. Although MRI can identify ALTR in MOM hips, it is unclear whether the findings predict those at revision surgery.We therefore (1) identified which characteristics correlated histologically confirmed (using aseptic lymphocytic vasculitis-associated lesions...
Duloxetine is effective for chronic musculoskeletal and neuropathic pain, but there are insufficient data to recommend the use of antidepressants postoperative pain. The authors hypothesized that administration duloxetine 15 days would reduce pain with ambulation at 2 weeks after total knee arthroplasty.In this triple-blinded, randomized, placebo-controlled trial, patients received either or placebo days, starting from day surgery. Patients also a comprehensive multimodal analgesic regimen...
Identifying causes and risk factors for failure of hip preservation surgery is critical to properly address residual pathological abnormalities in the revision setting improve outcomes this subset patients.To identify structural both open arthroscopic procedures demographic radiographic that correlate with need surgery.Cross-sectional study; Level evidence, 3.A single-center registry was reviewed (N = 1898 1600 patients) 147 patients (n 152 procedures) who had undergone previous pelvic...
Background: Tranexamic acid (TXA) is an antifibrinolytic drug. Topical administration of TXA during total knee arthroplasty (TKA) favored for certain patients because concerns about thrombotic complications, despite a lack supporting literature. We compared local and systemic levels thrombogenic markers, interleukin (IL)-6, between who received intravenous (IV) those topical TXA. Methods: Seventy-six scheduled TKA were enrolled in this randomized double-blinded study. The IV group 1.0 g...
This case-control study estimates the risk of contracting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among pregnant women making antenatal visits to 4 Boston, Massachusetts, area hospitals during April-June 2020 vs uninfected controls matched on gestational age.
Background Estimates for the incidence of difficult intubation in obstetric population vary widely, although previous studies reporting rates obstetrics are older and limited by smaller samples. The goals this study were to provide a contemporary estimate frequency failed women undergoing general anesthesia cesarean delivery elucidate risk factors delivery. Methods This is multicenter, retrospective cohort utilizing Multicenter Perioperative Outcomes Group database. included aged 15 44 yr...
COVID-19 is associated with significant extrapulmonary symptoms. Myocardial involvement has been described for infections SARS-CoV-2 which may lead to an increase in morbidity and mortality. The objective of our study was investigate the association atrial fibrillation (AF) or flutter (AFl) hospitalized patients. This retrospective used electronic medical records detect patients their comorbidities within Mass General Brigham hospital system. All ≥ 18 years who were received a PCR test...
Symptomatic labral tears are common in patients with acetabular dysplasia; however, optimal treatment of the labrum remains controversial.To present patient characteristics and early functional outcomes associated combined arthroscopic refixation Bernese periacetabular osteotomy (PAO) for symptomatic dysplasia a displaced tear from rim.Cohort study; Level evidence, 3.Patients undergoing PAO single-center prospective hip preservation registry were eligible (N = 73 patients; mean clinical...
Femoroacetabular impingement (FAI) has been increasingly recognized in cutting sports including soccer, hockey and football. More recently, the prevalence among overhead athletes also recognized. The purpose of this study was to review patterns, return-to-play rates clinical outcome following arthroscopic treatment FAI high-level baseball players.Between 2010 2014, 70 competitive players (86 hips; age 22.4 ± 4.5 years) were identified. Demographics recorded. Patient-reported scores, Modified...
Introduction The purpose of our study is to identify complications and early functional outcome scores in patients treated with periacetabular osteotomy (PAO) for mild acetabular dysplasia. Methods population consisted from a single centre prospective hip registry undergoing PAO dysplasia (LCEA ≥18° ≤25°; n = 27 patients; Mild Dysplasia group). A comparison group more severe (lateral centre-edge angle [LCEA] ≤17°; 50 Severe group) were included as cohort. Demographics, radiographic findings,...
Background Smartphones offer the possibility of assessing recovery mobility after total hip or knee arthroplasty (THA TKA) passively and reliably, as well facilitating collection patient-reported outcome measures (PROMs) with greater frequency. Questions/Purposes We investigated feasibility using mobile technology to collect daily step data biweekly PROMs track joint arthroplasty. Methods Pre- post-operative steps were recorded in prospectively enrolled patients (128 THA 139 via an app,...