A5038655505- Opioid Use Disorder Treatment
- Anesthesia and Pain Management
- Pain Management and Opioid Use
- Musculoskeletal pain and rehabilitation
- Pharmaceutical Practices and Patient Outcomes
- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Cardiac, Anesthesia and Surgical Outcomes
- Cervical and Thoracic Myelopathy
- Poisoning and overdose treatments
- Total Knee Arthroplasty Outcomes
- Orthopaedic implants and arthroplasty
- Orthopedic Surgery and Rehabilitation
- Knee injuries and reconstruction techniques
- Bone fractures and treatments
- Hip and Femur Fractures
- Management of metastatic bone disease
- Pediatric Pain Management Techniques
- Enhanced Recovery After Surgery
- Emergency and Acute Care Studies
- Blood Pressure and Hypertension Studies
- Lower Extremity Biomechanics and Pathologies
- Nursing Roles and Practices
- Patient Satisfaction in Healthcare
- Trauma and Emergency Care Studies
Carolina Neurosurgery and Spine Associates
2021-2025
OrthoCarolina
2020-2024
Institute for Musculoskeletal Health
2024
Atrium Medical Cente
2019-2022
Carolinas Medical Center
2014-2021
American College of Emergency Physicians
2019
American Public Health Association
2019
Research Network (United States)
2019
National Patient Safety Foundation
2019
Carolinas Healthcare System
2016-2019
Background: The decision between open reduction and internal fixation (ORIF) arthroplasty for a displaced femoral neck fracture in patient ≤65 years old can be challenging. Both options have potential drawbacks; if treated with ORIF fails to heal it may require revision operation, whereas relatively young who undergoes need within his/her lifetime. purpose of this study was employ analysis modeling techniques generate evidence-based treatment recommendations clinical scenario. Methods: A...
Retrospective chart review.To determine complications within the first year after undergoing extreme lateral interbody fusion (XLIF).There are a growing but limited number of reports in literature regarding early postoperative XLIF.We performed retrospective review perioperative case series 108 patients to undergo XLIF at our institution between 2007 and 2009. We also recorded estimated blood loss, surgical time, hospital length stay for each procedure.There were 25 (23%) overall who...
Background: In recent years, orthopaedic surgeons have attempted to decrease opioid consumption through multimodal pain management. However, a limited effort has been made eliminate opioids entirely in the perioperative period. The purpose of this study was compare efficacy and safety novel opioid-free management pathway with that an opioid-containing across 5 common subspecialty surgical procedures. Methods: 1:1, unblinded fashion, 315 patients were randomized either (n = 157) or 158). Pain...
Prescription narcotic overdoses and abuse have reached alarming numbers. To address this epidemic, integrated clinical decision support within the electronic medical record (EMR) to impact prescribing behavior was developed tested.A multidisciplinary Expert Panel identified risk factors for misuse, abuse, or diversion of opioids benzodiazepines through literature reviews consensus building inclusion in a rule EMR. We ran "silently" test collect baseline data.Five criteria were programmed...
Improved biomechanical and clinical outcomes are seen when the femoral tunnels of anterior cruciate ligament (ACL) placed in center insertion. The transtibial (TT) technique has been shown to be less capable this than an anteromedial (AM) portal approach but is more familiar surgeons technically challenging. A hybrid (HTT) using medial guidance a guide wire without knee hyperflexion may offer anatomic tunnel placement while maintaining relative ease TT technique.To evaluate performance HTT...
To identify the patient, injury, and treatment factors associated with an acute infection during of open ankle fractures in a large multicenter retrospective review. evaluate effect infectious complications on rates nonunion, malunion, loss reduction.Multicenter review.Sixteen trauma centers.One thousand 3 consecutive skeletally mature patients (514 men 489 women) fractures.Fracture-related (FRI) fractures.The charts 1003 were reviewed, 712 (357 women 355 men) had at least 12 weeks clinical...
Laminoplasty is a safe and effective procedure for multilevel degenerative cervical stenosis causing myelopathy, that allows motion preservation. The purpose of this study was to determine the reoperation rate associated risk factors after laminoplasty.We present retrospective consecutive series patients who underwent laminoplasty between January 1, 2005, October 31, 2012, had minimum 2-year follow-up. Demographic data were collected operative records reviewed levels involved in procedure,...
Randomized controlled trial (RCT).
The medical community is beginning to recognize the contribution of prescription opioids in growing national opioid crisis. Many studies have compared safety and efficacy alternative analgesics opioids, but none utilizing a completely opioid-free perioperative protocol orthopedics.We developed tested an analgesic pathway (from preoperative postoperative period) among patients undergoing common elective orthopedic procedures. Patients will be randomized receive either traditional...
Abstract Background Prescription drug overdose and misuse has reached alarming numbers. A persistent problem in clinical care is lack of easy, immediate access to all relevant information at the actionable time. Prescribers must digest an overwhelming amount from each patient’s record as well remain up-to-date with current evidence provide optimal care. This study aimed describe prescriber response a prospective decision support intervention designed identify patients risk adverse events...
Background Drug overdoses are the leading cause of death due to injury in USA. Currently, 49 states have prescription drug-monitoring programs (PDMPs) available prescribers. Questions/Purposes We aimed assess knowledge and practice two groups acute-care prescribers regarding controlled substances. Methods A 16-question survey was distributed a list surgical emergency medicine at our institution. The asked about prescriber demographics, previous experiences with PDMP, opinions patient risk...
Objectives: Addiction and overdose related to prescription drugs continues be a leading cause of morbidity mortality in the United States. We aimed characterize prescribing opioids benzodiazepines patients who had previously presented with an opioid or benzodiazepine overdose. Methods: This was retrospective chart review were prescribed 1-month time-period 2015 (May) previous presentation for at large healthcare system. Results: identified 60,129 encounters and/or benzodiazepines, 543 which...
This study reports on the impact of a clinical decision support tool embedded in electronic medical record and characterizes demographics, prescribing patterns, risk factors associated with opioid benzodiazepine misuse older adult population.This patterns for patients ≥65 years-old who presented to Emergency Departments (ED) or Urgent Care (UC) facilities across large healthcare system following fall (n = 34,334 encounters; n 25,469 patients). implemented intervention which provides an alert...
In response to the opioid epidemic, use of multimodal pain management in orthopaedic surgery is increasing. Efforts decrease prescribing and consumption among foot ankle surgical patients are needed. The purpose this study was compare efficacy adverse events between 2 pathways for forefoot patients: standard opioid-containing (OC) opioid-free (OF).
PurposeTo quantify the prevalence of opioid and benzodiazepine prescriptions for patients with rotator cuff disease across a large health care system to describe evidence-based risk factors use within this population.MethodsWe conducted retrospective cohort study at major all qualifying diagnostic codes. Emergency department, urgent care, outpatient encounters between January December 2016 an acute tear, listed as primary diagnosis, were included. Encounters opioids or benzodiazepines...