Eric S. Schwenk
- Anesthesia and Pain Management
- Cardiac, Anesthesia and Surgical Outcomes
- Pain Management and Opioid Use
- Anesthesia and Sedative Agents
- Treatment of Major Depression
- Nausea and vomiting management
- Opioid Use Disorder Treatment
- Social Media in Health Education
- Spine and Intervertebral Disc Pathology
- Pediatric Pain Management Techniques
- Hemodynamic Monitoring and Therapy
- Intensive Care Unit Cognitive Disorders
- Shoulder Injury and Treatment
- Enhanced Recovery After Surgery
- Pain Mechanisms and Treatments
- Healthcare Operations and Scheduling Optimization
- Hip and Femur Fractures
- Health Literacy and Information Accessibility
- Migraine and Headache Studies
- Healthcare Systems and Technology
- Anesthesia and Neurotoxicity Research
- Cardiac Arrest and Resuscitation
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Delphi Technique in Research
- Hospital Admissions and Outcomes
Thomas Jefferson University
2016-2025
Thomas Jefferson University Hospital
2012-2024
Rothman Institute
2023
University of Miami
2021
University of Pennsylvania
2021
University of Iowa
2021
Rowan University
2020
Rothman Orthopaedics
2020
Orthopedic Specialty Hospital
2020
Committee on Publication Ethics
2020
<h3>Background</h3> Ketamine infusions have been used for decades to treat acute pain, but a recent surge in usage has made the mainstay of treatment emergency departments, perioperative period individuals with refractory and opioid-tolerant patients. The widespread variability patient selection, parameters, monitoring indicates need creation consensus guidelines. <h3>Methods</h3> development pain ketamine guidelines grew as corollary from genesis chronic charge was provided by Boards...
The effects of spinal anesthesia as compared with general on the ability to walk in older adults undergoing surgery for hip fracture have not been well studied.
The past two decades have seen an increase in cannabis use due to both regulatory changes and interest potential therapeutic effects of the substance, yet many aspects substance their health implications remain controversial or unclear.In November 2020, American Society Regional Anesthesia Pain Medicine charged Cannabis Working Group develop guidelines for perioperative cannabis. Perioperative Use Cannabinoids Guidelines Committee was with drafting responses nine key questions using a...
Summary: Uncontrolled postoperative pain may result in significant clinical, psychological, and socioeconomic consequences. Not only does inadequate management following surgery increased morbidity mortality but it also delay recovery, unanticipated readmissions, decrease patient satisfaction, lead to chronic persistent postsurgical pain. Pain is multifactorial nature, understanding both the complexity of its side effects imperative achieving a successful surgical outcome. In this section,...
Multimodal analgesia is defined as the use of more than one pharmacological class analgesic medication targeting different receptors along pain pathway with goal improving while reducing individual class-related side effects. Evidence today supports routine multimodal in perioperative period to eliminate over-reliance on opioids for control and reduce opioid-related adverse events. A protocol should be surgery-specific, functioning like a checklist recipe, options tailor patient. Elements...
The US Health and Human Services Pain Management Best Practices Inter-Agency Task Force initiated a public–private partnership which led to the publication of its report in 2019. emphasized need for individualized, multimodal, multidisciplinary approaches pain management that decrease over-reliance on opioids, increase access care, promote widespread education substance use disorders. specifically called specialty organizations work together develop evidence-based guidelines. In response...
Background: The REGAIN (Regional versus General Anesthesia for Promoting Independence after Hip Fracture) trial found similar ambulation and survival at 60 days with spinal general anesthesia hip fracture surgery. Trial outcomes evaluating pain, prescription analgesic use, patient satisfaction have not yet been reported. Objective: To compare surgery anesthesia. Design: Preplanned secondary analysis of a pragmatic randomized trial. (ClinicalTrials.gov: NCT02507505) Setting: 46 U.S. Canadian...
➤ Multimodal analgesia has become the standard of care for total joint arthroplasty as it provides superior with fewer side effects than opioid-only protocols. Systemic medications, including nonsteroidal anti-inflammatory drugs, acetaminophen, corticosteroids, and gabapentinoids, local anesthetics via infiltration peripheral nerve blocks, are foundation multimodal in arthroplasty. Ideally, should begin preoperatively continue throughout perioperative period beyond discharge. There is...
Background The effects of spinal versus general anesthesia on long-term outcomes have not been well studied. This study tested the hypothesis that is associated with better survival and functional recovery than anesthesia. Methods A prespecified analysis was conducted a completed randomized superiority trial compared for hip fracture repair. Participants included previously ambulatory patients 50 yr age or older at 46 U.S. Canadian hospitals. Patients were 1:1 to anesthesia, stratified by...
Inconsistent nomenclature and anatomical descriptions of regional anesthetic techniques hinder scientific communication engender confusion; this in turn has implications for research, education clinical implementation anesthesia. Having produced standardized abdominal wall, paraspinal chest wall techniques, we aimed to similarly do so upper lower limb peripheral nerve blocks.
Significant knowledge gaps exist in the perioperative pain management of patients with a history chronic pain, substance use disorder, and/or opioid tolerance as highlighted US Health and Human Services Pain Management Best Practices Inter-Agency Task Force 2019 report. The report emphasized challenges caring for these populations need multidisciplinary care comprehensive approach. Such requires stakeholder alignment across multiple specialties settings. With intention codifying this into...
<h3>Abstract</h3> High-dose opioid administration is associated with significant adverse events. Evidence suggests that low-dose ketamine infusions improve perioperative analgesia over conventional management, but usage highly variable. Ketamine9s drug effects (ADEs) are well known, their prevalence during in a clinical setting and how often they lead to infusion discontinuation unknown. The purposes of this study were 3-fold: (1) identify patient factors initiation spine surgery, (2)...
Twitter in anesthesiology conferences promotes rapid science dissemination, global audience participation, and real-time updates of simultaneous sessions. We designed this study to determine if an association exists between conference attendance/registration 4 defined metrics.Using publicly available data through the Symplur Healthcare Hashtags Project Signals, we collected on total tweets, impressions, retweets, replies as primary outcome metrics for all registered occurring from May 1,...
Early ambulation after total hip arthroplasty predicts early discharge. Spinal anesthesia is preferred by many practices but can delay ambulation, especially with bupivacaine. Mepivacaine, an intermediate-acting local anesthetic, could enable earlier than This study was designed to test the hypothesis that patients who received mepivacaine would ambulate those hyperbaric or isobaric bupivacaine for primary arthroplasty.This randomized controlled trial included American Society of...
Background and objectives Documentation is important for quality improvement, education, research. There currently a lack of recommendations regarding key aspects documentation in regional anesthesia. The aim this study was to establish Methods Following the formation executive committee directed literature review, long list potential components created. A modified Delphi process then employed achieve consensus amongst group international experts This consisted 2 rounds anonymous electronic...
Background: Despite the frequent use of ropivacaine and bupivacaine, there is limited guidance on redosing these medications following an initial bolus. Intermittent a clinical practice in setting nerve catheters, often utilizing large doses. Comparatively, theoretical elimination rates are available from pharmacokinetic studies, providing estimates total body content drugs. We hypothesized that published bupivacaine literature comported with safe drugs based studies. Methods: Clinical were...