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  1. Article ; Online: Late Infectious Complication Following Skull Base Reconstruction With Bone Cement: Two Case Reports.

    Biello, Andrew R / Lim, Jae H

    OTO open

    2021  Volume 5, Issue 1, Page(s) 2473974X21994748

    Language English
    Publishing date 2021-02-16
    Publishing country United States
    Document type Case Reports
    ISSN 2473-974X
    ISSN (online) 2473-974X
    DOI 10.1177/2473974X21994748
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Implementing a Protocol to Reduce Opioid Prescriptions in Military Otolaryngology: A Quality Improvement Initiative.

    Neighbors, CindyLee P / Noller, Michael W / Avillion, Michael P / Neighbors, John W / Spaw, Mark C / Biello, Andrew R / Theler, Jared M / Camacho, Macario

    Military medicine

    2021  Volume 187, Issue 1-2, Page(s) e154–e159

    Abstract: Introduction: To compare pain medication refill rates for adult septoplasty and rhinoplasty patients before and after initiating a multimodal analgesic protocol for reducing opioid prescriptions (PROP).: Materials and methods: Data from 58 adult ... ...

    Abstract Introduction: To compare pain medication refill rates for adult septoplasty and rhinoplasty patients before and after initiating a multimodal analgesic protocol for reducing opioid prescriptions (PROP).
    Materials and methods: Data from 58 adult patients were retrieved by retrospective chart review (19 septoplasties and 10 rhinoplasties before initiating PROP in September 2018 and 21 septoplasties and 8 rhinoplasties after PROP). We selected consecutive septoplasties and rhinoplasties, at which time a new discharge order set was implemented. The new order set consisted of 10 oxycodone tabs (5 mg), 100 acetaminophen tabs (325 mg), and 28 celecoxib tabs (200 mg). The primary outcome variable was the number of initial opioid prescriptions and refills filled by any provider.
    Results: Among the septoplasties, there was a 46% decrease in total morphine milligram equivalent (MME) prescribed, from a mean of 202.0 mg in the non-PROP group (95% CI, 235.4, 174.6) to 108.6 mg in the PROP group (95% CI, 135.8, 81.4), with no difference in refill rates. Among the rhinoplasties, there was a 51% decrease in total MME prescribed, from a mean of 258.8 mg in the non-PROP group (95% CI, 333.4, 184.1) to 126.6 mg in the PROP group (95% CI, 168.1, 85.0) with no difference in refill rates.
    Conclusions: The outcomes after PROP implementation for septoplasty and rhinoplasty at our institution suggest that opioid prescription rates can be significantly decreased to manage postoperative pain, with no difference in opioid refill rates. The results also warrant further investigation into patient pain, satisfaction, provider efficiency, and healthcare costs.
    MeSH term(s) Adult ; Analgesics, Opioid/therapeutic use ; Drug Prescriptions ; Humans ; Military Personnel ; Otolaryngology ; Pain, Postoperative/drug therapy ; Practice Patterns, Physicians' ; Quality Improvement ; Retrospective Studies
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2021-01-04
    Publishing country England
    Document type Journal Article
    ZDB-ID 391061-1
    ISSN 1930-613X ; 0026-4075
    ISSN (online) 1930-613X
    ISSN 0026-4075
    DOI 10.1093/milmed/usaa484
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Duodenal Adenocarcinoma at the Ligament of Treitz: Management and Outcome.

    Biello, Andrew R / Lin-Hurtubise, Kevin M / Condon, Freeman J / Allen, Evan J

    Hawai'i journal of health & social welfare

    2019  Volume 78, Issue 10, Page(s) 316–319

    Abstract: Primary small bowel neoplasms at the ligament of Treitz are extremely rare and require advanced surgical technique for extirpation. The insidious onset of disease allows for a delayed presentation, often accompanied by moderate-size growth of the ... ...

    Abstract Primary small bowel neoplasms at the ligament of Treitz are extremely rare and require advanced surgical technique for extirpation. The insidious onset of disease allows for a delayed presentation, often accompanied by moderate-size growth of the neoplasm, causing intestinal bleeding and bowel obstruction. The partial retroperitoneal location of these tumors pose a unique challenge for surgical resection. We present an unusual case of a primary small bowel adenocarcinoma at the Ligament of Treitz, requiring segmental resection of the fourth portion of the duodenum plus the proximal jejunum.
    MeSH term(s) Adenocarcinoma/diagnostic imaging ; Adenocarcinoma/pathology ; Adenocarcinoma/surgery ; Anastomosis, Surgical/methods ; Duodenal Neoplasms/diagnostic imaging ; Duodenal Neoplasms/pathology ; Duodenal Neoplasms/surgery ; Humans ; Jejunal Neoplasms/diagnostic imaging ; Jejunal Neoplasms/pathology ; Jejunal Neoplasms/surgery ; Male ; Middle Aged ; Tomography, X-Ray Computed ; Treatment Outcome
    Language English
    Publishing date 2019-07-09
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2983566-5
    ISSN 2641-5224 ; 2641-5216
    ISSN (online) 2641-5224
    ISSN 2641-5216
    Database MEDical Literature Analysis and Retrieval System OnLINE

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