Preoperative pain measures ineffective in outpatient abdominal surgeries - 25/04/18
: Lead Author, Julia Wright, BS b : Research, Kyler Perry, BS c : Research, Daniel Wright, MS d : Secondary AuthorAbstract |
Background |
The multimodality addition of preoperative gabapentin, acetaminophen, and celecoxib (GAC) and postoperative TENS has been recommended to diminish narcotics. We predict that GAC-TENS implementation will reduce recovery room time, improve pain control, reduce narcotic refills, and demonstrate usefulness of TENS treatment.
Methods |
A prospective study compared a control group of patients not utilizing the GAC-TENS protocol during 2015 to patients using the GAC-TENS protocol during 2016.
Results |
There was less recovery room time in the control group compared to the protocol group. Postoperative day one pain control was similar between the groups. Less refills were noted. TENS unit satisfaction level was rated “very helpful” by 63% of patients.
Conclusion |
The results call into question the efficacy of the American Pain Society recommendations as they increase time in recovery room but do not decrease the quantity of narcotics used in the recovery room, nor do they improve pain satisfaction responses.
El texto completo de este artículo está disponible en PDF.Highlights |
• | The American Pain Society proposed multimodality approaches to minimize narcotic prescriptions and refill rates postoperatively. |
• | These guidelines included preoperative Gabapentin, Acetaminophen, and Celecoxib and postoperative TENS units. |
• | An ambulatory surgery center implemented these guidelines (labeled as the GAC-TENS protocol) for abdominal surgery patients to examine efficacy. |
• | The GAC-TENS protocol resulted in no decrease in recovery room narcotics and no improvement in POD#1 pain control but increased recovery room time by 10 minutes per patient. |
• | TENS units were very helpful for open inguinal hernia and lap chole patient recoveries. |
• | There is a strong trend toward decreased narcotic refills likely related to TENS use. |
Esquema
Vol 215 - N° 5
P. 958-962 - mai 2018 Regresar al número
Artículo precedente
- Risk factors associated with missing post-esophagectomy hospital milestones
- Steve R. Siegal MD, James P. Dolan, Elizabeth N. Dewey MS, Abhisek D. Parmar, Aura Petcu NP, Brandon H. Tieu MD, Paul H. Schipper MD, John G. Hunter MD
- North Pacific Surgical Association Presidential Address 2017- From Cayman to Vancouver: One surgeon's journey
- O. Neely M. Panton
Bienvenido a EM-consulte, la referencia de los profesionales de la salud.
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