Safe transition to opioid-free pathway after robotic-assisted laparoscopic prostatectomy
| Autor: | Christina Matadial, Laura Horodyski, Leslie A. Deane, Adriana Rhodes, Clarence Emile, Feng Miao, Brittany E. Ball, Isildinha M. Reis, Mara Z. Carrasquillo, Chad R. Ritch, Joshua J. Livingstone |
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| Rok vydání: | 2021 |
| Předmět: |
Prostatectomy
business.industry Local anesthetic medicine.drug_class medicine.medical_treatment 030232 urology & nephrology Renal function Health Informatics Acetaminophen Ketorolac 03 medical and health sciences 0302 clinical medicine Opioid 030220 oncology & carcinogenesis Anesthesia medicine Laparoscopic Prostatectomy Surgery Local anesthesia business medicine.drug |
| Zdroj: | Journal of Robotic Surgery. 16:307-314 |
| ISSN: | 1863-2491 1863-2483 |
| Popis: | To determine whether local anesthetic infiltration and non-narcotic pain medications can safely reduce or eliminate opioid use following robotic-assisted laparoscopic prostatectomy while maintaining adequate pain control. After initiation of this quality-improvement project, patients undergoing robotic-assisted laparoscopic prostatectomy had surgeon-administered local anesthesia around all incisions into each successive layer from peritoneum to skin, with the majority infiltrated into the transversus abdominis muscle plane and posterior rectus sheath of the midline extraction incision. Post-operatively patients received scheduled acetaminophen plus ketorolac, renal function permitting. A retrospective review was performed for all cases over 19 months, spanning project implementation. 157 cases (76 in opioid-free pathway, 81 in standard pathway) were included. Five patients (6.6%) in the opioid-free pathway required post-operative opioids while inpatient, versus 61 (75.3%) in the standard pathway, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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