Implementation of a Multimodal Analgesia Protocol Among Outpatient Neurosurgical Patients Undergoing Spine Surgery to Improve Patient Outcomes
| Autor: | Elizabeth M. Tucker, Julie Thompson, Virginia C. Muckler |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Opioid consumption Postoperative pain 03 medical and health sciences 0302 clinical medicine Spine surgery 030202 anesthesiology Chart review Independent samples medicine Ambulatory Care Humans Retrospective Studies Protocol (science) Pain Postoperative 030504 nursing business.industry Quality Improvement Spine Analgesics Opioid Medical–Surgical Nursing Opioid Anesthesia Neurosurgery Analgesia 0305 other medical science business medicine.drug |
| Zdroj: | Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses. 36(1) |
| ISSN: | 1532-8473 |
| Popis: | Purpose This quality improvement project implemented an evidence-based multimodal analgesia protocol among patients undergoing outpatient spine surgery in an attempt to decrease postoperative opioid requirements, postoperative pain scores, and facility and postanesthesia care unit length of stay (LOS). Design Two independent samples were compared with a preimplementation and postimplementation design. There were 37 patients in the preimplementation group and 36 patients in the postimplementation group. Methods Data were collected by a retrospective chart review of neurosurgical patients undergoing spine surgery and included postoperative opioid requirements, postoperative pain scores, facility and postanesthesia care unit LOS, and the number of protocol components implemented on each patient. Findings Intraoperative and postoperative by mouth opioid requirements were significantly decreased postimplementation. Postoperative opioid requirements decreased, and postimplementation pain scores were reduced across all time points. LOS did not significantly change. Conclusions This multimodal analgesia protocol significantly decreased opioid consumption among neurosurgical patients at this surgery center. |
| Databáze: | OpenAIRE |
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