Enhanced recovery after surgery in head and neck surgery: Reduced opioid use and length of stay
| Autor: | Michael Eggerstedt, Emily A. Ramirez, Ryan M. Smith, Danny Jandali, Peter C. Revenaugh, Holly Scheltens, Kerstin M. Stenson, Deborah Vaughan, Ashwin Ganti, Samer Al-Khudari |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Narcotic medicine.medical_treatment Cohort Studies 03 medical and health sciences 0302 clinical medicine medicine Humans 030223 otorhinolaryngology Enhanced recovery after surgery Aged Retrospective Studies Morphine business.industry Head and neck cancer Retrospective cohort study Length of Stay Middle Aged medicine.disease Drug Utilization Colorectal surgery Analgesics Opioid Otorhinolaryngology 030220 oncology & carcinogenesis Anesthesia Cohort Head and neck surgery Female Enhanced Recovery After Surgery business Head Neck medicine.drug |
| Zdroj: | The Laryngoscope. 130:1227-1232 |
| ISSN: | 1531-4995 0023-852X |
| Popis: | OBJECTIVES Enhanced recovery after surgery (ERAS) protocols were first developed in colorectal surgery and sought to standardize patient care. There have been several studies in the head and neck surgical literature looking at outcomes after ERAS protocol, but no studies focusing on narcotic use and length of stay. This study aimed to evaluate narcotic usage and length of stay, in addition to several other outcomes, following the implementation of an ERAS protocol. METHODS A head and neck-specific ERAS protocol was implemented at this tertiary care center beginning July 2017. A retrospective cohort study was performed comparing this cohort to that of a retrospective control group. Outcomes included mean morphine equivalent dose, mean pain score, and percentage of patients prescribed narcotics on discharge. Secondary outcomes included ICU and total length of stay. RESULTS The mean morphine equivalent dose (MED) administered within 72 hours postoperatively was significantly lower in the ERAS group (17.5 ± 46.0 mg vs. 82.7 ± 116.1 mg, P |
| Databáze: | OpenAIRE |
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