An analysis of post-operative pain and narcotic use following robotic assisted laparoscopic prostatectomy for same day discharge

Autor: Joshua K, Palka, Shilpa P, Argade, James T, Gross, Joel, Vetter, R Sherburne, Figenshau
Rok vydání: 2021
Zdroj: Journal of robotic surgery.
ISSN: 1863-2491
Popis: Robotic assisted laparoscopic prostatectomy (RALP) has become the primary surgical modality in the treatment of prostate cancer. Most patients are discharged on postoperative day one. Same-day discharge is emerging as a potential new standard. We sought to establish factors correlating with post-operative pain after RALP procedures to design a same-day discharge protocol. We retrospectively reviewed 150 of recently performed RALP procedures from March 2020 to January 2021. Patient demographics and intra-operative variables were compared to Numeric Rating Scale (NRS) pain scores and total morphine milliequivalents (MME) at 2 h, 8 h, and averaged over the patient's admission post-operatively or first 48 h, whichever occurred first. We performed univariable and multivariable logistic regression to assess correlations with postoperative pain and narcotic use. NRS average3 or any MME given at 2 h postoperatively was significantly associated with continued post-operative pain averaged over admission (r
Databáze: OpenAIRE