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Pain management following robotic-assisted radical prostatectomy: transitioning to an opioid free regimen
- Source :
- Journal of Robotic Surgery. 15:923-928
- Publication Year :
- 2021
- Publisher :
- Springer Science and Business Media LLC, 2021.
-
Abstract
- Few studies demonstrate the safety and efficacy of postoperative pain regimens that exclude opioids altogether in patients undergoing robot-assisted radical prostatectomy (RARP). To reduce opioid use, we sought to develop an opioid-free regimen for RARP and determine perioperative outcomes before and after implementation. A retrospective, pre–post-interventional study was performed at a single institution between 8/2018 and 10/2019. An opioid-free pain regimen was developed and instituted on 3/7/2019, and all patients received preoperative counseling regarding pain expectations and management. Postoperative pain score was the primary outcome. Secondary outcomes included postoperative opioid use, length of stay, adverse events and unplanned health encounters within 30 days of discharge. Pearson’s chi-squared and Student’s t-tests were performed on categorical and continuous variables, respectively. Multivariable analysis was performed to determine risk factors for postoperative opioid use in the opioid-free cohort. A total of 89 patients were included for analysis; consisting of 47 (53%) pre-intervention and 42 (47%) post-intervention patients. Baseline characteristics were similar between groups. A significantly lower proportion of patients in the post-intervention group were administered opioids postoperatively (5% vs 53%, p
- Subjects :
- Male
medicine.medical_specialty
medicine.medical_treatment
030232 urology & nephrology
Health Informatics
03 medical and health sciences
Prostate cancer
0302 clinical medicine
Robotic Surgical Procedures
Internal medicine
medicine
Humans
Pain Management
Medical prescription
Adverse effect
Retrospective Studies
Prostatectomy
Pain, Postoperative
business.industry
Perioperative
medicine.disease
Analgesics, Opioid
Regimen
Opioid
030220 oncology & carcinogenesis
Cohort
Surgery
business
medicine.drug
Subjects
Details
- ISSN :
- 18632491 and 18632483
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Journal of Robotic Surgery
- Accession number :
- edsair.doi.dedup.....c1ddb1e35eb158a5488d594f27a937e9