Opioids in Early Recovery After Pancreatectomy

Challenge accepted. Like many institutions, we introduced an early recovery after surgery (ERAS) protocol with a multimodal pain regimen and patted ourselves on the back. Many single-institution studies, including Kowalsky et al, have shown that ERAS protocols are associated with decreased length of stay and hospital costs and work just as well, if not better, than instituting a minimally invasive pancreas surgery program. In terms of opioid use, Kowalsky et al showed a decrease in use of patient-controlled analgesia from 99% to 29% post-ERAS (P  <  .0001). So what comes next?
Source: JAMA Surgery - Category: Sports Medicine Source Type: research