Postoperative Opioid Use Using Enhanced Recovery After Surgery Guidelines for Benign Gynecologic Procedures

Publication date: Available online 17 April 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Peter R. Movilla, Jolene A. Kokroko, Amalia G. Kotlyar, Tami S. RowenABSTRACTStudy ObjectiveTo evaluate opioid use after benign gynecologic surgery after implementation of Enhanced Recovery After Surgery (ERAS) opioid prescribing recommendations.DesignA prospective cohort study.SettingAn academic tertiary care hospital.PatientsAll patients undergoing elective benign gynecologic surgery at a large academic institution between August 2017 and December 2017, 1 year after ERAS postoperative opioid prescribing recommendations were implemented for the benign gynecologic surgery department.InterventionsA chart review determining opioid prescription quantity and a patient telephone survey 7 days after surgery were both performed. Total opioid use was calculated. Physician adherence to the institution's ERAS postoperative opioid prescribing recommendations after benign gynecologic surgery was then determined. Patients were classified as either in the physician adherent to ERAS group or the physician nonadherent to ERAS group. After this stratification, patients’ total opioid use within each group was then compared.Measurements and Main ResultsA total of 241 consecutive benign gynecologic surgical procedures were reviewed. Opioids were prescribed for outpatient postoperative pain management in 186 (77.2%) of these procedures. Physician adherence to the ERAS postoperative opi...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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Source: Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen - Category: Health Management Tags: Z Evid Fortbild Qual Gesundhwes Source Type: research
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Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
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