Standardized Multimodal Approach Reduced Opioid Use Following Bariatric Surgery: A Quality Improvement Initiative

Bariatric patients are at increased risk of opioid use disorder. There is a national effort to reduce opioid use after bariatric surgery. We instituted a standardized multimodal pain regimen to address this need.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Bariatric and Foregut Source Type: research

Related Links:

Surg Obes Relat Dis. 2021 Oct 24:S1550-7289(21)00516-5. doi: 10.1016/j.soard.2021.10.018. Online ahead of print.ABSTRACTBACKGROUND: Large-scale analyses stratifying bariatric surgery readmissions by urgency are lacking.OBJECTIVES: Identify predictors of urgent/nonurgent readmission among "ideal" bariatric candidates, using a national registry.SETTING: Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) national database.METHODS: We extracted an "ideal" patient cohort from the 2015-2018 Metabolic and Bariatric Surgery Accreditation Quality Improvement Program (MBSAQIP)...
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - Category: Surgery Authors: Source Type: research
Surg Obes Relat Dis. 2021 Oct 13:S1550-7289(21)00491-3. doi: 10.1016/j.soard.2021.10.008. Online ahead of print.NO ABSTRACTPMID:34782295 | DOI:10.1016/j.soard.2021.10.008
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - Category: Surgery Authors: Source Type: research
CONCLUSION: Intraperitoneal local anesthesia with ropivacaine did not reduce postoperative pain or analgesic consumption when administered intraoperatively to patients undergoing LRYGB. Standardization of the ERABS protocol benefited patients, with functional prehabilitation outcomes returning to baseline postoperatively. Trial registration: ClinicalTrials.gov no. NCT02154763.PMID:34759045 | DOI:10.1503/cjs.017719
Source: Canadian Journal of Surgery - Category: Surgery Authors: Source Type: research
CONCLUSIONS: Preoperative HRM abnormalities were associated with postoperative symptoms in patients undergoing bariatric surgery. HRM can identify patients who are more likely to experience postoperative esophageal symptoms and may aid in discussion of suitability for surgery and selection of bariatric intervention.PMID:34756565 | DOI:10.1016/j.soard.2021.10.003
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - Category: Surgery Authors: Source Type: research
Obesity is a heterogeneous metabolic disease, and the most commonly known associated conditions are diabetes, dyslipidemia, hypertension, and obstructive sleep apnea. But there are myriad other medical improvements that include relief of joint pain, relief of depression, improved cancer risks, and importantly for families, improved fertility. Because of the progressive nature of obesity and subsequent co-morbidities, patients who are often considering surgery are those who are in the later years of life or toward the end of their reproductive age.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Tags: Invited paired editorial Source Type: research
AbstractBackgroundSignificant and sustained weight loss resulting from bariatric surgery have demonstrated clinical reduction in severe obesity-related pain. Subsequentially,  post-surgical pain reduction may reduce pain medication use. However, clear evidence regarding use of prescribed pain medications before and after bariatric surgery is absent.MethodsLinking two state-wide databases, patients who underwent bariatric surgery between July 1, 2013 and December 31, 2015 were identified. Proportion tests were used to compare percent of patients with pain medication prescriptions 1 year before and 1 year after bariatri...
Source: Surgical Endoscopy - Category: Surgery Source Type: research
So this happened to me last week. I’m on call, In a trauma surgery. Im calles to the PACU as a pt is complaining of pain, screaming actually I arrive and see this huge guy, 6 3 ft, 380 lbs, who just got a gastric bypass done an hour ago, screaming everytime he moves, his vitals are normal considering the pain he is in. However he refers no pain at all in his abdomen, he refers a 10/10 lumbar pain in radiating to the left leg, my attending was therem we perfomr just bragard and lasague... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Anesthesiology Source Type: forums
CONCLUSIONS: Dexmedetomidine is an efficacious anesthesia adjunct in patients undergoing bariatric surgery. These benefits of dexmedetomidine may be considered in the multi-modal analgesic management and enhanced recovery pathways in this high-risk population.PMID:34709018 | DOI:10.23736/S0375-9393.21.15986-3
Source: Minerva Anestesiologica - Category: Anesthesiology Authors: Source Type: research
More News: Bariatric Surgery | Pain | Surgery