| Inpatient pain medication requirements after laparoscopic gastric bypass. | |
| | |
MedLine Citation:
|
PMID: 15978146 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: One of the benefits of laparoscopic Roux-en-Y gastric bypass (RYGBP) includes decreased pain, possibly resulting in decreased narcotic use, quicker recovery of bowel function, and shorter hospital stay. We utilize a pain management strategy for our patients undergoing laparoscopic RYGBP. We investigated this strategy as well as narcotic use and incidence of ileus. METHODS: Inpatient data for patients who underwent laparoscopic RYGBP were collected. Our pain management strategy included a standing dose of ketorolac, morphine sulphate as needed, and propoxyphene hydrochloride/acetaminophen as needed after liquids were initiated. No PCAs were utilized. RESULTS: There were 104 patients in this study. 12 patients did not undergo our pain management strategy due to reoperation (5), postoperative hemorrhage (2), and allergies (5). 2 patients required no pain medications other than ketorolac. Only 2 patients had a delay of discharge (postoperative day [POD] 3 and 5) due to lack of bowel function. An average of 11.2 mg of morphine and an average of 170 mg of propoxyphene (1.7 pills) were given by the end of POD 2. In addition, 74% of patients required no morphine on POD 2 and 48% of patients required no propoxyphene on POD 2. Bowel movements were reported in 65% patients on POD 1. CONCLUSIONS: After laparoscopic RYGBP, only a minimal amount of narcotic use is necessary. Few patients have an ileus when utilizing this pain management strategy after laparoscopic RYGBP. |
| | |
Authors:
|
Atul K Madan; Craig A Ternovits; Karen E Speck; David S Tichansky |
Related Documents
:
|
15195276 - Pain management in ambulatory surgery. 10204896 - The safety and efficacy of combined spinal and epidural analgesia/anesthesia (6,002 blo... 18617126 - Postoperative analgesia after total hip arthroplasty: patient-controlled analgesia vers... 11856126 - Randomized clinical trial of ligasure versus open haemorrhoidectomy. 21838506 - Site of deep brain stimulation and jaw velocity in parkinson disease. 15195276 - Pain management in ambulatory surgery. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Obesity surgery Volume: 15 ISSN: 0960-8923 ISO Abbreviation: Obes Surg Publication Date: 2005 Jun-Jul |
Date Detail:
|
Created Date: 2005-06-27 Completed Date: 2005-09-29 Revised Date: 2007-12-05 |
Medline Journal Info:
|
Nlm Unique ID: 9106714 Medline TA: Obes Surg Country: England |
Other Details:
|
Languages: eng Pagination: 778-81 Citation Subset: IM |
Affiliation:
|
Department of Surgery, University of Tennessee Health Science Center, Memphis, TN 38163, USA. amadan@utmem.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Female Gastric Bypass* Hospitalization Humans Ileus / prevention & control Laparoscopy Male Middle Aged Pain, Postoperative / prevention & control* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: The proximal gastric pouch invariably contains acid-producing parietal cells in Roux-en-Y gastric by...
Next Document: Comparison between open hand-sewn, laparoscopic stapled and laparoscopic computer-mediated, circular...