Robot-assisted laparoscopic nephrectomy: early outcome measures with the implementation of multimodal analgesia and intrathecal morphine via the acute pain service.

Journal: World journal of urology
PMID:

Abstract

PURPOSE: The objective of this study was to perform a retrospective cohort analysis, in which we measured the association of an acute pain service (APS)-driven multimodal analgesia protocol that included preoperative intrathecal morphine (ITM) compared to historic controls (i.e., surgeon-driven analgesia protocol without ITM) with postoperative opioid use.

Authors

  • Minhthy N Meineke
    Departments of Anesthesiology.
  • Matthew V Losli
    Department of Anesthesiology, University of California, San Diego, La Jolla, CA, USA.
  • Jacklynn F Sztain
    Division of Acute Pain, Department of Anesthesiology, University of California, 9400 Campus Point Dr, San Diego, La Jolla, CA, 92037, USA.
  • Matthew W Swisher
    Division of Acute Pain, Department of Anesthesiology, University of California, 9400 Campus Point Dr, San Diego, La Jolla, CA, 92037, USA.
  • Wendy B Abramson
    Division of Acute Pain, Department of Anesthesiology, University of California, 9400 Campus Point Dr, San Diego, La Jolla, CA, 92037, USA.
  • Erin I Martin
    Division of Acute Pain, Department of Anesthesiology, University of California, 9400 Campus Point Dr, San Diego, La Jolla, CA, 92037, USA.
  • Timothy J Furnish
    Division of Acute Pain, Department of Anesthesiology, University of California, 9400 Campus Point Dr, San Diego, La Jolla, CA, 92037, USA.
  • Amirali Salmasi
    Department of Urology, University of California, San Diego, La Jolla, CA, USA.
  • Ithaar H Derweesh
    Department of Urology, UC San Diego School of Medicine, La Jolla, CA, USA. Electronic address: iderweesh@gmail.com.
  • Rodney A Gabriel
    Department of Medicine, Division of Biomedical Informatics, University of California, San Diego, La Jolla, CA, USA.
  • Engy T Said
    Division of Acute Pain, Department of Anesthesiology, University of California, 9400 Campus Point Dr, San Diego, La Jolla, CA, 92037, USA.