New approach to manage post surgical pain with less opioids

A new study has reported that the post-surgical pain can be effectively managed with minimal or no opioids.

The study revealed that the number of opioid medications prescribed after surgery can be drastically reduced without negatively affecting pain scores, postoperative complications or patient requests for additional opioids, demonstrating that alternative approaches to pain management can be both safe and highly effective.

Researchers conducted a case control cohort study evaluating whether , after hospital discharge, post surgical acute pain can be effectively managed with a markedly reduced number of opioid doses.

The cohort study included 1231 patients undergoing gynecologic oncology surgery. Patients undergoing ambulatory or minimally invasive surgery ( laparoscopic or robotic approach), were not prescribed opioids at discharge unless they required more than 5 doses of oral or intravenous opioids while in the hospital. Patients who underwent laparotomy were provided with a 3 day opioid pain medication at discharge.

The study found that during its first year alone,  the restrictive protocol eliminated the circulation of 16,374 opioid tablets ( 5 mg oxycodone equivalent) significantly reducing the volume of opioids that could be misused or diverted. The results of the full 2 year study of 1231 patients demonstrated that because postoperative pain can be managed effectively without opioids for minor or minimally invasive surgical procedures or with only 3-day supply for major surgery, the risks of chronic opioid misuse can be managed by reducing or eliminating opioid prescription in the first place.

Using ultra-restrictive opioid prescription protocol (UROPP) to manage post-surgical pain after discharge did not result in any negative health consequences and we advocate for adopting radical opioid sparing approaches for managing postoperative pain nationwide, writes the authors.

The study concluded that the implementation of  UROPP in a large surgical service is feasible and safe and was associated with a significantly decreased number of opioids dispensed during the perioperative period , particularly among opioid naive patients.

Opioids are routinely prescribed for postoperative pain management for most patients with limited evidence of the amount needed to be dispensed. Opioid based treatment often adversely affects recovery. Prescribed opioids increase the risk of chronic opioid use, and diversion and contribute to the current opioid epidemic.

THIS IS ONLY FOR INFORMATION, ALWAYS CONSULT YOU PHYSICIAN BEFORE HAVING ANY PARTICULAR FOOD/ MEDICATION/EXERCISE/OTHER REMEDIES.                                                                                                                                                                                                                                                                                        PS- THOSE INTERESTED IN RECIPES ARE FREE TO  VIEW MY BLOG-                                                                                           https://gseasyrecipes.blogspot.com/                                                                                                                                                                             FOR INFO ABOUT KNEE REPLACEMENT, YOU CAN VIEW MY BLOG-                                                                                                                             https:// kneereplacement-stickclub.blogspot.com/                                                                                       FOR CROCHET DESIGNS                                                                                                                                                                                                                                 https://gscrochetdesigns.blogspot.com

Read more at Speciality Medical Dialogues: Study finds new approach to manage post surgical pain with less opioids https://speciality.medicaldialogues.in/study-finds-new-approach-to-manage-post-surgical-pain-with-less-opioids/

Read more at Speciality Medical Dialogues: Study finds new approach to manage post surgical pain with less opioids https://speciality.medicaldialogues.in/study-finds-new-approach-to-manage-post-surgical-pain-with-less-opioids/

Read more at Speciality Medical Dialogues: Study finds new approach to manage post surgical pain with less opioids https://speciality.medicaldialogues.in/study-finds-new-approach-to-manage-post-surgical-pain-with-less-opioids/