A new postoperative pain management (intravenous acetaminophen: Acelio®) leads to enhanced recovery after esophagectomy: a propensity score-matched analysis

Surgery Today ◽  
2017 ◽  
Vol 48 (5) ◽  
pp. 502-509 ◽  
Author(s):  
Yu Ohkura ◽  
Junichi Shindoh ◽  
Masaki Ueno ◽  
Toshiro Iizuka ◽  
Shusuke Haruta ◽  
...  
2019 ◽  
Vol 18 ◽  
pp. 119-127 ◽  
Author(s):  
Diana C. Patterson ◽  
Paul J. Cagle ◽  
Jashvant Poeran ◽  
Nicole Zubizarreta ◽  
Madhu Mazumdar ◽  
...  

2022 ◽  
Vol Volume 15 ◽  
pp. 123-135
Author(s):  
Christopher K Cheung ◽  
Janet O Adeola ◽  
Sascha S Beutler ◽  
Richard D Urman

2014 ◽  
Author(s):  
Selvi Kumar

<p>Surgery is a most common source of acute pain and effective postoperative pain management is crucial for wound healing and recovery. Opiods are the mainstay for acute pain management but have various adverse effects including death. The multimodal approach involves the use of multiple drugs with varying mechanism of action to achieve optimal pain relief with less adverse effects. Intravenous acetaminophen (IVAPAP) is a new addition to the multimodal approach that appears to afford effective pain relief with a low risk profile. The purpose of this research study was to examine the impact of IVAPAP use in multimodal pain management on decreased opioid consumption and decreased average length of hospital stay in the post colectomy population. A comparative two group retrospective chart review was conducted, with a total of 72 charts meeting the inclusion criteria. Group 1(n=36) study subjects who received IVAPAP for pain management were compared to Group 2(n=36) subjects who had not received IVAPAP after colectomy. Results demonstrated that Group 1, those who had received IVAPAP, used less opioids during the postoperative period as compared to those in Group 2 who had not received IVAPAP; there was no difference in length of stay between the groups. Further research related to the use of multimodal pain management strategies in general, and related to IVAPAP in particular, is indicated. Recommendations and implications for advanced practice nursing are presented and discussed.</p>


2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
A Gendia ◽  
H Rottenburg ◽  
M Hutton ◽  
A Cota ◽  
J Clark

Abstract Aim To provide an insight on current applications of immersive virtual reality (VR) on patients undergoing surgery and to project the potential uses of these applications on colorectal population. Methods A non-systematic literature search of PubMed using key subject “Virtual Reality and Surgery” to identify relative articles. On reviewing applications of VR in surgery we identified four main areas of interest: preoperative education, perioperative support, postoperative pain management and rehabilitation. Results VR technology showed promising results in all three stages of patient’s journey ; In pre-surgery, VR was used as a powerful educational tool for vascular patients. Intraoperatively, it showed promising results as a distraction method to relief stress and discomfort in patients undergoing colonoscopy and gynaecology procedures. Postoperatively, VR was utilized in pain management in orthopaedics, cardiothoracic populations with acceptable results. Moreover, physical rehabilitation showed a strong outlet of the technology due to its engaging properties. Conclusion VR has been showing applicable benefits in different stages of patient’s care undergoing surgery. With proper future development of Its applications, VR potentials in colorectal population could be numerous; education on stoma and type of surgery with help of 3D environment, distraction tool for colonoscopy screening and postoperative pain. In addition, VR could help with enhanced recovery inform of physical and mental rehabilitation. Future uses of VR in colorectal population could be a key in improving outcomes and overall satisfactions. However, formulated studies and validated applications should be tackled to apply the technology safely in the standard care of colorectal patients.


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