Acute postoperative pain after gastrointestinal surgery
Conditions
Interventions
Non-high oxycodone consumption group:None
High oxycodone consumption group:None
Sponsors
Quanzhou first Hospital,Fujian
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Age >=18 years; 2.Patients undergoing elective gastrointestinal surgery, including gastric, colonic, rectal, or small intestinal surgery; 3.Postoperative use of oxycodone patient-controlled intravenous analgesia (PCIA); 4.ASA physical status I to III; 5.PCIA maintained for at least 48 hours, or with complete records of cumulative oxycodone consumption within 48 hours after surgery; 6.Relatively complete electronic medical records, anesthesia records, nursing records, and APS follow-up data.
Exclusion criteria
Exclusion criteria: 1.Preoperative chronic pain, regular opioid use, or confirmed opioid tolerance; 2.Severe psychiatric disease or cognitive impairment affecting reliable pain assessment; 3.Postoperative use of other continuous strong opioid analgesic regimens that may interfere with the assessment of actual oxycodone requirement; 4.PCIA use for less than 48 hours; 5.Early discontinuation of PCIA due to severe adverse reactions; 6.Severe missing data in key variables; 7.Reoperation or major postoperative complications within 48 hours after surgery that may substantially affect analgesic requirement.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cumulative oxycodone consumption within 48 hours after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative length of hospital stay;Use of rescue analgesia within 48 hours after surgery;Occurrence of postoperative nausea and vomiting within 48 hours after surgery;Resting and movement NRS scores on postoperative day 1 and day 2;Adverse events within 48 hours after surgery; | — |
Countries
China
Contacts
Public ContactChen Yuqian
Quanzhou first Hospital,Fujian
Outcome results
None listed