Narcotic Use, Pain, Constipation, Nausea
Conditions
Keywords
narcotic use, pain, constipation, nausea
Brief summary
In recent years, there has been an emphasis on the creation of enhanced-recovery, fast-track or multi-modal pathways to improve perioperative care (1-4). The goal of these programs is to reduce the length of hospital stay, decrease narcotic usage while improving pain control, accelerate post-operative recovery, and expedite return to baseline functional status. Pathways often are developed by a team of surgeons, nurses, pain specialists, anesthesiologists and other support staff. Postoperative components often involve multi-modal analgesia, early return to activity and early return to a regular diet. The goal of this study is to evaluate the efficacy of a multi-modal pain regimen in advanced pelvic surgery with a primary goal of decreasing narcotic usage.
Interventions
DRUGCelebrex
DRUGGabapentin
DRUGIV acetaminophen
DRUGoral ibuprofen
DRUGpercocet
DRUGvicodin
DRUGOxycodone
DRUGdilaudid
DRUGDexamethasone
DRUGzofran
Sponsors
Hartford Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 100 Years
Healthy volunteers
Yes
Inclusion criteria
* women \>/= 18 years old * undergoing pelvic organ prolapse or incontinence surgery with the Urogynecology department
Exclusion criteria
* males * \<18 years old * women unwilling or unable to consent * same-day-discharge surgery * history of chronic pain for which they use medications * current or active history of narcotic abuse * sleep apnea * liver or kidney dysfunction * sulfa allergy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Narcotic use | intraoperative, immediate postoperative and 1 week postoperative | Narcotic use will be evaluated at all stages of the preoperative care: operating room, hospital floor and at the 1 week postoperative time point |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain | postoperative day #1 and postoperative week #1 | pain will be evaluated at the above listed time points using the validated brief pain inventory |
| Nausea | intraoperatively, postoperatively | Nausea will be evaluated based on the use of narcotics in the hospital |
| Constipation | one week postoperatively | constipation at the time of the first bowel movement will be evaluated using the validated Bristol Stool Scale |
Countries
United States
Outcome results
None listed