Preemptive analgesia in the laparoscopic patient |
| |
Authors: | C G Mixter III T R Hackett |
| |
Institution: | (1) Exeter Hospital, Exeter, NH 03833, USA, US |
| |
Abstract: | Background: One hundred consecutive laparoscopic patients were prospectively followed in the Post-anesthesia Recovery Unit (PAR) in a
community hospital.
Methods: Data was collected regarding (1) intraoperative administration of ketorolac, (2) instillation of local anesthesia into the
wound, and (3) requirements for analgesic administration in the PAR. Those patients receiving both forms of preemptive analgesia
required less narcotic administration in the PAR. The results were highly significant.
Results: Based on these data and the observance of markedly reduced pain in patients during the early postoperative period, an institutional
plan of care was developed which has resulted in the virtual elimination of the need to administer narcotics to patients undergoing
routine laparoscopic surgical procedures.
Conclusions: The resultant plan of care, which includes preemptive analgesia, rapid ambulation, early feeding, and routine timed administration
of non-narcotic pain medications, is presented. Data is also presented which demonstrates a more rapid discharge of patients
from the hospital.
Received: 5 April 1996/Accepted 2 November 1996 |
| |
Keywords: | : Laparoscopic — Pain — Preemptive — Analgesia |
本文献已被 SpringerLink 等数据库收录! |
|