Multimodal analgesia reduces narcotic requirements and antiemetic rescue medication in laparoscopic Roux-en-Y gastric bypass surgery

Surgery for Obesity and Related Diseases

Volumn 9, Issue 6, 2013, Pages 975-980

  Ziemann Gimmel, Patrick ^a   Hensel, Priscilla ^a   Koppman, John ^a   Marema, Robert ^a  

^a Flagler Hospital   (United States)

Author keywords

IV acetaminophen; Laparoscopic Roux en Y gastric bypass; Multimodal analgesia; Postoperative nausea and vomiting (PONV); Tylenol and Toradol (TNT)

Indexed keywords

ANTIEMETIC AGENT; FENTANYL; HYDROMORPHONE; KETOROLAC; MIDAZOLAM; MORPHINE; NARCOTIC AGENT; OPIATE; OXYCODONE; PARACETAMOL; PROPOFOL; ROCURONIUM; SUXAMETHONIUM; VECURONIUM;

ADULT; ANALGESIA; ARTICLE; CONTROLLED STUDY; DRUG USE; FEMALE; HUMAN; LAPAROSCOPIC ROUX EN Y GASTRIC BYPASS SURGERY; LAPAROSCOPIC SURGERY; MAJOR CLINICAL STUDY; MALE; PAIN ASSESSMENT; PATIENT CONTROLLED ANALGESIA; POSTANESTHESIA CARE; PRIORITY JOURNAL; ROUX Y ANASTOMOSIS; SMOKING; STOMACH BYPASS; SURGICAL TECHNIQUE; UNSPECIFIED SIDE EFFECT;

IV ACETAMINOPHEN; LAPAROSCOPIC ROUX-EN-Y GASTRIC BYPASS; MULTIMODAL ANALGESIA; POSTOPERATIVE NAUSEA AND VOMITING (PONV); TYLENOL AND TORADOL (TNT);

ACETAMINOPHEN; ADULT; ANALGESIA, PATIENT-CONTROLLED; ANALGESICS, OPIOID; ANASTOMOSIS, ROUX-EN-Y; COHORT STUDIES; FEMALE; FOLLOW-UP STUDIES; GASTRIC BYPASS; HUMANS; INFUSIONS, INTRAVENOUS; KETOROLAC; LAPAROSCOPY; MALE; MIDDLE AGED; OBESITY, MORBID; PAIN MEASUREMENT; PAIN, POSTOPERATIVE; POSTOPERATIVE NAUSEA AND VOMITING; RETROSPECTIVE STUDIES; RISK ASSESSMENT; TREATMENT OUTCOME;

EID: 84890437978     PISSN: 15507289     EISSN: 18787533     Source Type: Journal    
DOI: 10.1016/j.soard.2013.02.003     Document Type: Article

References (19)

1. W.C. Frey, and J. Pilcher Obstructive sleep-related breathing disorders in patients evaluated for bariatric surgery Obes Surg 13 2003 676 683
2. P. Ziemann-Gimmel, P. Hensel, S. Abdo, J. Koppman, and R. Marema Respiratory events in patients undergoing laparoscopic gastric bypass surgery F1000 Research 1 2012 44
3. American Society of Anesthesiologists Task Force on Acute Pain Management Practice guidelines for acute pain management in the perioperative setting: An updated report by the American Society of Anesthesiologists Task Force on Acute Pain Management Anesthesiology 116 2012 248 273
4. E. Maund, C. McDaid, S. Rice, K. Wright, B. Jenkins, and N. Woolacott Paracetamol and selective and non-selective non-steroidal anti-inflammatory drugs for the reduction in morphine-related side-effects after major surgery: A systematic review Br J Anaesth 106 2011 292 297
5. C. McDaid, E. Maund, S. Rice, K. Wright, B. Jenkins, and N. Woolacott Paracetamol and selective and non-selective non-steroidal anti-inflammatory drugs (NSAIDs) for the reduction of morphine-related side effects after major surgery: A systematic review Health Technol Assess 14 2010 1-153, iii-iv
6. O.U. Petring, P.J. Dawson, and D.W. Blake Normal postoperative gastric emptying after orthopaedic surgery with spinal anaesthesia and i.m. ketorolac as the first postoperative analgesic Br J Anaesth 74 1995 257 260
7. C. Schneider, S.H. Yale, and M. Larson Principles of pain management Clin Med Res 1 2003 337 340
8. A. Macario, M. Weinger, S. Carney, and A. Kim Which clinical anesthesia outcomes are important to avoid? The perspective of patients Anesth Analg 89 1999 652 658
9. A. Mattia, and F. Coluzzi What anesthesiologists should know about paracetamol (acetaminophen) Minerva Anestesiol 75 2009 644 653
10. N. Elia, C. Lysakowski, and M.R. Tramer Does multimodal analgesia with acetaminophen, nonsteroidal antiinflammatory drugs, or selective cyclooxygenase-2 inhibitors and patient-controlled analgesia morphine offer advantages over morphine alone? Meta-analyses of randomized trials Anesthesiology 103 2005 1296 1304
11. P.E. Macintyre Safety and efficacy of patient-controlled analgesia Br J Anaesth 87 2001 36 46
12. P.S. Myles, D.L. Williams, M. Hendrata, H. Anderson, and A.M. Weeks Patient satisfaction after anaesthesia and surgery: Results of a prospective survey of 10,811 patients Br J Anaesth 84 2000 6 10
13. F. Coluzzi, L. Bragazzi, E. Di Bussolo, G. Pizza, and C. Mattia Determinants of patient satisfaction in postoperative pain management following hand ambulatory day-surgery Minerva Med 102 2011 177 186
14. H. Knotkova, P.G. Fine, and R.K. Portenoy Opioid rotation: The science and the limitations of the equianalgesic dose table J Pain Symptom Manage 38 2009 426 439
15. H. Smith, and P. Bruckenthal Implications of opioid analgesia for medically complicated patients Drugs Aging 27 2010 417 433
16. C.C. Apfel, E. Laara, M. Koivuranta, C.A. Greim, and N. Roewer A simplified risk score for predicting postoperative nausea and vomiting: Conclusions from cross-validations between two centers Anesthesiology 91 1999 693 700
17. C.C. Apfel, K. Korttila, and M. Abdalla A factorial trial of six interventions for the prevention of postoperative nausea and vomiting N Engl J Med 350 2004 2441 2451
18. A.L. Kovac, T.A. O'Connor, and M.H. Pearman Efficacy of repeat intravenous dosing of ondansetron in controlling postoperative nausea and vomiting: A randomized, double-blind, placebo-controlled multicenter trial J Clin Anesth 11 1999 453 459
19. J.M. Feld, W.E. Hoffman, M.M. Stechert, I.W. Hoffman, and R.C. Ananda Fentanyl or dexmedetomidine combined with desflurane for bariatric surgery J Clin Anesth 18 2006 24 28