Decreasing Narcotics in Advanced Pelvic Surgery
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.
Timeline
- Start
- 2014-03
- Primary completion
- 2015-07
- Completion
- 2016-06
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Comparator | Acetaminophen | Small molecule | — | Intravenous |
| Comparator | Celecoxib | Other / unclassified | — | — |
| Comparator | Gabapentin | Small molecule | — | — |
| Comparator | Ibuprofen | Small molecule | — | Oral |
| Comparator | Dexamethasone | Small molecule | — | — |
| Comparator | Hydrocodone | Unknown | — | — |
| Comparator | Hydromorphone | Other / unclassified | — | — |
| Comparator | Ondansetron | Other / unclassified | — | — |
| Comparator | Oxycodone | Other / unclassified | — | — |