Gabapentin as an Adjunct to Standard Postoperative Pain Management Protocol in Lower Extremity Surgery

Crisologo, Peter A.; Monson, Erik; Atway, Said

doi:10.1053/j.jfas.2018.02.005

Cited by 8 publications

(1 citation statement)

References 15 publications

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“…Gabapentin has attracted the attention for its potential to reduce postoperative pain, in combination with opioid medications if taken pre-operatively and continued through the acute post-operative course. 8 While some meta-analysis studies provided mixed results, 9,10 others suggested that preoperative gabapentin significantly reduces postoperative opioid consumption. 11 The use of anti-inflammatory medications such as acetaminophen and ibuprofen also impact on pain, resulting in decreased pain requiring less opioid medication.…”

Section: Introductionmentioning

confidence: 99%

Tackling the opioid epidemic: Reducing opioid prescribing while maintaining patient satisfaction with pain management after outpatient surgery

Allan

Coyne

Byrnes

et al. 2020

The American Journal of Surgery

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Introduction:Results of a quality improvement (QI) project to standardize our opioid prescribing practices following five common outpatient general surgery procedures are presented.Methods: Opioid prescribing habits were reviewed from June to December 2017. QI measures were implemented. We prospectively collected data on opioid prescribing habits and patients' pain management ratings from September 2018 to February 2019.Results: Following implementation, combination pills were less prescribed. More patients were prescribed adjuncts pre-(66% vs. 3%; p < 0.01) and post-operatively (85% vs. 50%; p < 0.01). One-third of pills were prescribed (1363 vs. 4185), with only 520 consumed. Average OME prescribed decreased from 179 to 127 mg (p < 0.001). At follow-up, 52 patients (54%) reported taking 11 pills (1-20) postoperatively for five days. Pain management was rated as good/excellent (88.6%) or fair (9.3%).Conclusions: Using a pragmatic multimodal approach, decreasing opioid prescriptions at discharge allows for adequate pain management.

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Section: Introductionmentioning

confidence: 99%