2020
DOI: 10.1016/j.hpb.2020.04.572
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Opioid minimization after liver transplantation: results of a novel pilot study

Abstract: Background: Given the ongoing opioid epidemic and desire to optimize recovery after surgery, a novel opioidminimization protocol (OMP) was implemented for liver transplantation (LT) recipients at our institution. This pilot study evaluated OMP feasibility, pain control impact, and patient satisfaction. Methods: Starting January 2019, all LT recipients received OMP, including perioperative acetaminophen, gabapentin, opioid-sparing anesthesia, and expedited transition to tramadol if needed. Oxycodone was reserve… Show more

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“…Similar results were indicated by Lee et al. and Tong et al 9,12 . Multimodal Pain Management (MPM), which is based on non‐opioid analgesics, effectively reduces opioid utilization and diminishes opioid‐associated adverse events.…”
Section: Discussionsupporting
confidence: 79%
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“…Similar results were indicated by Lee et al. and Tong et al 9,12 . Multimodal Pain Management (MPM), which is based on non‐opioid analgesics, effectively reduces opioid utilization and diminishes opioid‐associated adverse events.…”
Section: Discussionsupporting
confidence: 79%
“…Overall, opioid avoidance patients used significantly less morphine milligram equivalents (MMEs) versus the historical cohort, which outlines the potential to reduce opioid utilization in the LT recipients. Similar results were indicated by Lee et al and Tong et al9,12 Multimodal Pain Management (MPM), which is based on non-opioid analgesics, effectively reduces opioid utilization and diminishes opioid-associated adverse events.…”
supporting
confidence: 76%
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