Postoperative pain trajectory and opioid requirements after laparoscopic bariatric surgery: a single-centre historical cohort study
Authors' conclusion
In bariatric surgical patients, effective intraoperative analgesic strategies that improve early pain control may have an impact on recovery and pain experience.
Study context
- Population
- Patients undergoing laparoscopic bariatric metabolic surgery, January 2018–October 2019
- Participants
- 939 patients
- Outcome
- Intraoperative analgesic use, pain on PACU arrival and PACU rescue opioids
Methodological detailssingle-centre, historical cohort
- Single-centre
- Historical cohort
Main finding
As reported in the abstract
Received long-acting opioids intraoperatively
39%
Moderate-to-severe pain on PACU arrival
Nearly 80%
Received IV opioids for rescue analgesia in PACU
97%
Mean rescue opioid dose (oral morphine equivalents)
31 mg
Observational data: associations, not effects.
Further findings
Pain at PACU admission and discharge vs subsequent recovery
- Lower PACU pain scores associated with lower inpatient pain scores, lower opioid requirements, shorter time to ambulation and shorter hospital LOS
Original publication
Postoperative pain trajectory and opioid requirements after laparoscopic bariatric surgery: a single-centre historical cohort study. Can J Anaesth. Published 7 August 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →