Robot-assisted laparoscopic nephrectomy: early outcome measures with the implementation of multimodal analgesia and intrathecal morphine via the acute pain service - Takeaways - MDSpire

Robot-assisted laparoscopic nephrectomy: early outcome measures with the implementation of multimodal analgesia and intrathecal morphine via the acute pain service

  • By

  • Minhthy N. Meineke

  • Matthew V. Losli

  • Jacklynn F. Sztain

  • Matthew W. Swisher

  • Wendy B. Abramson

  • Erin I. Martin

  • Timothy J. Furnish

  • Amirali Salmasi

  • Ithaar H. Derweesh

  • Rodney A. Gabriel

  • Engy T. Said

  • March 4, 2024

  • 0 min

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  • 1

    Robot-assisted nephrectomy has become a standard approach for renal tumor resection, but postoperative pain management remains challenging.

  • 2

    Intrathecal morphine provides significant analgesia for 24 hours with lower doses than systemic opioids, but carries a risk of respiratory depression.

  • 3

    This study aimed to assess the impact of a multimodal analgesia protocol with intrathecal morphine on postoperative opioid use in nephrectomy patients.

  • 4

    Patients managed by an acute pain service received a standardized analgesic regimen, including preoperative intrathecal morphine and scheduled acetaminophen.

  • 5

    Statistical analysis indicated a decrease in postoperative opioid consumption among patients managed by the acute pain service compared to historical controls.

Original Source(s)

Robot-assisted laparoscopic nephrectomy: early outcome measures with the implementation of multimodal analgesia and intrathecal morphine via the acute pain service

  • by Minhthy N. Meineke, Matthew V. Losli, Jacklynn F. Sztain, Matthew W. Swisher, Wendy B. Abramson, Erin I. Martin, Timothy J. Furnish, Amirali Salmasi, Ithaar H. Derweesh, Rodney A. Gabriel, Engy T. Said

  • March 4, 2024

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