Postoperative Opioid-Free Analgesia in Elective Bowel Resection: Changes Over Time
In the pain management evolution, opioid-free analgesia and multimodal analgesia strategies have emerged as feasible in many surgical settings including colorectal surgery. This was a retrospective cohort study including patients having undergone elective bowel resection between February 2012 and June 2018 aiming to evaluate whether there was reduction in opioid use after implementation of opioid-free analgesia in one medical centre. Trend analysis was conducted using Joinpoint regression employing nine-month intervals. The primary outcome for each interval was the proportion of patients receiving postoperative opioid-free analgesia, defined as forgoing all opioid analgesics after the day of surgery. This study showed a significant increasing trend in opioid-free analgesia in elective bowel resection from 0 to 42.5% over 4.5 years.
Patel, A., Rojas, A., Samson, D., Fakas, S., Gachabayov, M., Xu, J. L., Latifi, R., & Bergamaschi, R. (2021). Postoperative Opioid-Free Analgesia in Elective Bowel Resection: Changes Over Time. Journal of Perioperative Practice, 31 (7-8), 255-260. https://doi.org/10.1177/1750458920936065