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Acupoint Needle-Embedding Combined with Ironing Therapy for Postoperative Pain After Anal Surgery
Published on: June 23, 2023
Intrathecal hydromorphone as an analgesia option for gynecology patients
Shilpa Gajarawala1, Ali Wells, Elyse Watkins
1Shilpa Gajarawala is an assistant professor of obstetrics and gynecology in the Mayo Clinic College of Medicine and Science and an adjunct faculty member in the doctor of medical science program at Rocky Mountain University of Health Professions in Provo, Utah. Ali Wells is a postdoctoral student at the University of South Florida College of Medicine in Tampa, Fla. Elyse Watkins is an associate professor in the DMSc program at the University of Lynchburg in Lynchburg, Va. Bartley Rust is program director of the DMSc program at Rocky Mountain University of Health Professions. Mark E. Archambault is an associate professor in the DMSc program at the University of Lynchburg. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Abstract:
Enhanced recovery after surgery (ERAS) is a multimodal perioperative strategy originally developed to attenuate the postsurgical stress response in patients after colorectal surgery. Patients undergoing gynecologic surgery who had ERAS had significantly shorter hospital length of stay, reduced hospital-related costs, and acceptable pain management with reduced opioid use, without compromising patient satisfaction. Intrathecal hydromorphone is an effective alternative ERAS protocol analgesia for these patients and will not compromise patient outcomes or healthcare costs.
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