Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

209
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
209
Opioid Analgesics: Synthetic and Semisynthetic Opioids01:15

Opioid Analgesics: Synthetic and Semisynthetic Opioids

499
Synthetic and semisynthetic opioids are pivotal in pain management and tackling opioid addiction. Semisynthetic opioids, including morphinans (morphine derivatives), oxycodone, oxymorphone, hydrocodone, and hydromorphone, have improved pharmacokinetic profiles compared to morphine. Additionally, heroin and 6-MAM (6-Monoacetylmorphine) show better CNS penetration than morphine due to heightened lipid solubility. Hydromorphone, a potent opioid, undergoes hepatic metabolism to form the active...
499
Analgesia and Pain Management01:25

Analgesia and Pain Management

917
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
917
Opioid Analgesics: Morphine and Other Natural Cogeners01:20

Opioid Analgesics: Morphine and Other Natural Cogeners

448
Opioids are a class of drugs that mimic endogenous opioid peptides and act on opioid receptors, and help in pain relief. These compounds are classified as natural, synthetic, or semi-synthetic. Natural opioids, like morphine, codeine, and thebaine, are derived from the opium poppy plant (Papaver somniferum or Papaver album) and are termed opiates. Synthetic opioids are artificial, while semi-synthetic opioids combine natural and synthetic compounds. Morphine, a prototypical opioid, possesses a...
448
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

522
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
522
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

54
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
54

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Functional Outcomes for Breast Cancer Survivors Following an Intense Resistance Training Program Based on Surgical Management of the Breast and Axilla.

Annals of surgical oncology·2026
Same author

Empowering Plastic Surgery Patients: Enhancing Education Through EMR Portal Resources and Handouts.

Plastic and reconstructive surgery·2026
Same author

Cervical Cancer, Version 2.2026, NCCN Clinical Practice Guidelines In Oncology.

Journal of the National Comprehensive Cancer Network : JNCCN·2026
Same author

Plastic Surgery Resident Origins: A Retrospective Study on the Leading Medical Schools Generating Integrated Residents.

Plastic and reconstructive surgery. Global open·2025
Same author

NCCN Guidelines® Insights: Uterine Neoplasms, Version 3.2025.

Journal of the National Comprehensive Cancer Network : JNCCN·2025
Same author

Validated Survey Tools for Pre-operative Psychological Assessment in Plastic Surgery.

Clinics in plastic surgery·2025

Related Experiment Video

Updated: Oct 11, 2025

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

Published on: January 27, 2010

21.5K

Does An ERAS Protocol Reduce Postoperative Opiate Prescribing in Plastic Surgery?

Heather R Faulkner1, Suzanne B Coopey2, Rachel Sisodia3

  • 1Division of Plastic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.

JPRAS Open
|December 6, 2021
PubMed
Summary

Enhanced recovery after surgery (ERAS) protocols significantly decrease outpatient opioid prescriptions for plastic surgery patients. This reduction in opioid use was sustained long-term, demonstrating the protocol's effectiveness.

Keywords:
ERASopiate usepain controlplastic surgeryprescribing

More Related Videos

Collecting And Measuring Wound Exudate Biochemical Mediators In Surgical Wounds
04:58

Collecting And Measuring Wound Exudate Biochemical Mediators In Surgical Wounds

Published on: October 20, 2012

12.1K
A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
07:14

A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery

Published on: January 18, 2018

9.5K

Related Experiment Videos

Last Updated: Oct 11, 2025

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

Published on: January 27, 2010

21.5K
Collecting And Measuring Wound Exudate Biochemical Mediators In Surgical Wounds
04:58

Collecting And Measuring Wound Exudate Biochemical Mediators In Surgical Wounds

Published on: October 20, 2012

12.1K
A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
07:14

A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery

Published on: January 18, 2018

9.5K

Area of Science:

  • Plastic and Reconstructive Surgery
  • Pain Management
  • Surgical Protocols

Background:

  • Enhanced Recovery After Surgery (ERAS) protocols are proven to reduce inpatient opioid consumption.
  • Limited research exists on the impact of ERAS protocols on outpatient opioid prescribing patterns.
  • This study investigates the effect of an ERAS protocol on postoperative opioid prescriptions in an outpatient plastic surgery setting.

Purpose of the Study:

  • To evaluate the efficacy of an ERAS protocol in reducing outpatient opioid prescriptions.
  • To assess the impact of ERAS on opioid use in plastic and reconstructive surgery patients.
  • To determine if the reduction in opioid prescriptions is sustained over time.

Main Methods:

  • Retrospective review of a statewide controlled substance prescription monitoring database.
  • Analysis of prescribing patterns of a single academic plastic surgeon before and after ERAS protocol implementation.
  • Comparison of opioid prescription data across pre-ERAS, immediate post-ERAS, and sustained post-ERAS periods.

Main Results:

  • A statistically significant reduction in outpatient opioid prescriptions was observed following ERAS protocol implementation.
  • The decrease in prescribed opioid quantities was sustained in the follow-up period.
  • ERAS protocols demonstrated effectiveness in reducing opioid prescriptions for various plastic surgery procedures.

Conclusions:

  • ERAS protocols are effective in decreasing outpatient opioid prescriptions for plastic surgery.
  • Patient and physician education are crucial for the successful implementation and sustained effectiveness of ERAS protocols.
  • The findings support the broader adoption of ERAS protocols to manage postoperative pain and reduce opioid reliance.