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Published on: May 26, 2023
An anti-inflammatory bundle may help avoid opioids for low-risk outpatient procedures
Rachel Dbeis1, Khadij Assani2, Negin Fadaee3
1Department of Surgery, Aberdeen Royal Infirmary, Aberdeen, Scotland, UK.
An anti-inflammatory bundle effectively managed acute postoperative pain in 58% of patients undergoing low-risk outpatient surgery. This approach reduced opioid reliance, aiding efforts to combat the opioid epidemic.
Area of Science:
- Pain Management
- Pharmacology
- Surgical Outcomes
Background:
- Over half of drug overdose deaths are linked to opioids.
- Opioid alternatives are being explored to address the opioid epidemic.
- Efficacy of opioid alternatives for acute postoperative pain remains understudied.
Purpose of the Study:
- To evaluate the effectiveness of an anti-inflammatory bundle for acute postoperative pain.
- To assess opioid usage in patients undergoing low-risk outpatient surgery.
- To determine if an anti-inflammatory bundle alone can manage pain adequately.
Main Methods:
- A study involving 120 patients undergoing low-risk outpatient surgery.
- All patients received an anti-inflammatory bundle perioperatively.
- Pain scores and opioid consumption were monitored postoperatively.
Main Results:
- All patients experienced a significant decrease in postoperative pain (p=0.001).
- No significant difference in pain scores was observed between patients using the bundle alone versus those also using opioids.
- 58% of patients achieved adequate pain control with the anti-inflammatory bundle alone.
Conclusions:
- An anti-inflammatory bundle alone can provide adequate pain control for many patients after low-risk outpatient surgery.
- Implementing this bundle can reduce the need for opioids.
- This strategy supports efforts to decrease surgeons' contribution to the opioid epidemic.
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