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Postoperative narcotic analgesic administration

D D McDonald1

  • 1School of Nursing, University of Connecticut, Storrs 06269.

Applied Nursing Research : ANR
|August 1, 1993
PubMed
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Postoperative pain management using narcotic analgesics showed that meperidine was associated with higher doses and longer hospital stays compared to morphine. This suggests a need to reevaluate meperidine

Area of Science:

  • Anesthesiology
  • Pharmacology
  • Surgical Patient Care

Background:

  • Postoperative pain management is crucial for patient recovery.
  • Narcotic analgesics are commonly used for managing acute pain after surgery.
  • Standardizing analgesic comparisons is essential for evaluating drug efficacy.

Purpose of the Study:

  • To analyze the administration of narcotic analgesics in postoperative appendectomy patients.
  • To compare the doses and types of analgesics used, focusing on meperidine and morphine.
  • To investigate the relationship between analgesic administration and hospital length of stay.

Main Methods:

  • Retrospective analysis of hospital records for 180 adult appendectomy patients.
  • Calculation of equianalgesic doses for all administered narcotic analgesics, standardized to meperidine.

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  • Statistical comparison of analgesic doses, drug types, and correlation with hospital stay duration.

    • Main Results:

    • Meperidine was administered to 83% (n=150) of the patients.
    • Patients receiving meperidine were given significantly higher equianalgesic doses compared to those receiving morphine sulfate.
    • The total amount of narcotic analgesics administered showed a significant positive correlation with the length of hospital stay. Meperidine and Tylenol #3 were significantly associated with this outcome.

    Conclusions:

    • Current postoperative analgesia practices may involve excessive use of meperidine.
    • Higher narcotic analgesic doses, particularly meperidine, are linked to extended hospital stays.
    • Reevaluation of meperidine's role in postoperative pain management is warranted to optimize patient care and resource utilization.