Outpatient Surgery Magazine

Special Edition: Opioids - January 2020 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Administering these agents after surgery has been shown to decrease opioid con- sumption. Current clinical evidence fails to show one drug is more effective than the other, but does indicate using both in combination provides the greatest analgesic effect. In March 2018, Dr. Memtsoudis published a study that compared the outcomes of 1,028,069 total knee patients and 512,393 hip replace- ment patients who underwent surgery at 546 facilities across the country and received opioids only or multimodal therapies to manage post-op pain. Using more than 2 methods of pain relief in hip and knee replacement patients who didn't receive opioids reduced post-op opioid prescriptions by up to 18.5% and resulted in fewer complica- tions and shorter lengths of stay, according to the research. Importantly, 85% of patients involved in the study received multi- modal anesthesia. The study also showed NSAIDs and COX-2 inhibitors caused the greatest reduction in opioid prescriptions and complication risks. Dr. Memtsoudis was encouraged by the results, but he won't be satisfied until all patients — in his health system and beyond — benefit from multifaceted attacks on pain. "We'll get there," he says, "by identifying reasons providers are not using multimodal anesthesia and, when they are using it, providing rationale and evidence regarding the modalities and drugs involved. "Pharmaceutical companies push the use of promising new drugs J A N U A R Y 2 0 2 0 • O U T PA T I E N T S U R G E R Y. N E T • 2 3 • TRIED AND TRUE New pain medications are promising developments, but don't ignore the importance and effectiveness of proven analgesics. Pamela Bevelhymer, RN, BSN, CNOR

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