Outpatient Surgery Magazine - Subscribers

Get Patients to Pay Up - May 2015 - Outpatient Surgery Magazine

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

Issue link: http://magazine.outpatientsurgery.net/i/510361

Contents of this Issue

Navigation

Page 155 of 170

1 5 6 O U T P A T I E N T S U R G E R Y M A G A Z I N E O N L I N E | M A Y 2 0 1 5 IV Ibuprofen Before Surgery Speeds Recovery Study: It pays to modulate the body's stress response to surgery. A dministering IV ibuprofen (Caldolor) before surgery can pay for itself many times over — hastening recovery, increasing patient satisfaction, and reducing pain and the need for opi- oids. Pre-op administration of the NSAID may even improve the way patients bounce back cognitively. Preempting post-op pain Those were among our findings in a recent study at the Rutgers University New Jersey School of Medicine. Using a diverse population of 55 patients undergoing laparoscopic cholecystectomies at 3 tertiary academic hospitals, we demonstrated the benefit of administering anti-inflammatories before surgery instead of waiting until after, when the body's stress response to surgery has already kicked in. We suspect other anti-inflammatories and analgesics may have the same positive effect. In fact, our team plans to look at ketorolac and acetaminophen in the days ahead. In the randomized, double-blind ibuprofen study, "Preoperative Administration of IV Ibuprofen Improves Quality of Recovery After Laparoscopic Cholecystectomy" (osmag.net/SQW6pu), we gave 28 patients 800 mg of ibuprofen and 27 patients a placebo-saline before they were induced with general anesthesia. To compare responses, we used the 40-item Quality of Recovery questionnaire, a 9-item Modified Fatigue Severity Scale and a 15-item Geriatric Depression Scale, each of which we assessed 4 times — before surgery, in the PACU, 1 day A N E S T H E S I A A L E R T Vanny Le, MD z TIMING IS EVERYTHING The best time to give patients IV ibuprofen is before surgery, not after.

Articles in this issue

Links on this page

Archives of this issue

view archives of Outpatient Surgery Magazine - Subscribers - Get Patients to Pay Up - May 2015 - Outpatient Surgery Magazine