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

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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.

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