The effect of an enhanced recovery after surgery protocol on opioid consumption, pain and length of stay among patients undergoing prostatectomy and nephrectomy

Objective: To examine the effect of the Baptist Health Lexington Urology ERAS Protocol (BHLEX-UEP) on opioid consumption, pain and length of stay among patients undergoing prostatectomy and nephrectomy. Methods: A quasi-experiment (N=303) was conducted in a 434-bed Magnet re-designated community hos...

Full description

Saved in:
Bibliographic Details
Published in:Journal of perioperative nursing 2022-06, Vol.35 (2), p.e27-e31
Main Authors: Bowles, Lindsay Anne, Heet, Whitney, Waterbeck, Jerieka, Chastain, Lori, Monroe, Martha, Davies, Claire C
Format: Article
Language:English
Subjects:
Hospital utilization
Length of stay
Opioid abuse
Outcome assessment (Medical care)
Pain
Prostatectomy
Treatment
Urology
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective: To examine the effect of the Baptist Health Lexington Urology ERAS Protocol (BHLEX-UEP) on opioid consumption, pain and length of stay among patients undergoing prostatectomy and nephrectomy. Methods: A quasi-experiment (N=303) was conducted in a 434-bed Magnet re-designated community hospital in the south-eastern United States of America (USA). Data on all adult patients who underwent prostatectomy or nephrectomy surgery were retrieved over a 19-month period. Group differences related to morphine equivalents consumed, mean pain score on the day of surgery, and length of stay were examined between patients who experienced the traditional recovery protocol (n=133) and those experiencing the BHLEXUEP (n=170). Results: Significant differences for the three variables of interest were found between the groups. Conclusions: Results of this study indicate that the use of the BHLEX-UEP for patients undergoing prostatectomy or nephrectomy could lead to a decrease in opioid consumption and patients' pain and a shorter length of stay in hospital.
ISSN:2209-1092
2209-1092
DOI:10.26550/2209-1092.1177