Surgical Endoscop

, Volume 11, Issue 4, pp 351–353

Preemptive analgesia in the laparoscopic patient

  • C. G.  Mixter III
  • T. R.  Hackett
Article

DOI: 10.1007/s004649900361

Cite this article as:
Mixter III, C. & Hackett, T. Surg Endosc (1997) 11: 351. doi:10.1007/s004649900361

Abstract

Background: One hundred consecutive laparoscopic patients were prospectively followed in the Post-anesthesia Recovery Unit (PAR) in a community hospital.

Methods: Data was collected regarding (1) intraoperative administration of ketorolac, (2) instillation of local anesthesia into the wound, and (3) requirements for analgesic administration in the PAR. Those patients receiving both forms of preemptive analgesia required less narcotic administration in the PAR. The results were highly significant.

Results: Based on these data and the observance of markedly reduced pain in patients during the early postoperative period, an institutional plan of care was developed which has resulted in the virtual elimination of the need to administer narcotics to patients undergoing routine laparoscopic surgical procedures.

Conclusions: The resultant plan of care, which includes preemptive analgesia, rapid ambulation, early feeding, and routine timed administration of non-narcotic pain medications, is presented. Data is also presented which demonstrates a more rapid discharge of patients from the hospital.

Key words: Laparoscopic — Pain — Preemptive — Analgesia

Copyright information

© Springer-Verlag New York Inc. 1997

Authors and Affiliations

  • C. G.  Mixter III
    • 1
  • T. R.  Hackett
    • 1
  1. 1.Exeter Hospital, Exeter, NH 03833, USAUS