1. Intrathecal hydromorphone as an analgesia option for gynecology patients
- Author
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Elyse Watkins, Ali Wells, Bartley Rust, Mark E. Archambault, and Shilpa N. Gajarawala
- Subjects
medicine.medical_specialty ,Intrathecal ,Nurse Assisting ,Fight-or-flight response ,Gynecologic Surgical Procedures ,Patient satisfaction ,Cost Savings ,Stress, Physiological ,medicine ,Humans ,Hydromorphone ,Pain Management ,In patient ,Injections, Spinal ,business.industry ,Health Care Costs ,Perioperative ,Length of Stay ,Pain management ,Colorectal surgery ,Analgesics, Opioid ,Hospitalization ,Patient Satisfaction ,Anesthesia ,Female ,Analgesia ,Enhanced Recovery After Surgery ,business ,medicine.drug - Abstract
Enhanced recovery after surgery (ERAS) is a multimodal perioperative strategy originally developed to attenuate the postsurgical stress response in patients after colorectal surgery. Patients undergoing gynecologic surgery who had ERAS had significantly shorter hospital length of stay, reduced hospital-related costs, and acceptable pain management with reduced opioid use, without compromising patient satisfaction. Intrathecal hydromorphone is an effective alternative ERAS protocol analgesia for these patients and will not compromise patient outcomes or healthcare costs.
- Published
- 2020
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