The Effect of an Enhanced Recovery Protocol in Bariatric Surgery Postoperative Pain

2.50
Hdl Handle:
http://hdl.handle.net/10755/622657
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Other
Research Approach:
Translational Research/Evidence-based Practice
Title:
The Effect of an Enhanced Recovery Protocol in Bariatric Surgery Postoperative Pain
Author(s):
Seagren, Brittani A.
Advisors:
Hughes, Linda
Degree:
DNP
Degree Year:
2017
Grantor:
Nebraska Methodist College
Abstract:

Pain management in bariatric surgery patients is challenging because of multiple factors including chronic pain conditions, perception differences, and varied impacts of pain medications. As a result, postoperative pain tends to be poorly managed leading to increased opiate consumption in this population (Raebel et al., 2013). The enhanced recovery protocol is a newer multimodal postoperative management protocol with demonstrated improved pain control in abdominal surgery patients (Thompson et al., 2012). It has also been shown to be safe in bariatric surgery patients (Awad et al., 2012). In order to study its effects as a pain management protocol in bariatric surgery patients, a retrospective chart analysis was completed of 285 bariatric surgery patients at a Midwestern hospital. Statistical analysis comparing surgical patients from October 1, 2015 to March 31, 2016 (Traditional Recovery) to patients from April 1, 2016 to September 30, 2016 (Enhanced Recovery) demonstrated a nonsignificant decrease in average pain scores. There was a statistically significant decrease in the length of stay in the enhanced recovery patients, compared to the traditional recovery group. While there was no statistically significant change in HCAHPS scores, there were noticeable increases in satisfaction for enhanced recovery patients.

CINAHL Headings:
Bariatric Surgery; Recovery; Postoperative Pain; Postoperative Pain--Prevention and Control
Repository Posting Date:
2017-09-19T20:10:25Z
Date of Publication:
2017-09-19

Full metadata record

DC FieldValue Language
dc.contributor.advisorHughes, Lindaen
dc.contributor.authorSeagren, Brittani A.en
dc.date.accessioned2017-09-19T20:10:25Z-
dc.date.available2017-09-19T20:10:25Z-
dc.date.issued2017-09-19-
dc.identifier.urihttp://hdl.handle.net/10755/622657-
dc.description.abstract<p>Pain management in bariatric surgery patients is challenging because of multiple factors including chronic pain conditions, perception differences, and varied impacts of pain medications. As a result, postoperative pain tends to be poorly managed leading to increased opiate consumption in this population (Raebel et al., 2013). The enhanced recovery protocol is a newer multimodal postoperative management protocol with demonstrated improved pain control in abdominal surgery patients (Thompson et al., 2012). It has also been shown to be safe in bariatric surgery patients (Awad et al., 2012). In order to study its effects as a pain management protocol in bariatric surgery patients, a retrospective chart analysis was completed of 285 bariatric surgery patients at a Midwestern hospital. Statistical analysis comparing surgical patients from October 1, 2015 to March 31, 2016 (Traditional Recovery) to patients from April 1, 2016 to September 30, 2016 (Enhanced Recovery) demonstrated a nonsignificant decrease in average pain scores. There was a statistically significant decrease in the length of stay in the enhanced recovery patients, compared to the traditional recovery group. While there was no statistically significant change in HCAHPS scores, there were noticeable increases in satisfaction for enhanced recovery patients.</p>en
dc.formatText-based Documenten
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.titleThe Effect of an Enhanced Recovery Protocol in Bariatric Surgery Postoperative Pain-
dc.typeDNP Capstone Projecten
thesis.degree.grantorNebraska Methodist Collegeen
thesis.degree.levelDNPen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelOtheren
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.subject.cinahlBariatric Surgeryen
dc.subject.cinahlRecoveryen
dc.subject.cinahlPostoperative Painen
dc.subject.cinahlPostoperative Pain--Prevention and Controlen
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