Week 2 discussion board NR-505
I have to respond to my classmate post. No sources is needed but if you decide to use, it has to be APA 7. This is what she wrote. An evidence practice initiative that I would examine in my clinical practice is the inclusion of pre-operative medications to manage pain postoperatively. One of surgeons specializing in breasts developed, tested, and initiated an ERAS (enhanced recovery after surgery) protocol for her patients. A portion of her protocol involves administering Tylenol, celebrex, and gabapentin pre-operatively to reduce the need for narcotics post operatively. I would attempt to generalize this research to include all laparoscopic surgical procedures to see if it has the same affects. The use of preemptive and preventive analgesia for management of postoperative pain has been widely study and produced varied results, however most clinicians still believe in the efficacy of preemptive analgesia. (Khalili et al., 2013) In a study by Khalili et al. (2013) acetaminophen use both preemptively and preventively reduced postoperative pain in minor orthoepic procedures. A study by Parikh et al. (2010) showed that a single oral dose of gabapentin reduced post operative pain at hour 0, 2, 4, 6, 12, and 24 postoperatively in patients undergoing abdominal surgery when compared with the placebo group. Managing patient’s pain is imperative to their healing process and compliance with post operative instructions, such as early ambulation for DVT prophylaxis. As a preoperative and postoperative nurse, I recommended advocating for patients in the inclusion of premedication to manage pain.
In my literature review I came across no information regarding the use of premedication with laparoscopic surgeries so research into this topic should be expanded. I searched specifically with the medication regimen we use when conducting my literature review and produced no results, so I expanded and utilized the terms ‘premedication for management of pain postoperatively’.
My PICOT statement would be:
Do patients in the outpatient ambulatory clinic undergoing laparoscopic abdominal procedures (P) who receive a preoperative pain medication regimen experience (I) less postoperative pain (O) compared to those who do not (C) over a 3-month period (T)?
