Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Opioid Administration After Pelvic Surgery

Female Pelvic Med Reconstr Surg; ePub 2018 Feb 27; Willis-Gray, et al

Age <65 years is a predictor of high postanesthesia care unit (PACU) pain score and resultant PACU opioid dispensation in women undergoing urogynecologic surgery, a recent study found. The retrospective study compared 2 cohorts: 1) women aged ≥65 years and 2) women aged >65 years. The primary outcome was any opioid medication administered during the PACU admission. Researchers found:

  • 183 women were included in the study; 124 (68%) were aged <65 years, and 59 (32%) were aged ≥65 years.
  • Women aged <65 years were more likely to be given any opioids in PACU than women aged 65 years.
  • Women aged <65 years were also given higher total amounts of opioid narcotics postoperatively.

Citation:

Willis-Gray MG, Husk KE, Brueseke TJ, Wu JM, Dieter AA. Predictors of opioid administration in the acute postoperative period. [Published online ahead of print February 27, 2018]. Female Pelvic Med Reconstr Surg. doi:10.1097/SPV.0000000000000567.

This Week's Must Reads

Prophylactic Antibiotic Use in Labor & Delivery, Obstet Gynecol; 2018 Sep; Coleman, et al

USPSTF on Screening for Cervical Cancer, JAMA; 2018 Aug 21; US Preventive Services Task Force

Prevention of Obstetric Lacerations at Vaginal Delivery, Obstet Gynecol; 2018 Sep; Cichowski, et al

Effect of Menstrual Bleeding on IUD Discontinuation, Am J Obstet Gynecol; ePub 2018 Aug 28; Hobby, et al

Leukemia risk after maternal contraception use, Hargreave M et al. Lancet Oncol. 2018 Sep 6. doi: 10.1016/S1470-2045(18)30479-0

Must Reads in Pelvic Floor Dysfunction

Pelvic Floor Disorders Knowledge in Pregnant Women, Female Pelvic Med Reconstr Surg; ePub 2018 Aug 2; Mckay, et al

Concomitant POPUI Procedures & Gynecologic Cancer Surgery, Female Pelvic Med Reconstr Surg; ePub 2018 Apr 4; Bochenska, et al

Assessing Rate of POP Surgery in the US, Obstet Gynecol; 2018 Mar; Sammarco, et al

Opioid Administration After Pelvic Surgery, Female Pelvic Med Reconstr Surg; ePub 2018 Feb 27; Willis-Gray, et al

Robotic Surgery for Pelvic Organ Prolapse, Female Pelvic Med Reconstr Surg; ePub 2018 Jan 24; Chu, et al