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.
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