Table 6.
Pain management in women undergoing CPC vs. ERAS in minimally invasive non-hysterectomy procedures
| Pain Medication Use | CPC (n=214) |
ERAS (n=196) |
P-value |
|---|---|---|---|
| Narcotics (OME) | |||
| Pre-operative | 0.0 0.0 | 28.3 7.6 | * |
| Intra-operative | 95.3 36.8 | 2.4 8.5 | <.001 |
| PACU | 56.9 36.4 | 23.0 16.7 | <.001 |
| Total | 152.2 57.1 | 55.3 21.1 | <.001 |
| Non-narcotic Pain Medications | |||
| Pre-operative | n=46/214 (21.5) | n=193/196 (98.5) | <.001 |
| NSAID | 36 (16.8) | 154 (78.6) | <.001 |
| Acetaminophen | 14 (6.5) | 192 (98.0) | <.001 |
| Intra-operative | n=175/214 (81.8) | n=6/196 (3.1) | <.001 |
| NSAID | 79 (36.9) | 4 (2.0) | <.001 |
| Acetaminophen | 156 (72.9) | 2 (1.0) | <.001 |
| PACU | n=69/214 (32.2) | n=177/196 (90.3) | <.001 |
| NSAID | 45 (21.0) | 162 (82.7) | <.001 |
| Acetaminophen | 47 (22.0) | 146 (74.5) | <.001 |
| Non-narcotic Doses | |||
| Total | 1.76 0.9 | 3.37 0.9 | <.001 |
CPC, conventional peri-operative care; ERAS, enhanced recovery after surgery; PACU, post-anesthesia care unit; OME, oral morphine equivalents; NSAID, non-steroidal anti-inflammatory drugs
Data are n (%) or mean ± standard deviation
No statistical analysis possible given no standard preoperative narcotic administration in the CPC group