Journal article
Scheduled intravenous ketorolac is safe and reduces narcotic use after robotic-assisted simple prostatectomy
Journal of robotic surgery, Vol.18(1), 358
10/03/2024
DOI: 10.1007/s11701-024-02068-5
PMID: 39361167
Abstract
We sought to examine whether scheduled intravenous (IV) ketorolac decreased post-operative narcotic utilization and changed peri-operative outcomes (including complications) in patients undergoing robotic-assisted simple prostatectomy (RASP). An IRB-approved, retrospective chart review was performed of all patients undergoing RASP at a single institution from November 2017 to July 2019. Patient demographic, peri-operative, and post-operative data, including morphine equivalent use (MEU), were collected. Scheduled ketorolac use was implemented at the surgeon’s discretion for up to 5 days post-operatively. The primary outcome was MEU in the post-operative stay. Two hundred seven men underwent RASP during the study period, of which 143 (69%) received scheduled ketorolac. No differences in patient demographics, prostate size, prior opioid utilization, or operative characteristics were identified between groups. Median MEU was significant less (5 vs 15,
p
< 0.001) in patients receiving scheduled ketorolac. Significantly more patients receiving scheduled ketorolac did not require the use of any narcotic during hospitalization (30% vs 11%,
p
= 0.005). On multivariable linear regression adjusted for age, BMI, prior opioid use, and length of stay, ketorolac use independently associated with decreased narcotic use (
p
= 0.003). No significant difference in transfusion rates were identified (3.5% vs. 1.6%,
p
= 0.44). Scheduled ketorolac is effective in reducing post-operative, in-hospital opioid utilization without increasing morbidity after RASP. Almost a third of patients on scheduled ketorolac did not require any opioids post-operatively
.
Details
- Title: Subtitle
- Scheduled intravenous ketorolac is safe and reduces narcotic use after robotic-assisted simple prostatectomy
- Creators
- Vishnuvardhan Ganesan - University of MinnesotaRyan L. Steinberg - University of IowaHersh Trivedi - The University of Texas Southwestern Medical CenterIgor Sorokin - The University of Texas Southwestern Medical CenterBrett A. Johnson - The University of Texas Southwestern Medical CenterJeffrey C. Gahan - The University of Texas Southwestern Medical Center
- Resource Type
- Journal article
- Publication Details
- Journal of robotic surgery, Vol.18(1), 358
- Publisher
- Springer London
- DOI
- 10.1007/s11701-024-02068-5
- PMID
- 39361167
- ISSN
- 1863-2483
- eISSN
- 1863-2491
- Language
- English
- Date published
- 10/03/2024
- Academic Unit
- Urology
- Record Identifier
- 9984721238102771
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