Articles tagged "Pain"

2020 American Transplant Congress
Opioid Use Prior to Liver Transplant is Associated with Increased Risk of Death after Transplant
H. J. Braun, M. P. Schwab, C. Jin, D. Amara, T. Grace, R. Croci, C. E. Freise, J. P. Roberts, R. Hirose, N. L. Ascher
University of California, San Francisco, San Francisco, CA
*Purpose: The impact of the opioid epidemic on liver transplant (LT) candidates and recipients has not been widely studied, but pre-LT opioid use in LT…
2020 American Transplant Congress
Opioid-Free Pain Control? Surgical Opioid Avoidance Protocol (SOAP) Following Kidney Transplant
J. Benken¹, M. Campara¹, E. Votta Velis², I. Tzvetanov³, E. Benedetti³
¹Pharmacy Practice, University of Illinois at Chicago, Chicago, IL, ²Anesthesiology, University of Illinois at Chicago, Chicago, IL, ³Surgery, University of Illinois at Chicago, Chicago, IL
*Purpose: The opioid epidemic within the United States has devastated patients and their families in addition to triggering a national public health crisis. Unnecessary prescribing…
2020 American Transplant Congress
Evaluation of an Opioid Restrictive Pain Management Initiative in Adult Kidney Transplant Recipients
S. Tischer¹, S. Maryan², L. Pacurar¹, S. Kumar¹, S. Waits¹, M. Englesbe¹, R. Sung¹, K. McMurry¹
¹Michigan Medicine - University of Michigan, Ann Arbor, MI, ²ProHealth Care, Milwaukee, WI
*Purpose: Recent national policy changes make it imperative to implement practices to reduce opioid prescribing. Despite the importance, evidence to guide opioid utilization following kidney…
2020 American Transplant Congress
The Effect of Intravenous Acetaminophen on Opioid Use in Laparoscopic Donor Nephrectomy Patients
C. Makosiej, A. Eisenhart
Saint Barnabas Medical Center, Livingston, NJ
*Purpose: The purpose of this study was to determine if intravenous acetaminophen (IV APAP) use affects the daily and cumulative opioid requirements of patients undergoing…
2020 American Transplant Congress
Effect of Different Strategies to Decrease Post-Operative Opioid Use Following Living Donor Nephrectomy
D. Quan¹, J. Lazo², J. Lee³, A. Barnes⁴, S. Kang⁵
¹UCSF Medical Center, San Francisco, CA, ²Pharmaceutical Services, UCSF Medical Center, San Francisco, CA, ³School of Pharmacy, University of California San Francisco, San Francisco, CA, ⁴Department of Pharmaceutical Services, UCSF Medical Center, San Francisco, CA, ⁵Transplant Surgery, UCSF Medical Center, San Francisco, CA
*Purpose: Living donor transplant programs are essential in decreasing the number of kidney wait-list candidates, however, of utmost importance should be ensuring our donors are…
2020 American Transplant Congress
Opioid Prescription Pattern and Risk Factors Associated with Opioid Use after Living Donor Hepatectomy in the US
M. Nguyen¹, L. Vest², Z. Zhang², V. Whittaker³, M. Schnitzler¹, D. Axelrod⁴, H. Randall¹, C. Varma¹, J. Snyder⁵, B. Kasiske⁵, D. Segev⁶, M. McAdams Demarco⁷, G. Hess⁸, K. Lentine²
¹Department of Surgery, Saint Louis University, Saint Louis, MO, ²Department of Medicine, Saint Louis University, Saint Louis, MO, ³Department of Surgery, New York Medical College, New York, NY, ⁴Department of Surgery, University of Iowa, Iowa City, IA, ⁵SRTR, Minneapolis, MN, ⁶Department of Surgery, Johns Hopkins University, Baltimore, MD, ⁷Johns Hopkins University, Baltimore, MD, ⁸Drexel University, Philadelphia, PA
*Purpose: Opioids are the cornerstone of acute pain management after living donor hepatectomy. Their misuse poses the danger of chronic abuse. How this affects living…
2020 American Transplant Congress
Effect of Pre-Transplant Opioid Use on Post Liver Transplant Outcomes
K. Guilbert, H. Underwood, C. J. Simon
Lahey Hospital and Medical Center, Burlington, MA
*Purpose: Impact of pre-liver transplant opioid use on post-liver transplant length of stay and clinical outcomes.*Methods: This single-institution retrospective study included adult patients who received…
2020 American Transplant Congress
Total Pancreatectomy with Islet Autotransplantation in Diabetic and Prediabetic Patients with Intractable Chronic Pancreatitis
P. J. Bachul¹, D. J. Grybowski¹, R. Anteby², L. Basto¹, L. Perea¹, K. Golab¹, L. Wang¹, M. Tibudan¹, A. Perez-Gutierrez¹, M. Komorniczak³, S. Nagpal⁴, A. Lucander¹, P. Borek¹, M. Dimitrov¹, J. Fung¹, J. B. Matthews¹, P. Witkowski¹
¹Surgery, University of Chicago, Chicago, IL, ²Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel, ³Nephrology, Transplantology and Internal Medicine, Medical University of Gdansk, Gdansk, Poland, ⁴Medicine, University of Chicago, Chicago, IL
*Purpose: Total pancreatectomy with islet autotransplantation (TPIAT) is an effective treatment option for non-diabetic patients with intractable chronic pancreatitis. The outcome and potential benefits for…
2020 American Transplant Congress
Evaluating Postoperative Opioid Requirements of Kidney Transplant Recipients
M. A. Muir¹, K. R. Szempruch², R. E. Dupuis¹, A. H. Toledo³, P. Serrano Rodriguez³
¹Pharmacotherapy and Experimental Therapeutics, UNC Eshleman School of Pharmacy, Chapel Hill, NC, ²Pharmacy, UNC Medical Center, Chapel Hill, NC, ³Surgery - Transplant, UNC Medical Center, Chapel Hill, NC
*Purpose: Multimodal analgesia with non-opioid analgesics in the setting of enhanced recovery after surgery (ERAS) pathway has proven beneficial in managing pain and decreasing adverse…
2020 American Transplant Congress
Frailty is Strongly Associated with Self-Reported Symptom Burden among Patients with Cirrhosis Undergoing Evaluation for Liver Transplantation
L. X. Deng, K. E. Bischoff, D. S. Kent, D. L. O’Riordan, S. Z. Pantilat, J. C. Lai
University of California, San Francisco, San Francisco, CA
*Purpose: Among patients with cirrhosis, frailty has most commonly been measured using instruments that focus on malnutrition, muscle wasting, and functional impairment. Little is known…