Articles tagged "Pain"

2019 American Transplant Congress
Increasing Doses of Pain Medications Pre-Heart Transplant as a Risk Factor for Outcomes after Transplant
K. Shah, D. H. Chang, J. Patel, R. J. Levine, S. Dimbil, E. Passano, J. A. Kobashigawa
Cedars-Sinai Smidt Heart Institute, Los Angeles, CA
*Purpose: Chronic pain syndromes prior to heart transplantation (HTx) are not uncommon. However, the use of morphine equivalents in higher doses may be indicative of…
2018 American Transplant Congress
Effects of a Multimodal Pain Control Regimen in Living Donor Laparoscopic Nephrectomies
E. Thomas, J. Nelson, E. Diaz.
Department of Surgery, University of Florida, Gainesville, FL.
Purpose: Evaluate the effects of a multimodal pain control regimen on length of stay (LOS), opioid consumption, pain control, and opioid/NSAID related adverse events in…
2018 American Transplant Congress
Use of Surgically Placed Transversus Abdominis Plane (TAP) Block Catheter with Local Anesthetic Infusion in Renal Transplantation
M. Dib,¹ S. Borden,² T. Schell,¹ P. Stahler,¹ T. Al-Qaoud,¹ E. Martinez,¹ E. Grodstein,¹ A. D'Alessandro,¹ J. Odorico,¹ L. Fernandez,¹ J. Mezrich,¹ R. Redfield,¹ D. Foley,¹ D. Al-Adra,¹ D. Kaufman.¹
¹Surgery, University of Wisconsin-Madison, Madison, WI; ²Anesthesia, University of Wisconsin-Madison, Madison, WI.
BackgroundRenal transplant recipients have limitations in pain management, given the nephrotoxicity of NSAIDS and contraindications to regional neuroaxial techniques. Although opioids are widely used post-transplant,…
2018 American Transplant Congress
Chronic Narcotic Use Increases Mortality Rates in Heart Transplantation
G. St. John, T. Chamogeorgakis, H. Nemeh, C. Tita, Y. Selektor, D. Lanfear, C. Williams.
Transplant, Henry Ford Hospital, Detroit, MI.
Purpose: In kidney and liver transplantation, chronic narcotic use pre and post-transplant has been associated with an increased risk for rejection and early graft loss.…
2018 American Transplant Congress
Associations among Physical Fitness/function, Pain and Depression in Kidney Transplant Patients
A. Kastelz,^1,2 I. Tzvetanov,¹ B. Fernhall,² A. Shetty,³ L. Gallon,³ G. Hachaj,⁴ E. Benedetti.¹
¹Surgery, University of Illinois, Chicago, IL; ²Integrative Physiology Lab, University of Illinois, Chicago, IL; ³Internal Medicine Nephrology, Northwestern Medical Group, Chicago, IL; ⁴GH FitLab, Chicago, IL.
Kidney transplantation is the most successful treatment for end stage renal disease; however not all comorbidities of the disease are addressed by surgery. Depression and…
2018 American Transplant Congress
Opioid Use Following Ultrasound-Guided Transverse Abdominis Plane Blocks in Living Donor Nephrectomy Patients
E. Henricksen,¹ D. Quan,¹ C. Freise.²
¹Department of Pharmacy, University of California, San Francisco, San Francisco, CA; ²Department of Surgery, University of California, San Francisco, San Francisco, CA.
Purpose: Post-operative pain management is of major concern in living donor nephrectomy patients. Opioids are often used for post-surgical pain, however they are associated with…
2018 American Transplant Congress
Positive Implications of an Enhanced Recovery after Surgery Protocol Using Liposomal Bupivacaine for Transverse Abdominis Plane Block in the Perioperative Phase of Robotic Assisted Laparoscopic Living Donor Nephrectomy
A. Nickkholgh,¹ A. Agarwal,¹ B. Sarosiek,² A. Sites,³ A. Nishio Lucar,⁴ J. Oberholzer,¹ P. Amato.⁵
¹Dept. of Surgery, University of Virginia Health System, Charlottesville, VA; ²ERAS Program, University of Virginia Health System, Charlottesville, VA; ³Strickler Transplant Institute, University of Virginia Health System, Charlottesville, VA; ⁴Dept. of Internal Medicine, University of Virginia Health System, Charlottesville, VA; ⁵Dept. of Anesthesiology, University of Virginia Health System, Charlottesville, VA.
Introduction. Enhanced Recovery After Surgery (ERAS) protocols aim to mitigate the physical and psychological stress response to surgery. Postop pain can increase the need for…
2018 American Transplant Congress
Liposomal Bupivacaine: Friend or Foe in Kidney Donation?
Y. Yang, A. Jantz, B. Summers, A. Patel, L. Malinzak, N. Sulejmani.
Henry Ford Hospital, Detroit, MI.
Background: Pain following nephrectomy and concerns for opioid dependence are disincentives to living kidney donors (LKD). Efficacy of liposomal bupivacaine (LB) in post-operative care of…
2018 American Transplant Congress
Self-Reported Post-Surgical Pain Following Living Kidney Donation
A. Fleishman,¹ J. Schold,² P. Morrissey,³ J. Whiting,⁴ J. Vella,⁴ L. Kayler,⁵ D. Katz,⁶ J. Jones,⁶ B. Kaplan,⁷ M. Pavlakis,¹ D. Mandelbrot,⁸ J. Rodrigue.¹
¹Beth Israel Deaconess Medical Center, Boston; ²Cleveland Clinic, Boston; ³Rhode Island Hospital, Providence; ⁴Maine Medical Center, Portland; ⁵University of Buffalo, Buffalo; ⁶University of Iowa, Iowa City; ⁷May Clinic, Scottsdale; ⁸University of Wisconsin, Madison.
The Kidney Donor Outcomes Cohort (KDOC) is an NIH-funded observational cohort study evaluating outcomes in living kidney donors (LKDs) at 6 US centers. LKDs completed…
2018 American Transplant Congress
Shortening Length of Post-Operative In-Patient Stay for Living Kidney Donors
M. Loiselle, H. Bruschwein, J. Jacobs, S. Gulin, T. Rose, H. Arora, R. Nash, A. Toledo, T. Kozlowski.
Department of Surgery, University of North Carolina, Chapel Hill.
Purpose. The study analyzes the impact of psychiatric history on postoperative length of hospital stay (LOS) of living kidney donors (LD) and initial assessment of…