Articles tagged "Pain"

2019 American Transplant Congress
Multimodal Analgesia Reduces Opioid Use after Liver Transplantation
K. Tong, W. Nolan, D. O'Sullivan, H. Kutzler
Hartford Hospital, Hartford, CT
*Purpose: The study aimed to determine if multi-modal pain management (MPM) can reduce opioid use in patients post-liver transplant.*Methods: This was a retrospective review of…
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…
2018 American Transplant Congress
Enhanced Recovery after Renal Transplant Surgery Using a Transversus Abdominis Plane Block is Associated with Decreased Hospital Length of Stay
D. Peramunage, D. Auyong, C. Kuhr, J. Brandenberger, N. Cowan, N. Hanson.
Virginia Mason Medical Center, Seattle, WA.
BACKGROUNDThe transversus abdominis plane (TAP) block reduces pain and opioid consumption following renal transplant surgery, but its impact on hospital length of stay (LOS) remains…
2018 American Transplant Congress
Continuous and Single-Shot Transverse Abdominis Plane (TAP) Block vs. Conventional Analgesia after Kidney Transplant Surgery
J. Sageshima, C. Troppmann, C. Santhanakrishnan, J. McVicar, R. Perez.
Surgery, University of California Davis, Sacramento, CA.
BACKGROUND: Appropriate pain control by a multimodal analgesic regimen has been shown to accelerate post-operative recovery in non-transplant surgery. However, the effectiveness of TAP block…
2018 American Transplant Congress
Closing Pandora's Box: An Evidence Based Approach to Opioid-Tolerant Patients Following Transplantation. The Case for IV Methadone
A. Aljassem, L. Hall, S. Cohn, D. Bedi, M. Alsibae, K. Putchakayala, S. Tasleem, D. Samarapungavan, C. Carpenter, A. Koffron.
Department of Surgery, Beaumont Health, Royal Oak, MI.
The purpose of this study is to explore the use of parenteral methadone in opioid-tolerant patients who are status-post transplantation. As an alternative to traditional…
2018 American Transplant Congress
Opiate Use Trends after Liver Transplantation and the Factors Associated with Post-Transplant Opiate Dependence
M. Siddiqui,¹ R. Kaur,¹ S. Dhoop,² N. Sulejmani,¹ R. Salgia.¹
¹Henry Ford Hospital, Detroit, MI; ²Wayne State University SOM, Detroit, MI.
AimsOur study aims to determine predictive factors leading to post-liver transplant (LT) opioid dependence.MethodsA retrospective chart review was conducted including LT recipients from July 2013-June…