Abstract

Pain management in bariatric surgery patients is challenging because of multiple factors including chronic pain conditions, perception differences, and varied impacts of pain medications. As a result, postoperative pain tends to be poorly managed leading to increased opiate consumption in this population (Raebel et al., 2013). The enhanced recovery protocol is a newer multimodal postoperative management protocol with demonstrated improved pain control in abdominal surgery patients (Thompson et al., 2012). It has also been shown to be safe in bariatric surgery patients (Awad et al., 2012). In order to study its effects as a pain management protocol in bariatric surgery patients, a retrospective chart analysis was completed of 285 bariatric surgery patients at a Midwestern hospital. Statistical analysis comparing surgical patients from October 1, 2015 to March 31, 2016 (Traditional Recovery) to patients from April 1, 2016 to September 30, 2016 (Enhanced Recovery) demonstrated a nonsignificant decrease in average pain scores. There was a statistically significant decrease in the length of stay in the enhanced recovery patients, compared to the traditional recovery group. While there was no statistically significant change in HCAHPS scores, there were noticeable increases in satisfaction for enhanced recovery patients.

Author Details

Brittani A. Seagren, DNP

Sigma Membership

Unknown

Lead Author Affiliation

Nebraska Methodist College, Omaha, Nebraska, USA

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Bariatric Surgery, Recovery, Postoperative Pain, Postoperative Pain--Prevention and Control

Advisor

Hughes, Linda

Degree

DNP

Degree Grantor

Nebraska Methodist College

Degree Year

2017

Rights Holder

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Review Type

Faculty Approved: Degree-based Submission

Acquisition

Self-submission

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