Pre-emptive paracetamol reduces intra-operative opioid use in patients undergoing day-case oncologic breast surgery

Bibliographic Details
Title: Pre-emptive paracetamol reduces intra-operative opioid use in patients undergoing day-case oncologic breast surgery
Authors: Daniah Alsaadi, Lyndon Low, James Ting, Michael Craughwell, John McDonnell, Aoife Lowery, Karl Sweeney
Source: EXCLI Journal : Experimental and Clinical Sciences, Vol 23, Pp 356-363 (2024)
Publisher Information: IfADo - Leibniz Research Centre for Working Environment and Human Factors, Dortmund, 2024.
Publication Year: 2024
Collection: LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
LCC:Biology (General)
Subject Terms: pre-emptive analgesia, opioid-sparing, intra-operative opioids, pain, breast surgery, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282, Biology (General), QH301-705.5
More Details: Minimization of intra-operative opioid use is an area of ongoing research interest with several potential benefits to the patient. Pre-emptive analgesia, defined as the administration of an analgesic before surgery to prevent establishment of central sensitization of pain, is one avenue that has been explored to achieve this. A retrospective observational study was undertaken to examine the effect of pre-emptive paracetamol on intra-operative opioid requirements. The medical and operative data of 156 patients who underwent day-case wide local excision and sentinel lymph node biopsy with and without regional block surgery at our center between October 2019 and May 2022 was carried out. Data were collected on demographics, total intra-operative and immediate post-operative opioid consumption. 57 patients did not receive pre-emptive paracetamol while 90 did. Baseline characteristics were similar. Our results showed a statistically significant reduction in morphine (p
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1611-2156
Relation: https://www.excli.de/index.php/excli/article/view/6804; https://doaj.org/toc/1611-2156
DOI: 10.17179/excli2023-6804
Access URL: https://doaj.org/article/4d8d5e6f0eb64bb685f599df7baed181
Accession Number: edsdoj.4d8d5e6f0eb64bb685f599df7baed181
Database: Directory of Open Access Journals
More Details
ISSN:16112156
DOI:10.17179/excli2023-6804
Published in:EXCLI Journal : Experimental and Clinical Sciences
Language:English