Impact of patient choice for different postcesarean delivery analgesic protocols on opioid consumption: a randomized prospective clinical trial

• DOI: 10.1136/rapm-2018-100206
• Publication Date: 2019-03-13T14:44:35Z
• Authors: Brendan Carvalho; Caitlin Dooley Su...; John J Kowalczyk; Pamela Dru Flood
• Keywords: Consumption

Background Choice of postcesarean delivery analgesic protocol may improve pain experience and reduce requirements. Methods Cesarean patients were randomly assigned either to choose their analgesia or have no choice receive routine care. Choices low (50 μg intrathecal morphine), medium (identical care: 150 high (300 morphine with 600 mg oral gabapentin). All groups received scheduled acetaminophen ibuprofen. The primary outcome was oxycodone requirements 0–48 hours postdelivery in those offered versus not a choice. Results Of 160 women enrolled, 120 40 There difference associated choice, but who had expressed more satisfaction than did (mean (95% CI) 5% (0% 10 %), p=0.005). In the group, dose group required (5 (0 15) 0–24 after 15 (10 25) at 24–48 hours; p=0.05 p=0.001) groups. less pruritus (p=0.001), while vomiting (p=0.01) requiring antiemetic treatment (p=0.04). Conclusion Having compared care scores. However, insight into needs; chose higher oxycodone, lower oxycodone. Despite providing additional (six times plus gabapentin vs protocols), we still equalize requirement differences between Trial registration number NCT02605187 .