356 Reducing Long Term Opioid Prescribing Post Thoracic Surgery

Abstract Introduction Patients are routinely started on strong opioid analgesia after surgery with most receiving a prescription for these to continue discharge. We examine the prescribed in our unit, comparing ERAS principles from EACTS. aimed reduce total equivalent dose of morphine discharge by implementing principles. Method undertook retrospective analysis prescribing patients post open and VATS procedure noting opioids (using morphine). examined how many were still being long term, defined as 6 weeks procedure. implemented principles, changing rather than oxycodone, using short-acting preparations increasing use sparing including NSAIDs. Results 20% later. used dispensed third. Conclusions identified significant issue term initiated measures which have resulted positive change. Our next cycle will measure outcome changes long-term implement multi-disciplinary approach try reducing burden further.