PD59-01 NARCOTIC AVOIDANCE AFTER ROBOTIC RADICAL CYSTECTOMY ALLOWS ROUTINE OF ONLY TWO-DAY HOSPITAL STAY

You have accessJournal of UrologyBladder Cancer: Invasive V (PD59)1 Sep 2021PD59-01 NARCOTIC AVOIDANCE AFTER ROBOTIC RADICAL CYSTECTOMY ALLOWS ROUTINE OF ONLY TWO-DAY HOSPITAL STAY Ronney Abaza, Paul Kogan, and Oscar Martinez AbazaRonney Abaza More articles by this author , KoganPaul Kogan MartinezOscar View All Author Informationhttps://doi.org/10.1097/JU.0000000000002096.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Narcotic use is common after radical cystectomy but can delay bowel function, cause nausea delaying diet, confusion in elderly patients, all which extend length stay (LOS). We instituted a pathway intentionally limiting narcotics report postoperative narcotic consumption, pain scores, LOS robotic (RRC) with ileal conduit. METHODS: reviewed single-surgeon series consecutive RRCs between August 2015-September 2020. Acetaminophen ketorolac were given thorough patient education reserving oral for breakthrough pain. patients had subcutaneous pumps infusing ropivacaine removed before discharge. Intravenous excluded from orders. Alvimopan was once it became available. Discharge criteria included control, ambulation, function. RESULTS: None the 54 required intravenous postoperatively, nineteen (35%) never even narcotics. Mean body mass index (BMI) peak scores higher who (25.9 kg/m2 vs 28.9 kg/m2, p=0.04 5.3/11 7.5/11, p=0.002, respectively). Among 35 received narcotics, mean tablets taken 4.3/day (range, 1-13) 68% using 8 or less during their entire LOS. 2.1d (range 1-4). Five (9%) discharged on POD#1, 37/54 (68.5%) POD#2, 10/54 (18.5%) POD#3 2/54 (4%) POD#4. Only one readmitted within 90 days. CONCLUSIONS: Minimizing RRC allows 2-day majority patients. Patient critical minimizing avoidance. Source Funding: © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1051-e1051 Advertisement Copyright & Permissions© Inc.MetricsAuthor Information Expand Loading ...