Eudeum Lee Kim

 

A Descriptive Study to Examine the Relationship between Preoperative Gabapentin Dose, Postoperative Pain, and its Effect on Sedation

Purpose: The purpose of this project is to describe the relationship between different doses of preoperative gabapentin on postoperative pain and sedation. Additionally, this project will explore how the patient’s length of stay in the recovery varies across demographic factors. This project may be beneficial since the goal of the surgery center is to provide patients minimum sedation to facilitate the procedure effectively and promote successful discharge to home with the shortest recovery stay.

Methods: This study is a descriptive and cross-sectional retrospective chart review performed at the Emerald Coast Surgery Center in Fort Walton Beach, Florida. 232 patient charts were selected based on the inclusion criteria: 15 years and older and received gabapentin preoperatively from January 2018 to April 2020. The association of preoperative gabapentin on postoperative pain relief, level of sedation, and length of stay in the recovery room across patients’ demographic factors examined.

Results: There is no clinically significant difference among gabapentin dosages and postoperative pain scores, sedation level, but the mean length of stay increases with the higher dosages of gabapentin. Among other demographic factors, the age of 66 and older for all three gabapentin dosages reported the longest mean length of stay in the recovery room.

Discussion: Findings from this project may support the prolonged sedating effect of gabapentin, which delays discharge from the recovery room.

Conclusions: Preoperative use of gabapentin may decrease the pain. However, there were no dose-related effects on better relief. Higher doses of gabapentin increase the length of stay in the recovery, which indicates future studies related to possible factors that may lead to a longer stay in the recovery room.

Major Professor: Susan Porterfield, PhD, FNP-C

 

 

 

 

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