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49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting
March 21-23, 2024 | The Hilton Bayfront San Diego | San Diego, California
5259
EFFECT OF CRYOABLATION ON POSTOPERATIVE OPIOID CONSUMPTION FOLLOWING THORACOTOMY: A SINGLE CENTER RETROSPECTIVE STUDY
Poster Presenter
Authors
Part of Topic
Scientific Abstracts > Acute Pain
A comparison of postoperative opioid consumption following thoracotomy between
patients who received thoracic epidural analgesia or cryoablation: a single center retrospective study
Shreya Jatla, Emily H. Garmon, Michael R. Fettiplace, Prashant C. Shah, Ryan C. Russell, Chandni Raiyani, Michael P. Hofkamp
•We hypothesized that postoperative opioid consumption for thoracotomy patients would be higher for those who received cryoablation compared to patients who received thoracic epidural analgesia.
METHODS
•Participants: 95 patients who received thoracic epidural analgesia and 43 patients who received cryoablation.
•A study investigator ran a report in our EMR (Epic, Verona, Wisconsin) for patients who had thoracic procedures at Baylor Scott & White Medical Center-Temple from January 1, 2019 through December 31, 2022.
•The primary outcome was morphine milligram equivalent (MME) consumption for the first 24 postoperative hours.
RESULTS
•Postoperative MME consumption was 30.6 mg (13.1-64.8) for thoracic epidural and 76.0 mg (40.0-116.0) for cryoablation
•Eleven (12%) and 37 (86%) patients who received thoracic epidural analgesia and cryoablation, respectively, had missing intravenous patient-controlled analgesia (PCA) data and had an average of 301 and 492 missing minutes of data, respectively.
DISCUSSION
•Of patients who underwent thoracotomy, those who received cryoablation had a significantly higher postoperative opioid consumption compared to patients who received thoracic epidural analgesia.
•Our finding of increased opioid consumption in the immediate postoperative period following thoracotomy for patients who received cryoablation compared to patients who received thoracic epidural analgesia stands in contrast to previous studies.
•Future studies are needed to measure patient satisfaction between cryoablation and thoracic epidural analgesia following thoracotomy.