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July 1, 1998Anesthesia & Analgesia

Overnight Hospitalization After Radical Prostatectomy

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Why the study?

Do specific anesthesia and analgesia pathways allow for overnight hospitalization in men undergoing radical prostatectomy?

Population

100 consecutive men undergoing radical retropubic prostatectomy for clinically localized prostate cancer

Design

Cohort

Follow-up

short-term (postoperative)

Authors

EWEvelina M. WorwagUniversity of ChicagoGCGerald W. ChodakHighland Community College - Kansas

Discussion

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Implication

Supports overnight discharge after prostatectomy with epidural/spinal plus oral analgesia; leaves open need for RCTs to confirm safety.

Structured PICO

Do specific anesthesia and analgesia pathways allow for overnight hospitalization in men undergoing radical prostatectomy?

P
Population
100 consecutive men undergoing radical retropubic prostatectomy for clinically localized prostate cancer
I
Intervention
Epidural anesthesia followed by epidural morphine OR combined with spinal anesthesia using bupivacaine and fentanyl (25 µg) followed by IM methadone (10-20 mg); all patients received oral acetaminophen and ibuprofen beginning 4 h after surgery
O
Outcome
Length of hospital stay

Epidural or spinal anesthesia pathways combined with oral analgesics allow safe discharge one day after radical retropubic prostatectomy without increasing patient dissatisfaction or morbidity.

Cite This Study

Worwag et al. (1998) studied this question.

synapsesocial.com/papers/6a82a74e44ed55722c75aff2https://doi.org/10.1213/00000539-199807000-00014
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