Key result
Multimodal analgesia as part of the ERAS protocol in colorectal surgery maintained median postoperative pain scores at rest at 0 and upon movement at 3 or less through postoperative day 2.
Why the study?
Data regarding the application and outcomes of ERAS multimodal analgesia protocols were limited in the Malaysian population undergoing colorectal surgery.
Observational (n=139)
No
Multimodal analgesia within an ERAS protocol for colorectal surgery provides effective postoperative pain control with low pain scores at rest and upon movement.
May support multimodal analgesia in ERAS colorectal pathways; leaves open need for randomized confirmation.
Introduction: Multimodal analgesia regime in enhanced recovery after surgery (ERAS) protocol is associated with fewer perioperative complications, shorter hospital stays, and reduced opioid dependence. Although ERAS strategies have been widely accepted and implemented in current practice, there is limited data regarding its application and outcomes in the Malaysian population, particularly in colorectal surgeries. Hence, this study was conducted to examine postoperative pain scores after implementing a multimodal analgesia regime as per ERAS anaesthesia protocol. Methods: This is a retrospective study using data collection forms. Data were collected from the case notes of patients who underwent colorectal surgery complying with the ERAS anaesthesia protocol from January 2022 to December 2023. Pain score was assessed when the patient arrived at recovery bay, subsequently reassessed at 2 hours postoperative, 6 hours postoperative, 12 hours postoperative, 1 day postoperative, and finally on postoperative day 2. Results: A total of 139 samples were recruited in this retrospective study. The median postoperative pain scores at rest were consistently 0 from arrival at recovery bay to postoperative day 2. On the other hand, the median pain score upon movement was 1 (range 0–3) when patients reached the recovery bay, and persistently 3 duringpostoperative 2 hours, 6 hours, and 12 hours, after which the median pain score upon movement became 2 on postoperative day 1 and day 2. Conclusions: Multimodal analgesia in line with the ERAS protocol in colorectal surgeries is feasible, safe and efficient.
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Sulaiman et al. (2024) conducted an observational in Colorectal surgery (n=139). Multimodal analgesia (ERAS protocol) was evaluated on Postoperative pain scores at rest and upon movement. Multimodal analgesia as part of the ERAS protocol in colorectal surgery maintained median postoperative pain scores at rest at 0 and upon movement at 3 or less through postoperative day 2.
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