The Effects of the Opioid Drug Shortages on Selection of Nonopioid Analgesics During Laparoscopic Cholecystectomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,668
- 试验地点
- 1
- 主要终点
- Total Fentanyl usage
研究概览
简要总结
This study will look at the effects of fentanyl shortage in laparoscopic cholecystectomy cases. The opioid shortage, specifically hydromorphone and fentanyl, caused a decrease in administration of opioid analgesia for laparoscopic cholecystectomy intraoperatively.
详细描述
The goal of this study is to look at the clinical impact of the drug shortage of intravenous (IV) opioids from 2016 to 2018. IV opioids are used in the hospital setting ranging from the Emergency Department to the Intensive Care Unit (ICU) to the Operating room. This study will look at the usage of IV opioids in the operating room setting and determine how practice has change in the setting of drug shortage. The study team hypothesizes that the average monthly consumption of fentanyl and hydrophone would have been decreased for laparoscopic cholecystectomy intraoperatively during the opioid shortage period as compared to before the shortage period.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All Genders
- •History of laparoscopic cholecystectomy
- •American Society of Anesthesiologist classification (ASA) 1-4 emergent and Non emergent
- •Adult >18 years old
- •Wake Forest Baptist Medical Center Main Operating rooms
排除标准
- •Regional Anesthetic
- •ASA 5 and 6
结局指标
主要结局
Total Fentanyl usage
时间窗: June 2018 to May 2019
Monthly average amount administered per case per kg
次要结局
- Number of reintubation incidents(June 2018 to May 2019)
- Number of CPR incidents(June 2018 to May 2019)
- Number of incidents requiring administration of emergency drugs(June 2018 to May 2019)
- Nonopioid analgesia usage(June 2018 to May 2019)
- Length of hospital stay(June 2018 to May 2019)