Patients undergoing Bariatric Surgery at the University of California Davis Medical Center will be divided into two groups, one receiving Standard of Care pain control medications vs the second group which will receive non-narcotic pain medications with rescue pain medications available if needed
Pain control after weight loss surgery is challenging due to the alteration of digestive system anatomy and limitation on using medications which can either be crushed or in liquid form for the first 10 days to 14 days after surgery. Additionally there are multiple programs in place to eliminate the use of narcotic/opioid based pain medications due their potential addictive risks. This study compares two groups of patients whom will have Roux en Y Gastric Bypass Surgery at UC Davis Medical Center, the control group will receive standard of care pain control medications (including opioid based medications) compared to the research arm, this group will receive Gabapentinin and Tylenol for pain control after surgery with rescue pain medications available if needed. Post surgery both groups will be managed by the Bariatric Surgery Team and will be contacted periodically as part of the standard of care to monitor pain control and usage of any rescue medications (if needed).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
60
600 mg on-call prior to surgery, post surgery 100 mg liquid q 8-12 hours post surgery with Tylenol every 6 hours
.5-1 mg IV Q3 hours and IV Tylenol 1000mg every 6 hours post surgery transitioning to oral pain control medications (Hycet 7.5/325mg/5 ml, 5-10 ml every 4 hours
0.25% local injectable anesthetic agent infiltrated at all laparoscopic incision sites for both groups.
UC Davis Health
Sacramento, California, United States
Change In Post Operative Pain Intensity
Using the Wong-Baker Pain Rating Scale-0=No Pain, 2-4, Slight Pain, 6-8, Moderate Pain, 9-10, Severe Pain
Time frame: 3 Days and 14 Days Post Surgery
Change in Oral Morphine Equivalence (OME) from 3 days and 14 days post surgery
OME Table is used to measure opioid use post surgery
Time frame: 3 Days and 14 Days Post Surgery
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1 mg/ml oral solution, dosage 5-10mg q4h prn for pain control
Dosage: 10-15ml q4h prn for pain control
4 mg IV for nausea control while inpatient, prn
Topical application patch for nausea control, used with/without Ativan.
0.5mg IV as needed in conjunction with/without Scopolamine and Zofran for Nausea control
5 mg orally q8h prn for muscle spasms.
1000 mg q6h PRN for pain control.