Patterns Of Intra-Operative Opioid Dosing By Anaesthesiologist; Do They Reflect Patient’s Analgesic Need?
While it is recommended to employ multimodal analgesic techniques whenever possible, often strong opioids remain the mainstay of perioperative analgesics. We conducted a pilot observation study to look into patterns and factors affecting intraoperative opioid dosing by anaesthesiologists, and...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Malaysian Society of Anaesthesiologists
2017
|
| Subjects: | |
| Online Access: | http://ir.unimas.my/id/eprint/19129/ http://ir.unimas.my/id/eprint/19129/1/MSA%20yr%20book%20201617%20-%2012%20%28abstrak%29.pdf |
| _version_ | 1848838647032315904 |
|---|---|
| author | Tang, M.Y. |
| author_facet | Tang, M.Y. |
| author_sort | Tang, M.Y. |
| building | UNIMAS Institutional Repository |
| collection | Online Access |
| description | While it is recommended to employ multimodal
analgesic techniques whenever possible, often
strong opioids remain the mainstay of perioperative
analgesics. We conducted a pilot observation
study to look into patterns and factors affecting
intraoperative opioid dosing by anaesthesiologists,
and compared that to postoperative opioid dosing
by adult patients. We found that intraoperative
opioid dosing by anaesthesiologists was not
associated with patient’s weight, gender nor the
types of surgery. The age of the patient was weakly
associated with intraoperative opioid dosing by
the anaesthesiologist at a regression coefficient of
-0.091 (95%CI -0.181, -0.001), p=0.048. Within the
first six hours postoperatively, 33% of patients from
spine surgery group actually dosed themselves
more than what the anaesthesiologist did
intraoperatively, 21.4% for peripheral limb surgery
group and 3.2% in abdominal surgery group. Our
study highlighted the possibility of under-dosing
of opioids by anaesthesiologists in these subgroups
and failure to apply multimodal analgesia in our
daily anaesthetic care. |
| first_indexed | 2025-11-15T06:58:52Z |
| format | Article |
| id | unimas-19129 |
| institution | Universiti Malaysia Sarawak |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T06:58:52Z |
| publishDate | 2017 |
| publisher | Malaysian Society of Anaesthesiologists |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | unimas-191292018-01-03T00:59:42Z http://ir.unimas.my/id/eprint/19129/ Patterns Of Intra-Operative Opioid Dosing By Anaesthesiologist; Do They Reflect Patient’s Analgesic Need? Tang, M.Y. R Medicine (General) While it is recommended to employ multimodal analgesic techniques whenever possible, often strong opioids remain the mainstay of perioperative analgesics. We conducted a pilot observation study to look into patterns and factors affecting intraoperative opioid dosing by anaesthesiologists, and compared that to postoperative opioid dosing by adult patients. We found that intraoperative opioid dosing by anaesthesiologists was not associated with patient’s weight, gender nor the types of surgery. The age of the patient was weakly associated with intraoperative opioid dosing by the anaesthesiologist at a regression coefficient of -0.091 (95%CI -0.181, -0.001), p=0.048. Within the first six hours postoperatively, 33% of patients from spine surgery group actually dosed themselves more than what the anaesthesiologist did intraoperatively, 21.4% for peripheral limb surgery group and 3.2% in abdominal surgery group. Our study highlighted the possibility of under-dosing of opioids by anaesthesiologists in these subgroups and failure to apply multimodal analgesia in our daily anaesthetic care. Malaysian Society of Anaesthesiologists 2017 Article NonPeerReviewed text en http://ir.unimas.my/id/eprint/19129/1/MSA%20yr%20book%20201617%20-%2012%20%28abstrak%29.pdf Tang, M.Y. (2017) Patterns Of Intra-Operative Opioid Dosing By Anaesthesiologist; Do They Reflect Patient’s Analgesic Need? MALAYSIAN SOCIETY OF ANAESTHESIOLOGISTS YEAR BOOK 2016/2017. pp. 57-64. ISSN 2462-1307 http://www.msa.net.my/index.cfm?&menuid=72&parentid=55 |
| spellingShingle | R Medicine (General) Tang, M.Y. Patterns Of Intra-Operative Opioid Dosing By Anaesthesiologist; Do They Reflect Patient’s Analgesic Need? |
| title | Patterns Of Intra-Operative Opioid Dosing By Anaesthesiologist; Do They Reflect Patient’s Analgesic Need? |
| title_full | Patterns Of Intra-Operative Opioid Dosing By Anaesthesiologist; Do They Reflect Patient’s Analgesic Need? |
| title_fullStr | Patterns Of Intra-Operative Opioid Dosing By Anaesthesiologist; Do They Reflect Patient’s Analgesic Need? |
| title_full_unstemmed | Patterns Of Intra-Operative Opioid Dosing By Anaesthesiologist; Do They Reflect Patient’s Analgesic Need? |
| title_short | Patterns Of Intra-Operative Opioid Dosing By Anaesthesiologist; Do They Reflect Patient’s Analgesic Need? |
| title_sort | patterns of intra-operative opioid dosing by anaesthesiologist; do they reflect patient’s analgesic need? |
| topic | R Medicine (General) |
| url | http://ir.unimas.my/id/eprint/19129/ http://ir.unimas.my/id/eprint/19129/ http://ir.unimas.my/id/eprint/19129/1/MSA%20yr%20book%20201617%20-%2012%20%28abstrak%29.pdf |