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Clinical Journal of Pain | Year: 2016
INTRODUCTION:: Enhanced Recovery After Surgery (ERAS) aims to minimise the length of negative physiological response to surgical intervention. There are a number of aspects involved in ERAS protocols, one of which is postoperative pain relief. This meta-analysis investigates the current evidence for postoperative pain relief and its effect on patient pain and length of stay following colorectal surgery. METHOD/RESULTS:: Medline, PubMed and EMBASE databases were searched for relevant studies between January 1966 and February 2016. All randomised controlled trials comparing postoperative pain management strategies in an ERAS setting with length of stay as an outcome measure were selected. In addition to length of stay other outcomes analysed were pain scores at 24 hours postoperatively, nausea, vomiting and time to first bowel motion. RESULTS:: There was a decrease in vomiting in the ERAS group compared to the control groups relative risk (RR): 0.82, 95% CI: 0.52-1.27.. Mean differences in length of stay (P=0.879), pain visual analogue scales (VAS) (P=0.120), time to first bowel motion in hours (P=0.371) and nausea (P=0.083) were not statistically significant. CONCLUSION:: In an ERAS setting with regards to colorectal patient population, the choice of modality for postoperative pain relief does not impact on length of hospital stay, pain, time to first bowel motion or nausea. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.