Obesity and post-operative pain.
Patients underwent elective abdominal surgery for morbid obesity (mean = 154 kgs, n = 55) or cholecystectomy (mean = 71 kgs, n = 54). Post-operative narcotics were transformed into morphine equivalent units (ME). Morbidly obese patients received significantly fewer total doses than cholecystectomy patients and less total mg ME/kg over a five-day period. Sedative use for both groups was comparable. In the morbidly obese patients, preoperative psychiatric and drug usage data predicted 67% of the variance in number of doses and 69% of the variance in total mg ME/kg.
D000328:Adult; D000698:Analgesia / Q000523:psychology; D002763:Cholecystectomy; D004723:Endorphins / Q000502:physiology; D005260:Female; D006801:Humans; D007082:Ileum / Q000601:surgery; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology* / Q000628:therapy; D010146:Pain / Q000188:drug therapy* / Q000523:psychology; D011183:Postoperative Complications / Q000188:drug therapy / Q000523:psychology
D004723:Endorphins