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Document Type

DNP - University Access Only

Award Date

2014

Degree Name

Doctor of Nursing Practice (DNP)

Department

Graduate Nursing

First Advisor

Cristina Lammers

Keywords

celecoxib, cyclooxygenase-2 inhibitor, Cox-2, reduction mammoplasty, breast, reconstruction, postoperative, narcotic

Abstract

Multiple research studies demonstrate the benefits of multimodal pain management on postoperative pain management. However, there is minimal research on the effect of preoperative celecoxib on postoperative pain or on the effect of oral celecoxib on postoperative narcotic use. In addition, there is no research on oral celecoxib use in patients undergoing breast surgery. This practice innovation project (PIP) evaluated the effect of a single preoperative dose of oral celecoxib prior to breast surgery on postoperative narcotic use. Results of implementation revealed no significant difference in postoperative narcotic requirements after the administration of a single oral dose of preoperative celecoxib prior to breast surgery as compared to the control group. Limitations of the study were noted with emphasis on the small sample size, confounding variables, absence of randomization, and the lower power associated with the Mann-Whitney U test.

Library of Congress Subject Headings

Breast -- Surgery
Pain -- Treatment
Postoperative pain
Calecoxib
Nonsteroidal anti-inflammatory agents

Description

Includes bibliographical references (pages 51-56)

Format

application/pdf

Number of Pages

78

Publisher

South Dakota State University

Rights

In Copyright - Educational Use Permitted
http://rightsstatements.org/vocab/InC-EDU/1.0/

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