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MANAGEMENT OF OPIOID INDUCED POSTOPERATIVE ILEUS: THE CURRENT SCENARIO

Dr Hafsa Fayyaz, Dr. Hussain Bilal Malik, Dr Muhammad Umer Khalid

A surgical patient feels uneasiness due to persistent postoperative ileus. It enhance the hospital duration of the patients, again need to go to hospital, more expenses of cure and deaths in some cases. There exists no drug or treatment yet for its cure. The approach has to be multimodal. Some approaches like entreat feeds, vigorous ambulation, physiotherapy, use of austerely persistent surgical technique were applied together on patients who show better results. Opioid opponent can be utilized for the management which shows better results but this method is very expensive. The use of preoperative intravenous idocaine infusion in addition to other procedures of treatment was found hopeful. Keywords: Opioid analgesics, ileus, colorectal surgery, postoperative, morphine, lidocaine, alvimopan, methylnaltrexone, oliceridine.

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