{
  "abstract": "Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submissionBackground and Aims Traditionally lung surgery is among the most painful surgeries in terms of post operative pain. In recent years, minimally invasive techniques such as VATS and RATS have improved the post op pain profile. However, pain after lung surgery still requires attention as uncontrolled pain is not only a negative experience for the patient but can result in respiratory complications. Aims: To audit current postoperative pain management (analgesics, dosing, pain score and physiotherapy engagement) in RATS at our institution, where RATS has been employed for a year. With established protocols for open thoracotomy and VATS and none for RATS, this audit aims were to use the current practices to guide a new RATS-specific pain management protocol.Methods We obtained date for a period of 1 year. During this time 42 patients underwent RATS. We reviewed the patients’ notes and drugs’ kardex retrospectively. The data was collected in an anonymized manner.Results Among 42 patients, 88.1% received regional/neuraxial anaesthesia perioperatively. Postoperatively, 95.2% were initiated on PCA opioids, with 4.7% receiving oral opioids as needed. Postoperative day 1, 66.7% reported mild pain (PS 1–3), 28.6% experienced moderate pain (PS 4–6), and 4.76% had severe pain (PS > 7). All patients received paracetamol as part of multimodal analgesia, and 85.7% were prescribed NSAIDs. After PCA discontinuation, 40% transitioned to oral oxycodone and 57.1% to tapentadol. Active physiotherapy participation (66.67%) suggested effective pain control and recovery.Conclusions The audit demonstrates effective postoperative pain control within the current practice, with regional anaesthesia, PCA opioids, and multimodal analgesia (Paracetamol/NSAIDs) integral to patient recovery. To standardize care, it is recommended to prescribe oral oxycodone universally post-PCA discontinuation, replacing the current mixed-protocol approach.",
  "authors": [
    {
      "affiliations": [
        "Anaesthesiology Department, St James’s Hospital, Dublin, Ireland"
      ],
      "name": "Yean Wen Ooi"
    },
    {
      "affiliations": [
        "Anaesthesiology Department, St James’s Hospital, Dublin, Ireland"
      ],
      "name": "O’Gara Áine"
    }
  ],
  "title": "P204 An audit of post operative analgesia after robotic assisted lung surgery",
  "uid": "9b560125-b5fe-59d4-a226-2258dfb68f4b"
}