Date of Award

Spring 5-2018

Document Type

DNP Project

Project Team Faculty Member

Dr. Roberta Harrison

Project Team Faculty Member

Dr. Mary Zerlan

Project Team Faculty Member

Dr. Andrew Griffin


laparoscopic cholecystectomy, multi-modal, preventative, pain


The management of pain in those undergoing a laparoscopic cholecystectomy is complex and challenging. There have been advances in the understanding of the physiology of pain and a wide variety of treatment options are now available. Establishing a preventative multi-modal protocol with different types of pain medications that work on a variety of receptors along the pain pathway is imperative. Through an exhaustive literature review, a preventative multi-modal approach was established and introduced at a small hospital in Central Illinois available for all laparoscopic cholecystectomy patients undergoing surgery over a 10 week implementation period. There was only one completed case using the proposed protocol therefore the project leader could not use data from the surveys to compare findings over a number of cases or to determine the efficacy of the protocol. Therefore, a review of barriers that surfaced during the pre-implementation and implementation phase of the project will be reviewed.

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