Back to Search
Start Over
Multi-Modal Pain Control in Ambulatory Hand Surgery.
- Source :
-
American journal of orthopedics (Belle Mead, N.J.) [Am J Orthop (Belle Mead NJ)] 2018 Jun; Vol. 47 (6). - Publication Year :
- 2018
-
Abstract
- We evaluated postoperative pain control and narcotic usage after thumb carpometacarpal (CMC) arthroplasty or open reduction and internal fixation (ORIF) of the distal radius in patients given opiates with or without other non-opiate medication using a specific dosing regimen. A prospective, randomized study of 79 patients undergoing elective CMC arthroplasty or ORIF of the distal radius evaluated postoperative pain in the first 5 postoperative days. Patients were divided into 4 groups: Group 1, oxycodone and acetaminophen PRN; Group 2, oxycodone and acetaminophen with specific dosing; Group 3, oxycodone, acetaminophen, and OxyContin with specific dosing; and Group 4, oxycodone, acetaminophen, and ketorolac with specific dosing. During the first 5 postoperative days, we recorded pain levels according to a numeric pain scale, opioid usage, and complications. Although differences in our data did not reach statistical significance, overall pain scores, opioid usage, and complication rates were less prevalent in the oxycodone, acetaminophen, and ketorolac group. Postoperative pain following ambulatory hand and wrist surgery under regional anesthesia was more effectively controlled with fewer complications using a combination of oxycodone, acetaminophen, and ketorolac with a specific dosing regimen.<br />Competing Interests: Authors’ Disclosure Statement: The authors report no actual or potential conflict of interest in relation to this article.
- Subjects :
- Acetaminophen therapeutic use
Adolescent
Adult
Aged
Drug Therapy, Combination
Female
Humans
Male
Middle Aged
Pain Measurement
Prospective Studies
Treatment Outcome
Young Adult
Anti-Inflammatory Agents, Non-Steroidal therapeutic use
Hand surgery
Ketorolac therapeutic use
Narcotics therapeutic use
Orthopedic Procedures methods
Pain Management methods
Pain, Postoperative drug therapy
Subjects
Details
- Language :
- English
- ISSN :
- 1934-3418
- Volume :
- 47
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- American journal of orthopedics (Belle Mead, N.J.)
- Publication Type :
- Academic Journal
- Accession number :
- 29979803
- Full Text :
- https://doi.org/10.12788/ajo.2018.0042