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Published, Version of Record (VoR)Open Access (License Unspecified), Open
Journal article
Prospective Evaluation of Opioid Consumption Following Hand Surgery Performed Wide Awake Versus With Sedation
Hand (New York, N.Y.), v 12(6), pp 606-609
01 Nov 2017
PMID: 29091490
Abstract
We prospectively evaluated opioid consumption postoperatively following trigger finger release (TFR) and open carpal tunnel release (CTR), and hypothesized that cases performed wide awake with local anesthesia and no tourniquet (WALANT) would result in increased opioid consumption compared with cases performed under monitored anesthesia care (MAC).
Postoperative opioid consumption following CTR and TFR was prospectively collected over 6 months. The primary end points of the study were: (1) total opioid consumption; and (2) the number of days an opioid was used for both groups.
Mean opioid use and number of days the opioid was used for all MAC cases were 3.95 pills and 1.8 days, respectively. The results for WALANT were 3.85 pills and 1.6 days.
These results suggest that effective pain control postoperatively may be independent of anesthesia type for soft tissue procedures of the hand. Specifically, average opioid consumption and days of utilization were similar in both the MAC and WALANT groups. Average postoperative opioid consumption was approximately only 4 opioid pills. Consideration should be given to prescribing fewer opioids for surgeries such as CTR and TFR.
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31 citations in Scopus
Details
- Title
- Prospective Evaluation of Opioid Consumption Following Hand Surgery Performed Wide Awake Versus With Sedation
- Creators
- Andrew Miller - Thomas Jefferson UniversityNayoung Kim - Thomas Jefferson UniversityAsif M Ilyas - Thomas Jefferson University
- Publication Details
- Hand (New York, N.Y.), v 12(6), pp 606-609
- Publisher
- Sage
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Scopus ID
- 2-s2.0-85032952644
- Other Identifier
- 991021838160604721