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Patient Education and Use of Post Operative Pain Medication in Ambulatory Hand Surgery: a Randomized Controlled Trial

2017-07-18 10:08:54 | BioPortfolio

Summary

There is a current opioid epidemic in the United States partially fueled by excess prescribing practices after surgery. The objective of this study is to decrease the amount of opioids needed after ambulatory hand surgery. In this randomized control trial, patients will be randomized into a patient education group and into a control group. The education group will be provided with a pre-operative video detailing proper indications for opioid use after hand surgery, alternative pain management strategies to try before using prescription opioid medications, and side effects associated with opioid use. Patients will also receive information on the current opioid epidemic. Patients will be reminded of the information given pre-operatively after surgery in the post-anesthesia care unit. The control group will not receive pre-operative education and will only receive standard of care post-operative counseling by nursing in the post-anesthesia care unit. All patients will be given a pain log, pain medication diary and participate in phone/email surveys to determine number of opioid pills taken, pain levels, and satisfaction with surgery. We hypothesize that the education group will have decreased opioid intake and increased patient satisfaction compared to the control group.

Study Design

Conditions

Ambulatory Hand Surgery

Intervention

Patient education regarding indications for opioid use and side effects of opioid use after hand surgery, Standard of care post-operative counseling

Location

Hospital for Special Surgery
New York
New York
United States
10021

Status

Recruiting

Source

Hospital for Special Surgery, New York

Results (where available)

View Results

Links

Published on BioPortfolio: 2017-07-18T10:08:54-0400

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A class of opioid receptors recognized by its pharmacological profile. Mu opioid receptors bind, in decreasing order of affinity, endorphins, dynorphins, met-enkephalin, and leu-enkephalin. They have also been shown to be molecular receptors for morphine.

A class of opioid receptors recognized by its pharmacological profile. Delta opioid receptors bind endorphins and enkephalins with approximately equal affinity and have less affinity for dynorphins.

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