Opioid Use Post-Discharge After Ambulatory Distal Arm Surgery
Discharge Opioid Prescription for Ambulatory Hand and Forearm Surgery: A Randomized Controlled Trial
University Health Network, Toronto
292 participants
Mar 4, 2019
INTERVENTIONAL
Conditions
Summary
The aim of this study is to determine if a standardized evidence-based opioid prescription following elective hand and forearm surgery at Toronto Western Hospital (TWH) will decrease the number of unused opioid pills consumed by patients while still maintaining adequate pain control as compared to usual treatment. Currently, no standardized prescription exists at our institution.
Eligibility
Inclusion Criteria1
- \. Patients presenting to TWH for elective ambulatory hand and forearm surgery
Exclusion Criteria4
- Chronic opioid treatment, defined as more than 6 tablets of Oxycodone 5 mg per day (or equivalent)
- Cognitive impairment or any other condition causing inability to use 'as required' medication for pain control
- Language barrier preventing completion of patient diary
- Patient refusal
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Interventions
Oxycodone 5mg PO q4-6h PRN If patient has allergy or other contraindications Hydromorphone 1mg PO q4-6h PRN/ Tylenol #3 1-2 tablets PO q4h PRN The number of tablets prescribed will depend on the extent of surgical trauma * 0-5 pills for simple surgeries such as a trigger finger release * 10 pills for carpal tunnel or Dupuytren's contracture releases * 15 pills for a ganglion cyst excision or simple tendon transfer * 20 pills for more complex procedures such as distal forearm ORIF or a wrist fusion.
Locations(1)
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NCT04044820