MedPath

Pain Management After Surgery

Registration Number
NCT05154682
Lead Sponsor
Rothman Institute Orthopaedics
Brief Summary

Following outpatient orthopaedic surgery, adequate pain control is imperative both for patient satisfaction and for improved recovery and rehabilitation. Opioids are frequently utilized for postoperative pain control, however they can be addictive and are known to have many deleterious effects. Recent studies have demonstrated the effectiveness of a wide variety of multi-modal postoperative pain regimens in providing adequate pain control while also decreasing opioid usage. However, the most effective multi-modal pain regimen for postoperative pain control remains unclear. This prospective, randomized study intends to investigate the efficacy of a multi-modal postoperative pain regimen compared to a traditional opioid-only pain regimen following elective outpatient orthopaedic surgery of the hand, wrist, foot, or ankle.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Age ≥ 18 years old
  • undergoing elective outpatient orthopaedic surgery under general anesthesia.
Exclusion Criteria
  • Age < 18 years old
  • Non-English speaking
  • allergy to or medical contraindication to taking oxycodone (or other opioids), acetaminophen, or Naprosyn (or other NSAIDs).
  • currently taking opioid medications
  • history of chronic opioid therapy for chronic pain
  • surgery being performed under local anesthesia only, without general anesthesia or sedation

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Oxycodone+ Naproxen/Acetaminophen (Study Group)Acetaminophen 500Mg Tabeach patient will receive oxycodone plus acetaminophen and naproxen for 2 weeks after surgery
Oxycodone+ Naproxen/Acetaminophen (Study Group)OxyCODONE 5 mg Oral Tableteach patient will receive oxycodone plus acetaminophen and naproxen for 2 weeks after surgery
Oxycodone+ Naproxen/Acetaminophen (Study Group)Naproxen 500 Mgeach patient will receive oxycodone plus acetaminophen and naproxen for 2 weeks after surgery
Oxycodone Group (Control Group)OxyCODONE 5 mg Oral TabletPatients will receive oxycodone as needed after surgery
Primary Outcome Measures
NameTimeMethod
Postoperative Pain14 days

With the use of an 11 point numeric rating scale (NRS) daily satisfaction with their pain regimen, patients pain level and medication usage will be recorded.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Rothman Orthopaedic Institute

🇺🇸

Philadelphia, Pennsylvania, United States

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