Methods to reduce opioid use during surgical treatment of pediatric supracondylar fractures - a pilot study.

Injury
Kelvin KimWilliam Hennrikus

Abstract

The current opioid epidemic is a national problem and an increasing concern for pediatric orthopedic patients. The utilization of non-opioid pain methods may help improve the over-prescribing and overuse of opioid medications. The present study is a pain medication usage study that aims to investigate the effects of an intraoperative bupivacaine (BP) fracture injection and IV paracetamol on postoperative opioid consumption when treating supracondylar fractures of the humerus in children. The study was approved by the college of medicine's institutional review board (IRB). Forty-two patients treated for a type-III supracondylar extension-type fracture of the humerus by 2 surgeons were reviewed. Two cohorts (n = 21) were compared based on whether patients received an intraoperative fracture injection of BP. A sub-analysis was performed among the BP cohort by stratifying patients who received only BP and patients who received BP and intraoperative IV paracetamol. Data variables evaluated included baseline patient characteristics and postoperative inpatient analgesic use. The BP cohort received a lesser number of opioid doses during the total postoperative hospital stay (2.1 ± 1.8 versus 3.6 ± 2.5; p = 0.031) as well as average mor...Continue Reading

References

Mar 1, 1995·The Journal of Bone and Joint Surgery. American Volume·W L HennrikusC E Klingelberger
Jan 18, 2006·The Journal of Pain : Official Journal of the American Pain Society·Larry F ChuMartin S Angst
May 24, 2006·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Andrea D FurlanEldon Tunks
Jun 27, 2008·Journal of Neurosurgical Anesthesiology·Turkay CakanHulya Başar
Jun 19, 2012·Journal of Pediatric Orthopedics·Christopher E SwansonMartin J Herman
May 8, 2016·American Journal of Public Health·Jerome AdamsJohn H Armstrong
Jul 12, 2016·The American Journal of Drug and Alcohol Abuse·Allison TadrosDanielle M Davidov
Dec 30, 2016·MMWR. Morbidity and Mortality Weekly Report·Rose A RuddLawrence Scholl

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