Perioperative Pain Control in Upper Extremity Surgery: Prescribing Patterns, Recent Developments, and Opioid-Sparing Treatment Strategies

Hand : Official Journal of the American Association for Hand Surgery
Joseph T Labrum, Asif M Ilyas

Abstract

Background: Perioperative pain management in hand and upper extremity surgery has become increasingly challenging following recent efforts to accelerate postoperative recovery, decrease length of stay, and maximize the number and complexity of surgical interventions provided in an ambulatory setting. This issue has been further complicated by the growing opioid epidemic in the United States and increasing insights into its detrimental effects on society. Practicing hand surgeons must acknowledge this ongoing public health crisis and adapt their clinical practices to minimize and optimize distribution of prescription opioids. Methods/Results: This review outlines current opioid prescribing patterns, recent developments, and treatment strategies designed to maintain effective perioperative analgesia in orthopedic upper extremity surgery while minimizing opioid delivery available for diversion, misuse, and abuse. Conclusions: The authors advise hand surgeons to utilize the strategies discussed in this review to assist in forming a unique, patient-specific postoperative analgesic regimen.

References

Jul 27, 2001·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·S SaiT Nemoto
Mar 15, 2005·Anesthesiology Clinics of North America·Girish P Joshi, Babatunde O Ogunnaike
May 7, 2010·The Journal of Pain : Official Journal of the American Pain Society·Lynn R Webster, Perry G Fine
Dec 24, 2010·The Clinical Journal of Pain·Ryan N HansenSean D Sullivan
Apr 7, 2011·JAMA : the Journal of the American Medical Association·Nora D VolkowSusan R B Weiss
Mar 14, 2012·The Journal of Hand Surgery·Jeffrey RodgersEdward Finnerty
Mar 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Chris Hyunchul JoJin Huh
Mar 22, 2014·The Journal of Bone and Joint Surgery. American Volume·Gijs T T HelmerhorstDavid Ring
Apr 26, 2015·The Journal of the American Academy of Orthopaedic Surgeons·Brent J Morris, Hassan R Mir
Jun 5, 2015·The Orthopedic Clinics of North America·Constantinos KetonisFrederic Liss
Dec 15, 2015·Journal of Shoulder and Elbow Surgery·Brent J MorrisT Bradley Edwards
Oct 4, 2016·The Journal of Hand Surgery·Shepard P JohnsonJennifer F Waljee
Jan 14, 2017·Hand : Official Journal of the American Association for Hand Surgery·Talia ChapmanAsif M Ilyas
Jul 25, 2017·Journal of Shoulder and Elbow Surgery·Jonathan W CheahAlan L Zhang

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Citations

Oct 31, 2020·Hand : Official Journal of the American Association for Hand Surgery·Mark Henry
Jun 18, 2021·JSES International·Corey C SpencerEric R Wagner

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