Opioid Prescribing Patterns of Foot and Ankle Surgeons: Single State Review.

Autor: Vesely BD; Resident Physician, Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC. Electronic address: bdvesely@wakehealth.edu., Bonvillian JP; Attending Physician, Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC., King MA; Resident Physician, Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC., Kim ST; Attending Physician, Department of Anesthesia, Wake Forest Baptist Medical Center, Winston-Salem, NC., Gangopadhyay P; Assistant Professor, Department of Orthopaedic Surgery, Wake Forest Medical Center, Winston-Salem, NC., Blazek CD; Attending Physician, Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, NC.
Jazyk: angličtina
Zdroj: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons [J Foot Ankle Surg] 2022 Sep-Oct; Vol. 61 (5), pp. 1071-1075. Date of Electronic Publication: 2022 Jan 23.
DOI: 10.1053/j.jfas.2022.01.022
Abstrakt: The United States is currently in an opioid crisis. In order improve the amount of misuse and overdoses from opioids, some institutions have begun to create protocols based off of state and federal opioid prescription regulations. Our purpose is to analyze the current opioid prescribing patterns in foot and ankle surgery and create an institutional protocol. A survey on current opioid prescribing patterns based on the podiatric surgery was sent out from November 20, 2020 to January 11, 2021 to all members of the North Carolina Foot and Ankle Society. One-hundred surgeons participated in the survey. The most commonly prescribed postoperative pain medication was Hydrocodone/acetaminophen 5 mg/325 mg and the most common quantity was between 21 and 30 tablets. The most common medication for local blocks reported was bupivacaine and lidocaine mixed performed as a block closest to the surgical site. We recommend creating an institutional based opioid protocol for foot and ankle surgeries based off of the procedure performed by the surgeon. We recommend limiting prescriptions to under 30 tablets and utilizing a local or regional pain block for podiatric surgeries.
(Copyright © 2022 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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