Regional anesthesia improves inpatient but not outpatient opioid demand in tibial shaft fracture surgery.

Autor: Cunningham D; Department of Orthopaedic Surgery, Duke University Medical Center, 200 Trent Drive, Durham, NC, 27710, USA., LaRose M; Duke University School of Medicine, Duke University Medical Center, 3710, Durham, NC, 27710, USA., Patel P; Duke University School of Medicine, Duke University Medical Center, 3710, Durham, NC, 27710, USA., Zhang G; Duke University School of Medicine, Duke University Medical Center, 3710, Durham, NC, 27710, USA., Morriss N; Duke University School of Medicine, Duke University Medical Center, 3710, Durham, NC, 27710, USA. nicholasjmorriss@gmail.com., Paniagua A; Duke University School of Medicine, Duke University Medical Center, 3710, Durham, NC, 27710, USA., Gage M; Department of Orthopaedic Surgery, Duke University Medical Center, 200 Trent Drive, Durham, NC, 27710, USA.
Jazyk: angličtina
Zdroj: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie [Eur J Orthop Surg Traumatol] 2023 Oct; Vol. 33 (7), pp. 2921-2931. Date of Electronic Publication: 2023 Mar 13.
DOI: 10.1007/s00590-023-03504-2
Abstrakt: Background: Patients undergoing operative treatment of tibial shaft fractures have considerable pain largely managed with opioids. Regional anesthesia (RA) has been increasingly used to reduce perioperative opioid use.
Methods: This was a retrospective study of 426 patients that underwent operative treatment of tibial shaft fractures with and without RA. Inpatient opioid consumption and 90-day outpatient opioid demand were measured.
Results: RA significantly decreased inpatient opioid consumption for 48 h post-operatively (p = 0.008). Neither inpatient use after 48 h nor outpatient opioid demand differed in patients with RA (p > 0.05).
Conclusions: RA may help with inpatient pain control and reduce opioid use in tibial shaft fracture.
Level of Evidence: Level III, retrospective, therapeutic cohort study.
(© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
Databáze: MEDLINE
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