Matches in SemOpenAlex for { <https://semopenalex.org/work/W3124767609> ?p ?o ?g. }
Showing items 1 to 82 of
82
with 100 items per page.
- W3124767609 endingPage "e34" @default.
- W3124767609 startingPage "e34" @default.
- W3124767609 abstract "The opioid epidemic has increased concerns about the safety of opioids and the appropriate management of pain with opioid medications. The purpose of this study was to to determine if postsurgical pain following common orthopedic sports procedures could be managed effectively with a nonnarcotic multimodal analgesic protocol. We performed a prospective study evaluating a novel multimodal non-opioid pain protocol in all patients undergoing common orthopedic sports procedures by a single sports surgeon from May 2018 to December 2018. The non-opioid pain protocol consisted of preoperative analgesics, intraoperative local infiltration analgesia, and a postoperative pain regimen. Patient pain levels were reported at 1 week postoperatively using the visual analogue scale and rescue opioids (oxycodone 5 mg) used were recorded and converted to morphine equivalents. A total of 141 patients were included. The average age of patients included was 37.8 ± 18.9 years, the average body mass index was 29.3 ± 7.1 kg/m2, and 66.0% of the patients were male. Forty-nine patients underwent anterior cruciate ligament reconstruction, 49 patients underwent arthroscopic meniscectomy, 27 patients underwent rotator cuff repair and 16 patients underwent arthroscopic labral repair. One week following surgery patients reported a mean visual analogue scale level of 3.1 ± 2.3 and required on average 2.6 ± 3.6 breakthrough oxycodone pills (5 mg), correlating to 8.6 ± 12.0 morphine equivalents. Forty-five percent of patients did not require any breakthrough narcotics and reported satisfaction with pain management. Patients who required opioids were more likely to have a history of anxiety/depression (44.2% vs. 23.8%, P = .012) and reported higher pain scores as compared to non-users (3.94 ± 2.5 vs. 2.41 ± 1.75, P = .016). Patients undergoing a meniscus procedure were more likely to not require opioids, whereas patients undergoing rotator cuff repair or a labral repair were found to require more opioids postoperatively; P = .002. The most common side effect of the pain protocol was feeling drowsy (23.5%). All patients were satisfied with their pain management postoperatively. Our study found that a novel multimodal non-opioid pain protocol was effective in managing postoperative pain following common orthopedic sports procedures. Patients were found to have low levels of pain, require minimal rescue opioids and had no severe complications while using the protocol. Requirement of opioids postoperatively was found to be associated with pain level, procedure type and psychiatric diagnosis. These results suggest a non-opioid alternative to pain management following common orthopedic sports procedures." @default.
- W3124767609 created "2021-02-01" @default.
- W3124767609 creator A5024537786 @default.
- W3124767609 creator A5030689450 @default.
- W3124767609 creator A5054183061 @default.
- W3124767609 creator A5063448018 @default.
- W3124767609 creator A5078428679 @default.
- W3124767609 creator A5078879328 @default.
- W3124767609 creator A5086256558 @default.
- W3124767609 creator A5087932568 @default.
- W3124767609 date "2021-01-01" @default.
- W3124767609 modified "2023-09-24" @default.
- W3124767609 title "Can We Eliminate Opioids After Common Orthopedic Sports Procedures? A Novel Multimodal Pain Protocol" @default.
- W3124767609 doi "https://doi.org/10.1016/j.arthro.2020.12.065" @default.
- W3124767609 hasPublicationYear "2021" @default.
- W3124767609 type Work @default.
- W3124767609 sameAs 3124767609 @default.
- W3124767609 citedByCount "1" @default.
- W3124767609 countsByYear W31247676092021 @default.
- W3124767609 crossrefType "journal-article" @default.
- W3124767609 hasAuthorship W3124767609A5024537786 @default.
- W3124767609 hasAuthorship W3124767609A5030689450 @default.
- W3124767609 hasAuthorship W3124767609A5054183061 @default.
- W3124767609 hasAuthorship W3124767609A5063448018 @default.
- W3124767609 hasAuthorship W3124767609A5078428679 @default.
- W3124767609 hasAuthorship W3124767609A5078879328 @default.
- W3124767609 hasAuthorship W3124767609A5086256558 @default.
- W3124767609 hasAuthorship W3124767609A5087932568 @default.
- W3124767609 hasBestOaLocation W31247676091 @default.
- W3124767609 hasConcept C126322002 @default.
- W3124767609 hasConcept C141071460 @default.
- W3124767609 hasConcept C14184104 @default.
- W3124767609 hasConcept C170493617 @default.
- W3124767609 hasConcept C188816634 @default.
- W3124767609 hasConcept C2776029756 @default.
- W3124767609 hasConcept C2776511800 @default.
- W3124767609 hasConcept C2777389121 @default.
- W3124767609 hasConcept C2778434673 @default.
- W3124767609 hasConcept C2780820201 @default.
- W3124767609 hasConcept C2780887989 @default.
- W3124767609 hasConcept C2781063702 @default.
- W3124767609 hasConcept C2781413609 @default.
- W3124767609 hasConcept C42219234 @default.
- W3124767609 hasConcept C68312169 @default.
- W3124767609 hasConcept C71924100 @default.
- W3124767609 hasConceptScore W3124767609C126322002 @default.
- W3124767609 hasConceptScore W3124767609C141071460 @default.
- W3124767609 hasConceptScore W3124767609C14184104 @default.
- W3124767609 hasConceptScore W3124767609C170493617 @default.
- W3124767609 hasConceptScore W3124767609C188816634 @default.
- W3124767609 hasConceptScore W3124767609C2776029756 @default.
- W3124767609 hasConceptScore W3124767609C2776511800 @default.
- W3124767609 hasConceptScore W3124767609C2777389121 @default.
- W3124767609 hasConceptScore W3124767609C2778434673 @default.
- W3124767609 hasConceptScore W3124767609C2780820201 @default.
- W3124767609 hasConceptScore W3124767609C2780887989 @default.
- W3124767609 hasConceptScore W3124767609C2781063702 @default.
- W3124767609 hasConceptScore W3124767609C2781413609 @default.
- W3124767609 hasConceptScore W3124767609C42219234 @default.
- W3124767609 hasConceptScore W3124767609C68312169 @default.
- W3124767609 hasConceptScore W3124767609C71924100 @default.
- W3124767609 hasIssue "1" @default.
- W3124767609 hasLocation W31247676091 @default.
- W3124767609 hasOpenAccess W3124767609 @default.
- W3124767609 hasPrimaryLocation W31247676091 @default.
- W3124767609 hasRelatedWork W1848249675 @default.
- W3124767609 hasRelatedWork W2015229352 @default.
- W3124767609 hasRelatedWork W202094455 @default.
- W3124767609 hasRelatedWork W2071849976 @default.
- W3124767609 hasRelatedWork W2076138499 @default.
- W3124767609 hasRelatedWork W2079969352 @default.
- W3124767609 hasRelatedWork W2093056672 @default.
- W3124767609 hasRelatedWork W2332104889 @default.
- W3124767609 hasRelatedWork W2478201500 @default.
- W3124767609 hasRelatedWork W3012154540 @default.
- W3124767609 hasVolume "37" @default.
- W3124767609 isParatext "false" @default.
- W3124767609 isRetracted "false" @default.
- W3124767609 magId "3124767609" @default.
- W3124767609 workType "article" @default.