Researchers at Hospital for Special Surgery (HSS) have recognized gaps in affected person information about ache administration and opioid use earlier than complete hip alternative, together with misconceptions about how a lot ache reduction to anticipate from opioids after surgical procedure, how you can use a number of modes of ache reduction (multimodal analgesia) safely and successfully, and correct opioid storage and disposal. These findings have been introduced on the 2021 Spring American Society of Regional Anesthesia and Pain Medicine (ASRA) Annual Meeting.
“Patients who are not taught about opioids and pain management may have difficulty with pain control and worse functional outcomes after total joint replacement,” defined principal investigator Bradley Lee, MD, an anesthesiologist at HSS.
Dr. Lee and colleagues interviewed sufferers by way of a 15-minute telephone name to find out about their perceptions of ache administration and opioid use. Eligible sufferers included these between ages 18 and 80 present process total hip replacement who’re English-speaking with a studying comprehension above the eighth grade stage. Survey questions have been written by Dr. Lee in collaboration with members of the HSS Controlled Substances Task Force, an interdisciplinary committee centered on evidence-based opioid prescribing. Patients have been instructed to reply the inquiries to the perfect of their potential, and if uncertain to reply “I don’t know.”
Responses to the interviews revealed that whereas many sufferers acknowledge experiencing some ache after surgical procedure is regular and that opioids must be used to scale back ache that limits operate, many additionally believed that the purpose of opioid use must be to expertise minimal or no ache after surgical procedure, reflecting considerably inconsistent expectations.
Many sufferers have been conscious of the potential danger of habit from opioid use. However, many didn’t perceive the position of multimodal analgesia—that a number of types of ache reduction must be utilized in mixture to higher relieve ache, and that use of non-steroidal anti-inflammatory medicine (NSAIDs) can enhance ache after surgical procedure and cut back opioid use.
There have been additionally gaps in affected person understanding of opioid use and disposal. While many acknowledged the significance of retaining opioids away from kids, solely 15% acknowledged the significance of locking up these drugs. The researchers additionally discovered that about half of sufferers have been uncertain of how you can correctly get rid of opioids.
These outcomes present potential areas of affected person training that might enhance affected person expectations and satisfaction, ache reduction, and security. “Patients may benefit from clinicians providing a consistent message on pain expectations and the goal of using opioids after surgery to treat pain. Patients may also benefit from education about the role of multimodal analgesia, as well as proper methods of storage and disposal,” Dr. Lee famous.
“Future research should focus on educational interventions that address gaps in patients’ understanding of opioids and pain management. Research should seek to identify which interventions are effective and how they affect outcomes,” he concluded.
“Evaluating Patient Perceptions of Pain Management and Opioid Use Prior to Hip Arthroplasty.” epostersonline.com/ASRASPRING21/node/598
Hospital for Special Surgery
Knowledge gaps on opioid use after surgical procedure supply alternatives for bettering affected person training (2021, May 13)
retrieved 13 May 2021
This doc is topic to copyright. Apart from any honest dealing for the aim of personal research or analysis, no
half could also be reproduced with out the written permission. The content material is offered for data functions solely.