Challenges of perioperative pain control in opioid use disorder patients following intramedullary nail fixation.

IF 1.2 Q3 SURGERY

Journal of perioperative practice Pub Date : 2024-08-13 DOI:10.1177/17504589241262891

William Curtis, Eric Kruger, Damian Fountain, Tyler Chavez, Gehron Treme

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引用次数: 0

Abstract

Background: Outcomes of patients with opioid use disorder undergoing elective procedures have been well studied, but research is lacking in the orthopaedic trauma population.

Aim: The aim was to compare perioperative pain and morphine equivalents required by patients with versus without opioid use disorder following intramedullary nail fixation of femoral or tibial fractures.

Methods: We conducted a retrospective review of all patients with isolated femoral or tibial diaphyseal fractures treated with intramedullary nail fixation. Outcomes were compared between patients with diagnosed opioid use disorder and controls without, including daily morphine equivalents and patient-reported pain scores.

Results: Patients with opioid use disorder (n = 42) required greater morphine equivalents and reported higher pain than controls (n = 42) at all time points but did not differ in change of morphine equivalents over the perioperative period.

Conclusion: This highlights the challenge of perioperative pain control in this population and need for improved specific pain management protocols.

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髓内钉固定术后阿片类药物使用障碍患者围手术期疼痛控制的挑战。

背景：目的：本研究旨在比较股骨或胫骨骨折髓内钉固定术后有阿片类药物使用障碍与无阿片类药物使用障碍患者的围手术期疼痛和吗啡当量需求：我们对所有接受髓内钉固定治疗的孤立性股骨或胫骨骺端骨折患者进行了回顾性研究。比较了确诊有阿片类药物使用障碍的患者和无阿片类药物使用障碍的对照组的治疗结果，包括每日吗啡当量和患者报告的疼痛评分：有阿片类药物使用障碍的患者（42 人）在所有时间点上都比对照组（42 人）需要更多的吗啡当量并报告更高的疼痛，但在围手术期吗啡当量的变化上没有差异：结论：这突显了围手术期疼痛控制在这一人群中面临的挑战，以及改进特定疼痛管理方案的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of perioperative practice Nursing-Medical and Surgical Nursing

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： The Journal of Perioperative Practice (JPP) is the official journal of the Association for Perioperative Practice (AfPP). It is an international, peer reviewed journal with a multidisciplinary ethos across all aspects of perioperative care. The overall aim of the journal is to improve patient safety through informing and developing practice. It is an informative professional journal which provides current evidence-based practice, clinical, management and educational developments for practitioners working in the perioperative environment. The journal promotes perioperative practice by publishing clinical research-based articles, literature reviews, topical discussions, advice on clinical issues, current news items and product information.