Analgesia, Arthroscopy, Shoulder Joint
Conditions
Keywords
multimodal analgesia, quality of recovery, quality of pain management
Brief summary
This proposal aims to measure the quality of recovery and quality of pain management after shoulder surgery before and after implementation of a multimodal pain protocol.
Detailed description
Pain management after shoulder surgery remains to be a major challenge. Reliance on a single agent (most commonly opioids) results in increased incidence of side effects. Multimodal pain management refers to the use of multiple drugs that target different components of pain pathway.
Interventions
COMBINATION_PRODUCTmultimodal perioperative pain protocol (MP3)
administration of gabapentionoid, acetaminophen, non steroidal anti-inflammatory drugs around the clock in addition to the peripheral nerve block offered before surgery
Sponsors
University of Pennsylvania
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Adult patients * Age 18-80 * Speaks and understands the English language * Have a phone number * Scheduled for shoulder arthroscopy
Exclusion criteria
* Inability to read or speak English * Individuals outside of age range * Pregnant women * Persons under the jurisdiction of the Department of Corrections
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| QOR-9 | 24 hours | quality of recovery score using the QOR-9 instrument: it is a 9 item questionnaire with each question scoring from 0,1,2 with a total highest possible score of 18 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| quality of pain management | 24 and 48 hours | quality of pain management was measured using the revised american pain society patient oriented outcome questionnaire (APS-POQ-R). The questionnaire measures quality of pain management in 5 domains: 1- pain intensity 2- pain interference with activity and sleep 3- emotional side effects of uncontrolled pain ( affective scale). 4- patient perception of their pain management 5-side effects of pain treatment some questions answers are on a scale from 0-10. Ten is the maximum score and zero is the minimum score. other questions are listed as percentage with increments of 10% at a time (0%,10%, 20%, 30%..etc). each item/question is reported individually |
| amount of opioids | 24, 48 and 72 hours after surgery | amount of opioids used converted to mg equivalent of oxycodone |
| QOR-9 | at 48 hours and 72 hours | quality of recovery score using the QOR-9 instrument: it is a 9 item questionnaire with each question scoring from 0,1,2 with a total highest possible score of 18 |
Outcome results
None listed