Pain, Postoperative, Radius Fracture Distal
Conditions
Brief summary
This randomized controlled trial will test the hypothesis that patients receiving an intraoperative auricular acupuncture protocol will require less postoperative opioid analgesic use compared to those who do not receive acupuncture in the setting of a multimodal analgesic protocol for patients receiving surgery to repair distal radius fractures at a Level 1 trauma center under brachial plexus anesthesia with sedation.
Interventions
Electroacupuncture
Sponsors
Study design
Masking description
The patients will be under sedation in the operating room and will not be aware of which treatment group they are in. The PACU team and outcomes assessor will not be aware of patient group assignment.
Intervention model description
Randomized controlled trial Group 1 - acupuncture treatment Group 2 - no acupuncture treatment 70 patients per group
Eligibility
Inclusion criteria
* Patient ages 18-64 * American Society of Anesthesiologists Physical Status 1, 2, or 3 * Patients scheduled to undergo distal radius ORIF under brachial plexus nerve block
Exclusion criteria
* Renal dysfunction (Serum Cr \> 1.2) - excluded due to potential for altered metabolism of anesthetic and perioperative medications * Allergy to any of the standard anesthetic agents * Patient inability to properly communicate with investigators * Patient or surgeon refusal
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total opioid analgesic use for 14 days after surgery | 14 days | Total opioid given in hospital and taken at home, converted to oral morphine equivalents |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain scores | 14 days | Pain scores in PACU and at the 7 and 14 day mark post surgery |
| Incidence of side effects associated with opioid use | 14 days | PONV, pruritus, headache, constipation, urinary retention, fatigue, difficulty with concentration, drowsiness, lightheadedness, dry mouth |
Countries
United States
Contacts
Baylor College of Medicine