A Prospective, Randomized, Double-Blinded Controlled Trial Comparing Ibuprofen and Acetaminophen Versus Hydrocodone and Acetaminophen for Soft Tissue Hand Procedures

Abstract

The Journal of Hand Surgery will contain at least 2 clinically relevant articles selected by the editor to be offered for CME in each issue. For CME credit, the participant must read the articles in print or online and correctly answer all related questions through an online examination. The questions on the test are designed to make the reader think and will occasionally require the reader to go back and scrutinize the article for details. The JHS CME Activity fee of $15.00 includes the exam questions/answers only and does not include access to the JHS articles referenced. Statement of Need: This CME activity was developed by the JHS editors as a convenient education tool to help increase or affirm reader's knowledge. The overall goal of the activity is for participants to evaluate the appropriateness of clinical data and apply it to their practice and the provision of patient care. Accreditation: The American Society for Surgery of the Hand (ASSH) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. AMA PRA Credit Designation: The ASSH designates this Journal-Based CME activity for a maximum of 1.00 AMA PRA Category 1 Creditsä. Physicians should claim only the credit commensurate with the extent of their participation in the activity. ASSH Disclaimer: The material presented in this CME activity is made available by the ASSH for educational purposes only. This material is not intended to represent the only methods or the best procedures appropriate for the medical situation(s) discussed, but rather it is intended to present an approach, view, statement, or opinion of the authors that may be helpful, or of interest, to other practitioners. Examinees agree to participate in this medical education activity, sponsored by the ASSH, with full knowledge and awareness that they waive any claim they may have against the ASSH for reliance on any information presented. The approval of the US Food and Drug Administration (FDA) is required for procedures and drugs that are considered experimental. Instrumentation systems discussed or reviewed during this educational activity may not yet have received FDA approval.

Narcotic-Free, Over-the-Counter Pain Management After Wide-Awake Hand Surgery

“…14 This trend led several surgical fields to question the necessity of postoperative opioids in outpatient surgery including breast surgery, hernia repair, and laparoscopic cholecystectomy. 7…”

“…1,3–5 The greatest consumption happens on day 0 and postoperative day 1, and the median for total days of consumption is 2 to 5 days. 2,6,7…”

“…1,3–5 Several studies have challenged the necessity of routine prescription of opioids after a variety of hand surgeries. 2–4,6,7 Current literature suggests that patients undergoing hand surgery consume 10 or fewer doses of analgesics irrespective of what the analgesic is. 2–4,6789 Opioids and non-narcotic analgesics provide equivalent pain control for soft-tissue hand surgery.…”

“…2–4,6,7 Current literature suggests that patients undergoing hand surgery consume 10 or fewer doses of analgesics irrespective of what the analgesic is. 2–4,6789 Opioids and non-narcotic analgesics provide equivalent pain control for soft-tissue hand surgery. 6,7…”

“…2–4,6789 Opioids and non-narcotic analgesics provide equivalent pain control for soft-tissue hand surgery. 6,7…”