Key result
Regional anesthesia did not significantly differ from general anesthesia in total opioid equivalent consumption over the first 3 postoperative days (median 60 mg vs 85 mg; p=0.1).
Why the study?
Most patients undergoing day surgery for distal radial fractures receive general or regional anesthesia, but the impact of anesthesia method on postoperative opioid consumption during the first 3 days was unclear.
Does regional anesthesia reduce total opioid equivalent consumption during the first 3 postoperative days compared to general anesthesia in patients undergoing day surgery for distal radial fracture?
Population
88 patients aged 18 to 74 years undergoing day surgery for displaced distal radial fracture
Comparison
Regional anesthesia with supraclavicular brachial plexus blockade vs general anesthesia
Design
Single-center randomized clinical trial
Follow-up
Up to 6 months
Authors
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RA may reduce early opioid use after distal radius repair; hypothesis-generating, needs larger trials before practice change.
RCT (n=88)
randomized
No
Does regional anesthesia reduce total opioid equivalent consumption during the first 3 postoperative days compared to general anesthesia in patients undergoing day surgery for distal radial fracture?
Absolute Event Rate: 60% vs 85%
p-value: p=0.1
Regional anesthesia alters early postoperative pain and opioid consumption patterns compared to general anesthesia, but does not significantly reduce total opioid consumption over the first 3 days or improve long-term functional outcomes.
Rundgren et al. (2019) conducted an RCT in Displaced distal radial fracture (n=88). Regional anesthesia (RA) vs. General anesthesia (GA) was evaluated on Total opioid equivalent consumption (OEC) during the first 3 postoperative days (72 hours) (p=0.1). Regional anesthesia did not significantly differ from general anesthesia in total opioid equivalent consumption over the first 3 postoperative days (median 60 mg vs 85 mg; p=0.1).
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