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Multimodal Pain Management After Wide Awake Local Anesthesia No Tourniquet Orthopedic Hand Surgery: A Randomized Control Trial
Sponsor: University of Puerto Rico
Summary
The main objective of the study is to measure the efficacy of a multimodal postoperative pain regimen consisting of oral acetaminophen and naproxen compared to a traditional opioid-only pain regimen following elective wide awake local anesthesia no tourniquet (WALANT) hand surgery in a Hispanic population. The study is a randomized control trial comparing the clinical outcomes of patients undergoing elective WALANT hand surgery performed by a board-certified, fellowship-trained orthopedic hand surgeon (Dr. Christian A. Foy). The study groups are: * Control group: standard pain control with opioids * Experimental group: multimodal non-opioid pain control Study Outcomes are: * VAS pain scores (7 days), * Total opioid usage * Patient satisfaction * Adverse events We hypothesize that patients receiving multimodal pain regimens will report lower opioid use, lower pain scores, and greater satisfaction than patients receiving traditional opioid-only pain management.
Key Details
Gender
All
Age Range
21 Years - 70 Years
Study Type
INTERVENTIONAL
Enrollment
100
Start Date
2025-05-01
Completion Date
2025-12-01
Last Updated
2025-04-08
Healthy Volunteers
No
Conditions
Interventions
Oxycodone 5mg taken first
10 pills of 5mg oxycodone Q4hrs as needed
Acetaminophen
30 pills of 500mg acetaminophen Q4hrs
Naproxen Tablets, 500 mg
30 pills of 500mg naproxen Q4hrs
OxyCODONE 5 mg Oral Tablet
Only used for breakthrough pain
Locations (1)
Oncological Hospital
San Juan, PR, Puerto Rico