{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:03:54Z","timestamp":1777662234789,"version":"3.51.4"},"reference-count":31,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T00:00:00Z","timestamp":1671580800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Regional anesthesia (\u201cblock\u201d) is an important component of upper extremity (UE) surgery pain control. However, little is known about patient experience related to perioperative opioid use. This study assessed patient-reported pain control and satisfaction with UE blocks and evaluated how opioid consumption impacted these outcomes before the block \u201cwore off.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A postoperative phone survey was administered to patients who underwent outpatient UE surgery at a surgery center for more than 16 months. It assessed pain scores (scale 1-10), satisfaction with block duration (scale 1-5), duration until return of UE function, and opioid consumption. Analyses used Mann-Whitney U tests, Fisher exact tests, and bivariate and multivariable linear and ordered logistic regressions to understand relationships between opioid use and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 509 patients (61%) completed the survey, and 441 (88%) were satisfied with block duration. Initial and final pain scores were significantly higher in patients who took opioids prior to the block wearing off (6 and 4.5, P = .04 and 3.5 and 2, P = .002, respectively). Although satisfaction with block duration was not different in group comparisons (ie, patients who premedicated vs those who did not), in a multivariable analysis, patients who premedicated with opioids had 78% increased odds of reporting the highest level of satisfaction compared with the lower 4 levels ( P = .03).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Upper extremity blocks are associated with high overall patient satisfaction and postsurgical pain control. Premedicating before the block wears off may increase patient satisfaction with block duration even if pain is not notably impacted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15589447221141482","type":"journal-article","created":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T23:51:22Z","timestamp":1671666682000},"page":"555-561","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Pain Control and Satisfaction With Peripheral Nerve Blocks for Upper Extremity Surgery"],"prefix":"10.1177","volume":"19","author":[{"given":"Caroline M.","family":"Wu","sequence":"first","affiliation":[{"name":"Georgetown University School of Medicine, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cyril S.","family":"Gary","sequence":"additional","affiliation":[{"name":"The Curtis National Hand Center, Baltimore, MD, USA"},{"name":"MedStar Georgetown University Hospital, Washington, DC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin E.","family":"Karim","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kavya K.","family":"Sanghavi","sequence":"additional","affiliation":[{"name":"The Curtis National Hand Center, Baltimore, MD, USA"},{"name":"MedStar Health Research Institute, Hyattsville, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael S.","family":"Murphy","sequence":"additional","affiliation":[{"name":"The Curtis National Hand Center, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. Todd","family":"Hobelmann","sequence":"additional","affiliation":[{"name":"The Johns Hopkins Hospital, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7688-957X","authenticated-orcid":false,"given":"Aviram M.","family":"Giladi","sequence":"additional","affiliation":[{"name":"The Curtis National Hand Center, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,12,21]]},"reference":[{"key":"bibr1-15589447221141482","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2019.10.002"},{"key":"bibr2-15589447221141482","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2011.05.016"},{"key":"bibr3-15589447221141482","doi-asserted-by":"publisher","DOI":"10.1053\/rapm.2001.22257"},{"key":"bibr4-15589447221141482","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-22146-7"},{"key":"bibr5-15589447221141482","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-200408000-00028"},{"key":"bibr6-15589447221141482","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-019-0789-4"},{"key":"bibr7-15589447221141482","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2017.09.007"},{"key":"bibr8-15589447221141482","doi-asserted-by":"publisher","DOI":"10.1097\/j.pain.0000000000000654"},{"key":"bibr9-15589447221141482","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2016.08.041"},{"key":"bibr10-15589447221141482","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinane.2009.02.010"},{"key":"bibr11-15589447221141482","doi-asserted-by":"publisher","DOI":"10.1097\/AAP.0000000000000038"},{"key":"bibr12-15589447221141482","doi-asserted-by":"publisher","DOI":"10.1016\/s0749-8063(05)80425-6"},{"key":"bibr13-15589447221141482","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.07.016"},{"issue":"6","key":"bibr14-15589447221141482","first-page":"498","volume":"20","author":"De 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