Preoperative Video-Based Opioid Counselling on Postoperative Opioid Consumption After TKA .
The Efficacy of Preoperative Video-Based Opioid Counseling on Postoperative Opioid Consumption After Total Knee Arthroplasty: A Prospective Randomized Controlled Trial.
J Arthroplasty . 2024 Aug;39(8S1):S143-S147.Ninety-three patients undergoing total knee arthroplasty were randomized to receive either preoperative video-based opioid counseling (n=50) or no such intervention (n=43). The primary outcome of interest was postoperative opioid consumption in morphine milligram equivalents (MMEs). Secondary outcomes included pain levels, opioid-related side effects, and patient satisfaction with pain control. Outcomes were assessed at postoperative days (POD) 3, 7, and 14. Overall, the study revealed that patients in the video group consumed significantly fewer opioids in the first week postoperatively. The findings suggest that preoperative video education may reduce early opioid consumption without affecting reported pain levels or side effects.
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