Overview

Minimizing Narcotic Analgesics After Endocrine Surgery

Status:
Completed
Trial end date:
2020-10-02
Target enrollment:
0
Participant gender:
All
Summary
This research is being done to better understand and test if the investigators can minimize narcotic medication for controlling pain after thyroid or parathyroid surgery. This research will be performed at Doctors Hospital At Renaissance in the investigators clinic and the perioperative area. Participants will be randomly chosen to receive one of two options for pain management that the investigators are already using in the care of patients after surgery. One option includes a narcotic medication and one option includes a non-narcotic and a narcotic as needed. Participants will be asked to complete a form about the level of pain and how much pain medication was needed after surgery in the hospital and while at home. Participants will not have to do any additional visits to participate in this study. The investigators will obtain the research materials at the same time as the usual care visits around the participants' surgery.
Phase:
Phase 4
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Minerva A Romero Arenas
Minerva Romero Arenas, MD, MPH
Treatments:
Acetaminophen
Analgesics
Codeine
Narcotics
Tramadol
Criteria
Inclusion Criteria:

1. Adult patients 18 years of age or older,

2. Who are undergoing thyroid or parathyroid surgery at DHR by an Endocrine Surgery
faculty member,

3. Provide informed consent to participate in the study in English or Spanish,

4. Patients will be included if they are discharged the same day or on postoperative day
1,

5. Patients who undergo central lymphadenectomy will be included,

6. Patients who undergo two operations within a 2-week period (for example a thyroid
lobectomy followed by subsequent completion thyroidectomy) will only have the
postoperative narcotic requirements following the initial operation included for the
study analysis.

7. Patients who have a complication, such as seroma or hematoma, requiring return to the
operating room within 48 hours will be included in the study for the initial operation
only.

Exclusion Criteria:

1. Patients who undergo lateral neck lymph node dissection will be excluded from the
study due to the extent of the operation requiring a different analgesic regimen;

2. Patients allergic to any of the study drugs will be ineligible;

3. Patients who undergo two operations within a 2-week period (for example a thyroid
lobectomy followed by subsequent completion thyroidectomy) will only have the initial
operation included for the study analysis.

4. Patients with a formal diagnosis of hepatic failure will be ineligible

5. Patients with any diagnosis of chronic pain requiring treatment with ongoing narcotic
regimen will be ineligible