Journal of the American College of Surgeons
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Randomized Controlled Trial Comparative Study
Cluster-Randomized Trial of Opiate-Sparing Analgesia after Discharge from Elective Hip Surgery.
Surgeons have traditionally relied on opiates after hip replacement, despite a growing epidemic of abuse. This study assessed the efficacy of multimodal analgesia and impact of conservative opiate prescribing after discharge from hip surgery. ⋯ Multimodal analgesia with minimal opiates improved pain control while significantly decreasing opiate use and opiate-related adverse effects. It is time to rethink our reliance on opiates after elective operations.