129 Development of a Post-Op Analgesic Regimen for Patients Undergoing Local Anaesthetic Hand Trauma Surgery

Abstract Aim Post-operative pain was a recurrent issue reported at the dressing clinic following local anaesthetic (LA) hand surgery our regional centre. In absence of protocol, we aimed to standardise advice and analgesic prescriptions LA observe whether could be more optimally managed. Method cycle 1, day 1 7 scores were recorded for ∼30 patients using validated visual analogue scale (VAS). 2, an analgesia leaflet standardised prescription provided, same data points collected, with addition 0 (evening surgery). Results Cycle revealed generally high (M = 5.91/10). Day considered acceptable 2.16). There no significant difference in when compared fracture fixation soft tissue (p= 0.64), prescribed codeine versus those paracetamol alone (p 0.53). Most provided did not co-administer ibuprofen (n 14, 70%). A large proportion only taking PRN rather than regularly prophylaxis (n=12, 43.75%). all 30–60mg QDS leaflet. (3.43) significantly lower 2 < .00001). Conclusions Codeine, taken correctly can effective managing post-operatively patients. Information sheets means facilitating this.