Should surgeons use arm restraints after cleft surgery?

Brett Michelotti, Ross E. Long, David Leber, Thomas Samson, Donald Mackay

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

BACKGROUND: Most cleft surgeons require children to wear postoperative arm restraints although the literature suggests that there is no difference in early complications. The aim of this study was to determine if the use of postoperative arm restraints was effective in preventing early postoperative complications. METHODS: We reviewed 120 consecutive primary cleft surgeries in which 1 surgeon used arm restraints in all patients and the other surgeon did not. Demographic information was obtained and complications were reviewed. We compared infection, fistula, and dehiscence between the 2 groups. RESULTS: In 120 primary cleft surgeries, there was no difference in early complications in patients who were required to wear arm restraints versus those who were not (P < 0.05). DISCUSSION: Arm restraints are unnecessary and may cause distress in both patients and their families. Eliminating arm restraints from cleft care would save the health care system an estimated $234,000 annually.

Original languageEnglish (US)
Pages (from-to)387-388
Number of pages2
JournalAnnals of plastic surgery
Volume69
Issue number4
DOIs
StatePublished - Oct 1 2012

Fingerprint

Fistula
Demography
Delivery of Health Care
Infection
Surgeons

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Michelotti, Brett ; Long, Ross E. ; Leber, David ; Samson, Thomas ; Mackay, Donald. / Should surgeons use arm restraints after cleft surgery?. In: Annals of plastic surgery. 2012 ; Vol. 69, No. 4. pp. 387-388.
@article{da2b1485b3e84a68840eabe1267d7c30,
title = "Should surgeons use arm restraints after cleft surgery?",
abstract = "BACKGROUND: Most cleft surgeons require children to wear postoperative arm restraints although the literature suggests that there is no difference in early complications. The aim of this study was to determine if the use of postoperative arm restraints was effective in preventing early postoperative complications. METHODS: We reviewed 120 consecutive primary cleft surgeries in which 1 surgeon used arm restraints in all patients and the other surgeon did not. Demographic information was obtained and complications were reviewed. We compared infection, fistula, and dehiscence between the 2 groups. RESULTS: In 120 primary cleft surgeries, there was no difference in early complications in patients who were required to wear arm restraints versus those who were not (P < 0.05). DISCUSSION: Arm restraints are unnecessary and may cause distress in both patients and their families. Eliminating arm restraints from cleft care would save the health care system an estimated $234,000 annually.",
author = "Brett Michelotti and Long, {Ross E.} and David Leber and Thomas Samson and Donald Mackay",
year = "2012",
month = "10",
day = "1",
doi = "10.1097/SAP.0b013e31824a4401",
language = "English (US)",
volume = "69",
pages = "387--388",
journal = "Annals of Plastic Surgery",
issn = "0148-7043",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

Should surgeons use arm restraints after cleft surgery? / Michelotti, Brett; Long, Ross E.; Leber, David; Samson, Thomas; Mackay, Donald.

In: Annals of plastic surgery, Vol. 69, No. 4, 01.10.2012, p. 387-388.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Should surgeons use arm restraints after cleft surgery?

AU - Michelotti, Brett

AU - Long, Ross E.

AU - Leber, David

AU - Samson, Thomas

AU - Mackay, Donald

PY - 2012/10/1

Y1 - 2012/10/1

N2 - BACKGROUND: Most cleft surgeons require children to wear postoperative arm restraints although the literature suggests that there is no difference in early complications. The aim of this study was to determine if the use of postoperative arm restraints was effective in preventing early postoperative complications. METHODS: We reviewed 120 consecutive primary cleft surgeries in which 1 surgeon used arm restraints in all patients and the other surgeon did not. Demographic information was obtained and complications were reviewed. We compared infection, fistula, and dehiscence between the 2 groups. RESULTS: In 120 primary cleft surgeries, there was no difference in early complications in patients who were required to wear arm restraints versus those who were not (P < 0.05). DISCUSSION: Arm restraints are unnecessary and may cause distress in both patients and their families. Eliminating arm restraints from cleft care would save the health care system an estimated $234,000 annually.

AB - BACKGROUND: Most cleft surgeons require children to wear postoperative arm restraints although the literature suggests that there is no difference in early complications. The aim of this study was to determine if the use of postoperative arm restraints was effective in preventing early postoperative complications. METHODS: We reviewed 120 consecutive primary cleft surgeries in which 1 surgeon used arm restraints in all patients and the other surgeon did not. Demographic information was obtained and complications were reviewed. We compared infection, fistula, and dehiscence between the 2 groups. RESULTS: In 120 primary cleft surgeries, there was no difference in early complications in patients who were required to wear arm restraints versus those who were not (P < 0.05). DISCUSSION: Arm restraints are unnecessary and may cause distress in both patients and their families. Eliminating arm restraints from cleft care would save the health care system an estimated $234,000 annually.

UR - http://www.scopus.com/inward/record.url?scp=84866622940&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84866622940&partnerID=8YFLogxK

U2 - 10.1097/SAP.0b013e31824a4401

DO - 10.1097/SAP.0b013e31824a4401

M3 - Article

VL - 69

SP - 387

EP - 388

JO - Annals of Plastic Surgery

JF - Annals of Plastic Surgery

SN - 0148-7043

IS - 4

ER -