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Should surgeons use arm restraints after cleft surgery?

Brett Michelotti1, Ross E Long, David Leber

  • 1Pennsylvania State University, Milton S. Hershey Medical Center, Hershey, PA 17033, USA. bmichelotti@hmc.psu.edu

Annals of Plastic Surgery
|September 12, 2012
PubMed
Summary
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Postoperative arm restraints are not effective in preventing early complications after cleft surgery. Eliminating their use in cleft care can save healthcare costs and reduce patient distress.

Area of Science:

  • Cleft lip and palate surgery
  • Pediatric surgical outcomes
  • Postoperative care protocols

Background:

  • Cleft surgeons commonly use arm restraints post-surgery.
  • Existing literature shows no difference in early complications with or without restraints.

Purpose of the Study:

  • To evaluate the effectiveness of arm restraints in preventing early postoperative complications in cleft surgery.

Main Methods:

  • Retrospective review of 120 primary cleft surgeries.
  • Comparison of complication rates (infection, fistula, dehiscence) between patients with and without arm restraints.
  • Data collected from two surgeons with differing restraint protocols.

Main Results:

  • No statistically significant difference in early complications was observed between the two groups (P<0.05).

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  • Arm restraints did not prevent infection, fistula, or dehiscence.

    • Conclusions:

    • Arm restraints are unnecessary in cleft care.
    • Eliminating arm restraints can reduce patient and family distress.
    • Potential annual healthcare savings of $234,000 by discontinuing restraint use.