A Novel Usage of Transdermal Scopolamine in Reducing Narcotic Usage in Outpatient Hand Surgery

Inclusion Criteria: * Patients between the ages of 18-55 undergoing outpatient hand and wrist surgery via sedation and a regional block * Procedures eligible for inclusion will be limited to those involving the wrist and the hand. Exclusion Criteria: * Patients undergoing procedures under local, regional anesthesia alone, sedation alone, and general endotracheal anesthesia * Patients with a history of acute angle closure or open angle glaucoma; * History of drug hypersensitivity to scopolamine, other belladonna alkaloids, or any other ingredient or component in the formulation or delivery system; * History of previous gastrointestinal or urinary bladder obstruction; * History of seizures or psychosis; patients with hepatic or renal impairment; * Patients under the age of 18 or over the age of 55; * Patients who are currently pregnant or nursing. * Patients currently using prescription opioids for other chronic medical conditions or who are actively using heroin.