Postoperative Opioid Use in Sinonasal Surgery
| Autor: | Richard R. Orlandi, Benjamin S. Bleier, James N. Palmer, Nithin D. Adappa, Sophia D. Becker, Mariel Blasetti, Rakesh K. Chandra, Sarina K. Mueller, Madeleine A. Becker, Patricia A. Loftus, Daniel G. Becker, Garrett D. Locketz, Cindy A. Dorminy, Andrew N. Goldberg, Jason D. Brant |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Postoperative pain Nasal Surgical Procedures Rhinoplasty Cohort Studies 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Humans Medicine Practice Patterns Physicians' Medical prescription 030223 otorhinolaryngology Nasal surgery Sinus (anatomy) Aged Pain Postoperative business.industry Opioid use Endoscopy Middle Aged Sinus surgery Surgery Analgesics Opioid medicine.anatomical_structure Otorhinolaryngology Opioid 030220 oncology & carcinogenesis Female business Dacryocystorhinostomy medicine.drug |
| Zdroj: | Otolaryngology–Head and Neck Surgery. 160:402-408 |
| ISSN: | 1097-6817 0194-5998 |
| DOI: | 10.1177/0194599818803343 |
| Popis: | To survey patients following sinonasal surgery regarding postoperative pain and opioid use.Patients were surveyed for 4 days following sinus and/or nasal surgery regarding their pain level and use of prescribed opioids.Four academic medical centers and 1 private practice institution.Consecutive adult patients undergoing sinonasal surgery.A total of 219 subjects met criteria and were included for analysis; 134 patients (61%) took 5 or fewer combination oxycodone (5-mg) and acetaminophen (325-mg) tablets in the first 3 postoperative days, and 196 patients (89.5%) took fewer than 15. Fifty-one patients (23%) consumed no opioid pain medication. Opioid consumption was positively correlated with postoperative pain ( RAn evidence-based approach to postoperative pain control following sinonasal surgery that reduces the number of unused and potentially diverted opioids is needed. The current study suggests that 15 combination oxycodone (5-mg) and acetaminophen (325-mg) tablets provide sufficient pain control for 90% of patients in the immediate postoperative period following sinonasal surgery, irrespective of the specific procedures performed, use of acetaminophen, or use of systemic steroids. Smoking status may help surgeons predict which patients will require larger opioid prescriptions. |
| Databáze: | OpenAIRE |
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