Pain and Pain Control With Opioid and Nonopioid Medications After Otologic Surgery.
Otol Neurotol
; 43(2): 268-275, 2022 02 01.
Article
in En
| MEDLINE
| ID: mdl-34753877
ABSTRACT
OBJECTIVE:
To prospectively analyze pain and pain medication use following otologic surgery. STUDYDESIGN:
Prospective cohort study with patient reported pain logs and medication use logs.SETTING:
Tertiary academic hospital.Patients Sixty adults who underwent outpatient otologic surgeries.INTERVENTIONS:
Surveys detailing postoperative pain levels, nonopioid analgesic (NOA) use, and opioid analgesic use. MAIN OUTCOMEMEASURES:
Self-reported pain scores, use of NOA, and use of opioid medications normalized as milligrams morphine equivalents (MME).RESULTS:
Thirty-two patients had surgery via a transcanal (TC) approach, and 28 patients had surgery via a postauricular (PA) approach. TC surgery had significantly lower reported pain scores than PA surgery on both postoperative day (POD) 1 (median pain score 2.2, IQR 0-5 vs. median pain score 4.8, IQR 3.4-6.3, respectively; pâ=â0.0013) and at POD5 (median pain score 0, IQR 0-0 vs. median pain score 2.0, IQR 0-3, respectively; pâ=â0.0002). Patients also used significantly fewer opioid medications with TC approach than patients who underwent PA approach at POD1 (median total MME 0, IQR 0-5 vs. median total MME 5.0, IQR 0-15, respectively; pâ=â0.03) and at POD5 (median total MME 0, IQR 0-0 vs. median total MME 0, IQR 0-5, respectively; pâ=â0.0012).CONCLUSIONS:
Surgery with a postauricular approach is associated with higher pain and opioid use following otologic surgery. Patient- and approach-specific opioid prescribing is feasible following otologic surgery.
Full text:
1
Collection:
01-internacional
Health context:
2_ODS3
/
8_ODS3_consumo_sustancias_psicoactivas
Database:
MEDLINE
Main subject:
Analgesics, Non-Narcotic
/
Analgesics, Opioid
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Adult
/
Humans
Language:
En
Journal:
Otol Neurotol
Year:
2022
Document type:
Article