Longitudinal Perioperative Pain Assessment in Head and Neck Cancer Surgery.
Ann Otol Rhinol Laryngol
; 126(9): 646-653, 2017 Sep.
Article
em En
| MEDLINE
| ID: mdl-28770621
ABSTRACT
OBJECTIVE:
To evaluate perioperative pain in patients undergoing major head and neck cancer surgery and identify associations between preoperative and postoperative pain characteristics.METHODS:
Patients undergoing head and neck surgery with regional/free tissue transfer were enrolled. Preoperative pain and validated screens for symptoms (neuropathic pain, anxiety, depression, fibromyalgia) were assessed. Postoperatively, patients completed a pain diary for 4 weeks.RESULTS:
Twenty-seven patients were enrolled. Seventy-eight percent had pain prior to surgery, and for 38%, the pain had neuropathic characteristics. Thirteen patients (48%) completed at least 2 weeks of the postoperative pain diary. Patients with moderate/severe preoperative pain report significantly greater pain scores postoperatively, though daily pain decreased at a similar linear rate for all patients. Patients with more severe preoperative pain consumed greater amounts of opioids postoperatively, and this correlated with daily postoperative pain scores. Patients who screened positive for neuropathic pain also reported worse postoperative pain.CONCLUSION:
Longitudinal perioperative pain assessment in head and neck patients undergoing surgery suggests that patients with worse preoperative pain continue to endorse worse pain postoperatively and require more narcotics. Patients with preoperative neuropathic pain also report poor pain control postoperatively, suggesting an opportunity to identify these patients and intervene with empiric neuropathic pain treatment.Palavras-chave
Texto completo:
1
Temas:
ECOS
/
Aspectos_gerais
Bases de dados:
MEDLINE
Assunto principal:
Dor Pós-Operatória
/
Neoplasias Cutâneas
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Procedimentos Cirúrgicos Otorrinolaringológicos
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Carcinoma de Células Escamosas
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Dor do Câncer
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Neoplasias de Cabeça e Pescoço
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Neuralgia
Tipo de estudo:
Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged80
Idioma:
En
Revista:
Ann Otol Rhinol Laryngol
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Estados Unidos