Lack of Beneficial Effect for Preemptive Analgesia in Postoperative Pain Control

2011 ◽  
Vol 112 (3) ◽  
pp. 710-718 ◽  
Author(s):  
Wen-Kuei Chang ◽  
Yuan-Xiang Tao ◽  
Chia-Chun Chuang ◽  
Pin-Tarng Chen ◽  
Kowk-Hon Chan ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Beneficial Effect ◽  
Pain Control ◽  
Preemptive Analgesia ◽  
Postoperative Pain Control

Preemptive analgesia for endoscopic sinus surgery: a retrospective study

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
D. Nakashima ◽  
E. Mori ◽  
T. Takeda ◽  
Y. Hosokawa ◽  
S. Takaishi ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Postoperative Pain ◽  
Endoscopic Sinus Surgery ◽  
Pain Control ◽  
Postoperative Bleeding ◽  
Perioperative Period ◽  
Preemptive Analgesia ◽  
Sinus Surgery ◽  
Common Disease ◽  
Postoperative Pain Control

Background: Chronic rhinosinusitis (CRS) is a common disease, and endoscopic sinus surgery (ESS) is widely performed. However, there is no consensus regarding postoperative pain control after ESS, and postoperative opioid abuse is a problem in many countries. Acetaminophen is reportedly effective for postoperative pain control. Preemptive analgesia has received more attention lately, wherein pain is prevented before it occurs. In this study, we assessed the use of acetaminophen for preemptive analgesia during the perioperative period in ESS. Methodology: This is a retrospective study of 175 patients who underwent ESS, septoplasty, and bilateral inferior turbinate mucosal resection at our hospital from April 2016 to February 2018. In total, 82 patients received 1,000 mg of acetaminophen during surgery and 4 hours after the first dose, while 93 patients did not receive it routinely. We compared these two groups. The primary outcome was the need to use additional analgesics prescribed by the ward physician and the secondary outcomes included postoperative pain, postoperative bleeding, reoperation, blood pressure, and body temperature. Results: The use of additional oral and intravenous analgesics was significantly reduced in the patients who received acetaminophen perioperatively. Conclusion: Preemptive analgesia during the perioperative period of ESS could lead to satisfactory postoperative pain control.

The Efficacy of Preemptive Analgesia for Postoperative Pain Control: A Systematic Review of the Literature

AORN Journal ◽  
2015 ◽  
Vol 101 (1) ◽  
pp. 94-105.e8 ◽  
Author(s):  
Barbara Penprase ◽  
Elisa Brunetto ◽  
Eman Dahmani ◽  
Jola Janaqi Forthoffer ◽  
Samantha Kapoor
Keyword(s):  
Systematic Review ◽  
Postoperative Pain ◽  
Pain Control ◽  
Preemptive Analgesia ◽  
Review Of The Literature ◽  
Postoperative Pain Control

Oral multimodal preemptive analgesia improves postoperative pain control and decreases opioid utilization in spinal fusion patients

2020 ◽  
Vol 61 ◽  
pp. 109679
Author(s):  
Kaveh Nabavighadi ◽  
Carter Batista ◽  
Farhad Ghoddoussi ◽  
Nakul Kumar ◽  
Alec Aiello ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Spinal Fusion ◽  
Pain Control ◽  
Preemptive Analgesia ◽  
Postoperative Pain Control

Written Prescription for Over-the-Counter Nonopioid Pain Medications Does Not Increase the Likelihood of Use after Ambulatory Hand and Upper Extremity Surgery

2020 ◽  
Author(s):  
Daniel J. Lynch ◽  
James S. Lin ◽  
Kanu S. Goyal
Keyword(s):  
Postoperative Pain ◽  
Soft Tissue ◽  
Upper Extremity ◽  
Pain Control ◽  
Control Program ◽  
Postoperative Pain Control ◽  
Over The Counter ◽  
Unequal Variance ◽  
Pain Medications ◽  
Medication Consumption

Abstract Introduction This study looked to determine how providing written prescriptions of nonopioids affected postoperative pain medication usage and pain control. Materials and Methods Patients undergoing hand and upper-extremity surgery (n = 244) were recruited after the implementation of a postoperative pain control program encouraging nonopioids before opioids. Patients were grouped based on procedure type: bone (n = 66) or soft tissue (n = 178). Patients reported postoperative medication consumption and pain control scores. Two-tailed t-tests assuming unequal variance were performed to look for differences in postoperative pain control and medication consumption between those who were and were not given written prescriptions for nonopioids. Results For both soft tissue and bone procedure patients, a written prescription did not significantly affect patients’ postoperative pain control or medication consumption. Regardless of receiving a written prescription, patients who underwent soft tissue procedures consumed significantly more daily nonopioids than opioids. Conclusion Receiving written prescriptions for nonopioids may not have a significant effect on postoperative pain control or medication consumption. Patients undergoing soft tissue hand and upper extremity procedures may be more likely to consume more daily nonopioids than opioids postoperatively compared to bone procedure patients regardless of whether they receive a written prescription for nonopioids.

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