Ziv Gil1, Darryl B Smith, Nissim Marouani, Avi Khafif, Dan M Fliss. 1. Department of Otolaryngology-Head and Neck Surgery, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel. ziv@baseofskull.org
Abstract
OBJECTIVE: To devise an effective postoperative analgesic protocol. STUDY DESIGN AND SETTING: Two consecutive groups participated in this study. In the first group (n = 100), the pain-control management was pro re nata (PRN). In the second group, (n = 109) we tailored a procedure-specific pain-control protocol for each patient according to the level of pain recorded in the first group. These patients were treated with analgesics given at predetermined hours. Pain was evaluated by using a verbal scale of 1 to 10. RESULTS: In the first group, a significant reduction in the level of pain was monitored 1 hour after PRN drug administration; however, patients reported the return of pain several hours later, after the drug effect subsided. Overall, the patients suffered a substantial level of pain during the entire postoperative period. In the second group, significant reduction in the level of pain was recorded throughout the hospitalization. CONCLUSION: The PRN protocol is not adequate for management of pain after head and neck surgeries. SIGNIFICANCE: We can substantially reduce our patients' postoperative pain by adopting a procedure-specific analgesic regimen instead of a PRN regimen. EBM RATING: B-3b.
OBJECTIVE: To devise an effective postoperative analgesic protocol. STUDY DESIGN AND SETTING: Two consecutive groups participated in this study. In the first group (n = 100), the pain-control management was pro re nata (PRN). In the second group, (n = 109) we tailored a procedure-specific pain-control protocol for each patient according to the level of pain recorded in the first group. These patients were treated with analgesics given at predetermined hours. Pain was evaluated by using a verbal scale of 1 to 10. RESULTS: In the first group, a significant reduction in the level of pain was monitored 1 hour after PRN drug administration; however, patients reported the return of pain several hours later, after the drug effect subsided. Overall, the patients suffered a substantial level of pain during the entire postoperative period. In the second group, significant reduction in the level of pain was recorded throughout the hospitalization. CONCLUSION: The PRN protocol is not adequate for management of pain after head and neck surgeries. SIGNIFICANCE: We can substantially reduce our patients' postoperative pain by adopting a procedure-specific analgesic regimen instead of a PRN regimen. EBM RATING: B-3b.
Authors: Andrew G Shuman; Jeffrey E Terrell; Emily Light; Gregory T Wolf; Carol R Bradford; Douglas Chepeha; Yunyun Jiang; Scott McLean; Tamer A Ghanem; Sonia A Duffy Journal: Arch Otolaryngol Head Neck Surg Date: 2012-12-01
Authors: Michael Eggerstedt; Kerstin M Stenson; Emily A Ramirez; Hannah N Kuhar; Danny B Jandali; Deborah Vaughan; Samer Al-Khudari; Ryan M Smith; Peter C Revenaugh Journal: JAMA Facial Plast Surg Date: 2019-09-01 Impact factor: 4.611