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American Rhinologic Society expert practice statement: Postoperative pain management and opioid use after sinonasal surgery
Author(s) -
Lee Jivianne T.,
Levine Corinna G.,
Overdevest Jonathan B.,
Higgins Thomas S.,
Manes R. Peter,
Myhill Jeffrey A.,
Soler Zachary M.
Publication year - 2021
Publication title -
international forum of allergy and rhinology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.503
H-Index - 46
eISSN - 2042-6984
pISSN - 2042-6976
DOI - 10.1002/alr.22847
Subject(s) - medicine , gabapentin , delphi method , nonsteroidal , delphi , opioid , pain management , intensive care medicine , anesthesia , alternative medicine , statistics , mathematics , receptor , pathology , computer science , operating system
Summary The goal of this American Rhinologic Society expert practice statement (EPS) is to provide clinically applicable, evidence‐based recommendations regarding pain management in sinonasal surgery. This EPS was developed following the recommended methodology and approval process as previously outlined. The topics of interest included preoperative counseling, local anesthesia, use of opioids for postoperative pain, use of nonopioid medication for postoperative pain, nonsteroidal anti‐inflammatory drugs and bleeding, and use of gabapentin for pain control. Following a modified Delphi approach, 6 statements were developed, 5 of which reached consensus and 1 that did not. These statements and accompanying evidence are summarized along with an assessment of future needs.