American Rhinologic Society expert practice statement: Postoperative pain management and opioid use after sinonasal surgery

Jivianne T. Lee, Corinna G. Levine, Jonathan B. Overdevest, Thomas S. Higgins, R. Peter Manes, Jeffrey A. Myhill, Zachary M. Soler

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1296-1307
Number of pages12
JournalInternational Forum of Allergy and Rhinology
Volume11
Issue number9
DOIs
StatePublished - Sep 2021

Keywords

  • endoscopic sinus surgery
  • evidence-based medicine
  • postoperative
  • sinus surgery

ASJC Scopus subject areas

  • Immunology and Allergy
  • Otorhinolaryngology

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