Becker Sophia D, Becker Daniel G
Friends Select School.
Department of Otolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Curr Opin Otolaryngol Head Neck Surg. 2018 Feb;26(1):41-45. doi: 10.1097/MOO.0000000000000426.
We examine the current literature on pain management after sinus and nasal surgery. The goal after surgery is to provide effective pain management without having too many 'leftovers', as leftover medications are an important source of opioids that are fueling the current prescription narcotic epidemic in the United States. There are more than 250 000 sinus operations and 260 000 septoplasties performed annually, and surgeons commonly prescribe a narcotic pain medication for postoperative pain management.
The literature suggests that an evidence-based approach may lead surgeons to prescribe significantly less narcotic pain medication for these procedures without affecting pain management.
An evidence-based approach to pain management can result in unchanged pain control and a significant positive impact on the narcotic abuse epidemic.
我们研究了目前关于鼻窦和鼻腔手术后疼痛管理的文献。手术后的目标是在不产生过多“剩余药物”的情况下提供有效的疼痛管理，因为剩余药物是导致美国当前处方麻醉药品泛滥的阿片类药物的一个重要来源。每年有超过25万例鼻窦手术和26万例鼻中隔成形术，外科医生通常会开一种麻醉性止痛药用于术后疼痛管理。
文献表明，基于证据的方法可能会使外科医生为这些手术开的麻醉性止痛药显著减少，而不影响疼痛管理。
基于证据的疼痛管理方法可以在不改变疼痛控制效果的情况下，对麻醉药品滥用泛滥产生显著的积极影响。
