Effect of Pregabalin and Dexamethasone Addition to Multimodal Analgesia on Postoperative Analgesia Following Rhinoplasty Surgery

Demırhan, Abdullah; Tekelioğlu, Ümit Yaşar; Akkaya, Akçan; Bilgi, Murat; Apuhan, Tayfun; Karabekmez, Furkan Erol; Bayır, Hakan; Kurt, Adem Deniz; Koçoğlu, Hasan

doi:10.1007/s00266-013-0207-0

Cited by 40 publications

(37 citation statements)

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“…Studies assessing advances in the procedure, including pre-and intraoperative administration of analgesics, resulted in lower postoperative pain scores and less postoperative pain medication consumption. 4,16 Other studies evaluated the postoperative utilization of intranasal packing and external nasal splints, a current source of variability among rhinoplasty surgeons and a source of anxiety among patients. 7 While the risk of postoperative infection after rhinoplasty is generally low, perioperative antibiotics may minimize the risk of postoperative infection after rhinoplasty, although questions persist surrounding duration.…”

Section: External Nasal Valvementioning

confidence: 99%

“…Areas to expand the evidence base, which may support less variability in care, include the preoperative physical and psychosocial evaluation; the perioperative medication administration for bleeding, swelling, infection, and pain; and the use of supporting materials, such as nasal grafts and splints, among others. [3][4][5][6][7] Furthermore, opportunities exist to optimize the pre-and postoperative management of patients with OSA, a unique rhinoplasty patient population. 8 The rhinoplasty procedure can be of tremendous benefit toward improving self-esteem among those with concerns about their nasal appearance.…”

Section: Rhinoplasty Controversies and Challengesmentioning

confidence: 99%

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Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty

Ishii

Tollefson

Basura

et al. 2017

Otolaryngol.--head neck surg.

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Objective. Rhinoplasty, a surgical procedure that alters the shape or appearance of the nose while preserving or enhancing the nasal airway, ranks among the most commonly performed cosmetic procedures in the United States, with >200,000 procedures reported in 2014. While it is difficult to calculate the exact economic burden incurred by rhinoplasty patients following surgery with or without complications, the average rhinoplasty procedure typically exceeds $4000. The costs incurred due to complications, infections, or revision surgery may include the cost of long-term antibiotics, hospitalization, or lost revenue from hours/days of missed work.The resultant psychological impact of rhinoplasty can also be significant. Furthermore, the health care burden from psychological pressures of nasal deformities/aesthetic shortcomings, surgical infections, surgical pain, side effects from antibiotics, and nasal packing materials must also be considered for these patients. Prior to this guideline, limited literature existed on standard care considerations for pre-and postsurgical management and for standard surgical practice to ensure optimal outcomes for patients undergoing rhinoplasty. The impetus for this guideline is to utilize current evidence-based medicine practices and data to build unanimity regarding the peri-and postoperative strategies to maximize patient safety and to optimize surgical results for patients.Purpose. The primary purpose of this guideline is to provide evidence-based recommendations for clinicians who either perform rhinoplasty or are involved in the care of a rhinoplasty candidate, as well as to optimize patient care, promote effective diagnosis and therapy, and reduce harmful or unnecessary variations in care. The target audience is any clinician or individual, in any setting, involved in the management of these patients. The target patient population is all patients aged ≥15 years. The guideline is intended to focus on knowledge gaps, practice variations, and clinical concerns associated with this surgical procedure; it is not intended to be a comprehensive reference for improving nasal form and function after rhinoplasty. Recommendations in this guideline concerning education and counseling to the patient are also intended to include the caregiver if the patient is <18 years of age.Action Statements. The Guideline Development Group made the following recommendations: (1) Clinicians should ask all patients seeking rhinoplasty about their motivations for surgery and their expectations for outcomes, should provide feedback on whether those expectations are a realistic goal of surgery, and should document this discussion in the medical record. (2) Clinicians should assess rhinoplasty candidates for comorbid conditions that could modify or contraindicate surgery, including obstructive sleep apnea, body dysmorphic disorder, bleeding disorders, or chronic use of topical vasoconstrictive intranasal drugs. (3) The surgeon, or the surgeon's designee, should evaluate the rhinoplasty candidate for...

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Section: External Nasal Valvementioning

confidence: 99%

Section: Rhinoplasty Controversies and Challengesmentioning

confidence: 99%

Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty

Ishii

Tollefson

Basura

et al. 2017

Otolaryngol.--head neck surg.

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“…articain ve lidokaini karşılaştırmışlar ve articainin daha etkili olduğunu saptamışlardır (8). Operasyondan 1 saat önce verilen pregabalinin postoperatif analjezik ihtiyacını azalttığı gösterilmiştir (10). Lokal anestezik emdirilmiş tamponların postoperatif ağrıyı azalttığı gösterilmiştir (11).…”

Section: Discussionunclassified

Rinoplasti Operasyonu Sonrasi Yapılan Ek Lokal Anestezinin Postoperatif Agri Duzeyine olan Etkisi

2016

GMJ

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ÖZETAmaç: Bu çalışmada rinoplasti operasyonu bitiminde yapılan ek lokal anestezinin pos-toperatif ağrı düzeyine olan etkisini değerlendirmeyi amaçladık. Gereç ve Yöntem: Açık teknikle opere edilen 66 hasta çalışmaya dahil edildi. Hastalar genel anestezi altında opere edildi. Operasyon biterken hastalara ek lokal anestezi uygulandı. Ameliyat öncesi damar yolu açılması sırasında, ayılma odasında ve ameliyat sonrası 1, 2, 4, 6, 12, 18 ve 24. saatlerde görsel analog çizelge (VAS) ile hastaların ağrı durumu değerlendirildi ve ek lokal anestezi yapılmayan grupla karşılaştırıldı. Bulgular: Ek lokal anestezi uygulanan grupta en yüksek ağrı düzeylerinin kateterizasyon, 1. ve 2. saatlerde olduğu gözlendi. Ek lokal anestezi uygulanmayan grupla karşılaştırıldığında ek lokal anestezi yapılan grubun 1. ve 2. saat ağrı düzeyleri anlamlı olarak daha düşük saptandı. Sonuç: Yapılan ek lokal anestezi hastaların erken dönem ağrı düzeyini azaltmakta ve hasta memnuniyetini artırmaktadır. , 24 th hours and compared with the group who had no additional local anesthesia. Result: The highest pain levels were at the catheterization, 1 st and 2 nd hours. There was a significant difference between 1 st and 2 nd hours pain level between groups. First and 2nd hour pain levels were significantly lower in the additional local anesthesia group. Conclusion: Additional local anesthesia decreases the early postoperative pain levels and this possibly increases the patient satisfaction.

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“…Studies assessing advances in the procedure, including pre-and intraoperative administration of analgesics, resulted in lower postoperative pain scores and less postoperative pain medication consumption. 4,16 Other studies evaluated the postoperative utilization of intranasal packing and external nasal splints-a current source of variability among rhinoplasty surgeons and a source of anxiety among patients. 7 While the risk of postoperative infection after rhinoplasty is generally low, perioperative antibiotics may minimize the risk of postoperative infection after rhinoplasty, though questions persist surrounding duration.…”

Section: External Nasal Valvementioning

confidence: 99%

“…Specific areas to expand the evidence base, which may support less variability in care, include the preoperative physical and psychosocial evaluation; the perioperative medication administration for bleeding, swelling, infection, and pain; and the use of supporting materials, such as nasal grafts and splints, among others. [3][4][5][6][7] Furthermore, opportunities exist to optimize the pre-and postoperative management of patients with OSA, a unique rhinoplasty patient population. 8 The rhinoplasty procedure can be of tremendous benefit toward improving self-esteem for those with concerns about their nasal appearance.…”

Section: Rhinoplasty Controversies and Challengesmentioning

confidence: 99%

Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty Executive Summary

Ishii

Tollefson

Basura

et al. 2017

Otolaryngol.--head neck surg.

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Objective. Rhinoplasty, a surgical procedure that alters the shape or appearance of the nose while preserving or enhancing the nasal airway, ranks among the most commonly performed cosmetic procedures in the United States, with >200,000 procedures reported in 2014. While it is difficult to calculate the exact economic burden incurred by rhinoplasty patients following surgery with or without complications, the average rhinoplasty procedure typically exceeds $4000. The costs incurred due to complications, infections, or revision surgery may include the cost of long-term antibiotics, hospitalization, or lost revenue from hours/days of missed work.The resultant psychological impact of rhinoplasty can also be significant. Furthermore, the health care burden from psychological pressures of nasal deformities/aesthetic shortcomings, surgical infections, surgical pain, side effects from antibiotics, and nasal packing materials must also be considered for these patients. Prior to this guideline, limited literature existed on standard care considerations for pre-and postsurgical management and for standard surgical practice to ensure optimal outcomes for patients undergoing rhinoplasty. The impetus for this guideline is to utilize current evidence-based medicine practices and data to build unanimity regarding the peri-and postoperative strategies to maximize patient safety and to optimize surgical results for patients.Purpose. The primary purpose of this guideline executive summary is to provide evidence-based recommendations for clinicians who either perform rhinoplasty or are involved in the care of a rhinoplasty candidate, as well as to optimize patient care, promote effective diagnosis and therapy, and reduce harmful or unnecessary variations in care. The target audience is any clinician or individual, in any setting, involved in the management of these patients. The target patient population is all patients aged ≥15 years. The guideline is intended to focus on knowledge gaps, practice variations, and clinical concerns associated with this surgical procedure; it is not intended to be a comprehensive reference for improving nasal form and function after rhinoplasty. Recommendations in this guideline concerning education and counseling to the patient are intended to include the caregiver if the patient is <18 years of age.Action Statements. The Guideline Development Group made the following recommendations: (1) Clinicians should ask all patients seeking rhinoplasty about their motivations for surgery and their expectations for outcomes, should provide feedback on whether those expectations are a realistic goal of surgery, and should document this discussion in the medical record.(2) Clinicians should assess rhinoplasty candidates for comorbid conditions that could modify or contraindicate surgery, including obstructive sleep apnea, body dysmorphic disorder, bleeding disorders, or chronic use of topical vasoconstrictive intranasal drugs. (3) The surgeon, or the surgeon's designee, should evaluate the rhinoplasty c...

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Effect of Pregabalin and Dexamethasone Addition to Multimodal Analgesia on Postoperative Analgesia Following Rhinoplasty Surgery

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 40 publications

References 34 publications

Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty

Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty

Rinoplasti Operasyonu Sonrasi Yapılan Ek Lokal Anestezinin Postoperatif Agri Duzeyine olan Etkisi

Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty Executive Summary

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