Multimodal Analgesia in the Aesthetic Plastic Surgery: Concepts and Strategies

Schoenbrunner, Anna; Joshi, Garish P; Janis, Jeffrey E.

doi:10.1097/gox.0000000000004310

Cited by 10 publications

(12 citation statements)

References 132 publications

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“…For the post-operative phase, cyclobenzaprine and oxycodone are recommended. These medications have shown improved analgesia and decreased opioid use, which is supported by the evidence-based approach to multimodal pain therapy in these kinds of surgeries (Schoenbrunner et al, 2022).…”

Section: Gabapentinoidsmentioning

confidence: 89%

Estudios y Ensayos Interdisciplinares en el contexto de la Ciencia Global 1ed

Grupo Editorial

2024

SOAR

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En un mundo cada vez más globalizado e interconectado, pero que a su vez presenta contradicciones emergentes y constantes reconfiguraciones del poder global (incluyendo manifestaciones de carácter simbólico como el arte, la ideología, los saberes, etc), la interdisciplinariedad surge como un alternativa para abordar temáticas complejas en el contexto de una sociedad global. La obra “Estudios y Ensayos Interdisciplinares en el contexto de la Ciencia Global” editado por nuestra casa editorial, viene a ofrecer una compilación académica de escritos científicos y reflexiones que exploran temáticas y asuntos de actualidad y relevancia en diversos campos de las ciencias. Los asuntos abordados incorporan discusiones que van desde la educación, sus generalidades, particularidades y sus desafíos contemporáneos, hasta reflexiones relacionadas con fenómenos actuales del derecho. Asimismo, la obra ofrece espacio para contribuciones de ciencias aplicadas pilar funcional de las sociedades globales contemporáneas, abordando cuestiones relacionadas con eficiencia, producción animal y técnicas avanzadas en el contexto de la medicina contemporánea. Cada capítulo, redactado por expertos y pensadores referentes en sus respectivos campos del saber, aporta evidencias y reflexiones valiosas para avanzar en la construcción de la ciencia global. No cabe duda que la organización de una obra como esta representa un gran desafío desde el punto de vista editorial, asimismo simboliza directa o indirectamente una posición crítica al mainstream occidental de atomización de la ciencia y el saber. El espíritu editorial de nuestra casa siempre ha sido crear puentes y conexiones entre áreas del saber otrora distantes, siempre priorizando el Sur Global y la ciencia abierta como pilares del quehacer de la publicación científica y académica. Sin más, esperamos que la obra pueda ser apreciada por los lectores y asimismo que aporte el grano de arena esperado en este desafío global de construir la ciencia en formato abierto en pro de democratizar de forma global el conocimiento científico y los espacios epistémicos internacionales. ISBN: 978-65-998686-8-9

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Section: Gabapentinoidsmentioning

confidence: 89%

Estudios y Ensayos Interdisciplinares en el contexto de la Ciencia Global 1ed

Grupo Editorial

2024

SOAR

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“…Meloxicam is preferred over COX-1 inhibitors as it has greater affinity to COX-2 inhibition compared with COX-1 inhibition, similar to celecoxib and diclofenac. 60 These drugs, together with acetaminophen, are more potent than naproxen, ibuprofen, and indomethacin. 61 The use of gabapentinoids in acute postoperative pain management remains controversial.…”

Section: Acute Postoperative Pain Management Systemic Analgesiamentioning

confidence: 99%

“…Table 1 provides an overview of the pharmacotherapeutic MMA regimen including indications and considerations. 6,60,64 Alternative medication options are also provided. Patients with allergies to the medications should not be given these medications or should be provided alternative medications within the same drug class, depending on the allergy severity.…”

Section: Acute Postoperative Pain Management Systemic Analgesiamentioning

confidence: 99%

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Management of Acute Surgical Pain in Plastic and Reconstructive Surgery

Saffari

Brower

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Fewer than half of all patients undergoing surgery report adequate postoperative pain relief. Poorly managed postoperative pain can lead to complications, increased hospital stays, prolonged rehabilitation, and a decreased quality of life. Pain rating scales are commonly used to identify, manage, and track the perceived intensity of pain. Changes in perceived pain severity and intensity are a key indicator for course of treatment. Postoperative pain is best treated with multimodal management with a variety of analgesic medications and techniques that target different receptors and mechanisms of action in the peripheral and central nervous systems. This includes systemic analgesia, regional analgesia, local analgesia (eg, topical and tumescent analgesia), and nonpharmacologic modalities. It is recommended that this approach is individually tailored and discussed through a shared decision-making approach. This review provides an overview of multimodal management for acute postoperative pain related to plastic surgery procedures. To increase patient satisfaction and provide effective pain control, it is recommended to educate patients on expectations of pain, multimodal options for pain control (including peripheral nerve blocks), complications of unrelieved pain, tracking and monitoring of pain by self-reporting, and how to reduce the use of opioid-based pain medication.

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“…The local anesthetics [ 3 , 4 ], the non-steroidal anti-inflammatory analgesics (NSAIDs) [ 5 ], and glucocorticosteroids [ 6 ] are the most used in periodontal surgery. In addition, several postoperative pain management strategies are possible to employ after periodontal surgery [ 7 ]: multimodal analgesia [ 7 , 8 , 9 ], pre-emptive analgesia [ 10 , 11 ], and local administration of drugs [ 12 ]. These strategies for pain control have been demonstrated to decrease the postoperative analgesic intake [ 13 , 14 ] and reduce the pain intensity [ 15 , 16 ] following oral surgery.…”

Section: Introductionmentioning

confidence: 99%

Analgesic Efficacy of COX-2 Inhibitors in Periodontal Surgery: A Systematic Review and Meta-Analysis

et al. 2023

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The objective of this systematic review and meta-analysis was to evaluate the analgesic efficacy of COX-2 inhibitors versus other drugs in periodontal surgery. Two researchers searched PubMed, Google Scholar, ACM Digital, BASE, EBSCOhost, Scopus, or Web of Science for clinical trials using various combinations of words. All articles that met the selection criteria were assessed using the Cochrane Collaboration’s risk of bias tool. For data analysis, the inverse variance and mean difference statistical method was used with Review Manager 5.3 software for Windows. According to the conclusion of each study (qualitative evaluation), only one clinical trial had results in favor of a COX-2 inhibitor when compared to placebo, one clinical study informed that a COX-2 was better that an active control, four studies showed similar analgesic efficacy to active controls, and one clinical study informed the analgesic effect of one celecoxib-caffeine combination in comparison with celecoxib alone and placebo (n = 337). The COX-2 inhibitors showed a decrease in the rescue analgesic consumption (n = 138; I2 = 15%; mean difference = −0.31; 95%CIs = −0.6 to −0.01), and lower pain intensity at four hours (n = 178; I2 = 0%; mean difference = −2.25; 95%CIs = −2.94 to −1.55; p = 0.00001) when compared to active controls after periodontal surgery. In conclusion, the data indicate that COX-2 agents produce better pain relief in comparison to placebo and other drugs after periodontal surgery.

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Multimodal Analgesia in the Aesthetic Plastic Surgery: Concepts and Strategies

Cited by 10 publications

References 132 publications

Estudios y Ensayos Interdisciplinares en el contexto de la Ciencia Global 1ed

Estudios y Ensayos Interdisciplinares en el contexto de la Ciencia Global 1ed

Management of Acute Surgical Pain in Plastic and Reconstructive Surgery

Analgesic Efficacy of COX-2 Inhibitors in Periodontal Surgery: A Systematic Review and Meta-Analysis

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