Role of Complementary and Alternative Medicine in Otolaryngologic Perioperative Care

Kallush, Aron; Riley, Charles A.; Kacker, Ashutosh

doi:10.31486/toj.18.0014

Cited by 11 publications

(8 citation statements)

References 40 publications

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“…When using acetaminophen, NSAIDs, or COX inhibitors, guidelines recommend around‐the‐clock dosing, unless contraindicated, to further improve pain control . Finally, investigation into other agents or techniques, such as gamma‐aminobutyric acid agonists, ketamine, clonidine, and complementary (including cognitive behavioral therapy) and alternative medications, have been studied; however, results are mixed and future research needs to define the role of these alternative agents in the postoperative care of surgical patients …”

Section: Discussionmentioning

confidence: 99%

Opioid Prescribing and Use in Ambulatory Otolaryngology

et al. 2019

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Objectives The objective of this study was to evaluate surgeon‐prescribing patterns and opioid use for patients undergoing common otolaryngology surgeries. We hypothesized that there was little consistency across surgeons in prescribing patterns and that surgeons prescribed significantly more opioids than consumed by patients. Methods E‐mail–based surveys were sent to all postoperative patients across a 23‐hospital system. The survey assessed quantity of opioids consumed postoperatively, patient‐reported pain control, and methods of opioid disposal. We compared patient‐reported opioid consumption to opioids prescribed based on data in the electronic data warehouse. Results There was wide variation in prescribing between providers both in the quantity and type of opioids prescribed. Patients used significantly less opioids than they were prescribed (10 vs. 30 tablets, P < 0.001) for both opioid‐exposed and opioid‐naïve patients. More than 75% of patients had excess opioids remaining. Conclusion Opioids are consistently overprescribed following ambulatory head and neck surgery. Otolaryngologists have an important role in the setting of the national opioid epidemic and should be involved in efforts to reduce excess opioids in their community. Level of Evidence 4 Laryngoscope, 130: 1913–1921, 2020

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Section: Discussionmentioning

confidence: 99%

Opioid Prescribing and Use in Ambulatory Otolaryngology

et al. 2019

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“…It is associated usually with mild to moderate post-operative pain. Multimodal analgesia is an effective method, to improve peri-operative analgesia with reduced dosage and limited side effects 4 .…”

Section: Introductionmentioning

confidence: 99%

Pre-Emptive Effect of Intravenous Paracetamol Versus Intravenous Ketorolac on Post-Operative Pain and Shivering After Septoplasty Under General Anesthesia: A Comparative Study

Kashif¹,

Kundi²,

Khan³

2021

PAFMJ

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Objective: To observe the pre-emptive effect of intravenous paracetamol versus intravenous ketorolac in preventing postoperative shivering and pain after septoplasty in postoperative care unit. Study Design: Prospective comparative study. Place and Duration of Study: Main Operation Theatre of Frontier Corps Hospital Quetta, from Sep to Dec 2019. Methodology: After ethical committee approval, 90 American Society of Anaesthesiologist (ASA-I patients, aged between 18-45 years, scheduled for septoplasty, were recruited and divided into three equal groups, Paracetamol (PA), Ketorolac (KE) and Placebo (PL) as per computer generated table. The paracetamol (PA) group (n=30) received 1gm intravenous paracetamol, ketorolac (KE) group (n=30) received 30mg intravenous ketorolac and group placebo (PL) received 100ml normal saline, 20 minutes before completion of surgery. Postoperative shivering and pain was assessed via four-point scale and visual analogue scale (VAS) respectively, in post-anesthesia care unit at 10 and 30 minutes post-extubation. Results: Mean visual analog scale (VAS) score in paracetamol group was 2.7 ± 1.41, ketorolac group was 2.3 ± 1.24 and in placebo group was 3.6 ± 1.44, with a p-value of 0.002. Mean four point shivering score in paracetamol group was 0.3 ± 0.55, ketorolac was 0.7 ± 0.78 and placebo group was 1.4 ± 1.00, with a p-value of <0.001. Conclusion: The effect of paracetamol is better than ketorolac in preventing pain and shivering after septoplasty under general anesthesia.

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“…Only 8.7% of these patients expressed that they used a CAM method for managing their surgical illness. In a recent study, CAM usage in 11 patients who were treated with otolaryngological surgery was researched and it is reported that CAM methods were used in order to alleviate pain 14. Although there have been studies that report CAM usage contributes to quality of life (QOL) positively,7,15 it has not been specifically reported how QOL be affected in patients with RC who use any of the CAM methods.…”

mentioning

confidence: 99%

“…In a recent study, CAM usage in 11 patients who were treated with otolaryngological surgery was researched and it is reported that CAM methods were used in order to alleviate pain. 14 Although there have been studies that report CAM usage contributes to quality of life (QOL) positively, 7,15 it has not been specifically reported how QOL be affected in patients with RC who use any of the CAM methods. This study assessed preoperative CAM use rates and its effects on QOL in patients with RC who were scheduled to have surgery due to USSD.…”

mentioning

confidence: 99%

Complementary and Alternative Medicine Usage and Quality of Life in Patients With Renal Colic Attack

Akboğa

Günaydın

Caniklioğlu

et al. 2023

Holistic Nursing Practice

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Decreased quality of life is observed in individuals who fear surgery or experience severe symptoms due to urinary system stone disease (USSD). As a result, some patients seek complementary and alternative medicine (CAM) methods. This research evaluates preoperative CAM usage and its effects on quality of life for patients who experience renal colic (RC) due to USSD. The research was conducted between April 2020 and 2021 in the application and research center of a university. One hundred ten patients who were scheduled to have surgery due to USSD were included in the study. The data were collected using the “personal information form,” “Use of CAM Methods of Individuals,” and 36-item Short-Form Health Survey (SF-36) forms. Of research participants, 47.3% reported using at least one CAM method. The most common methods were exercise combined with phytotherapy (16.4%) and dietary supplements (15.5%). The proportion of participants who reported using 1 or multiple CAM methods for pain was 48.1%. The Social Functioning scores obtained from the SF-36 of the CAM users were statistically significant. For the participants who used a CAM method, the average Role-Emotional score obtained from the SF-36 was statistically significant. Health professionals should know which CAM methods patients may prefer and to what extent various CAM methods affect quality of life. More studies are needed to identify factors affecting the use of CAM methods in patients with RC attacks and to understand the relationship between CAM method(s) and quality of life.

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Role of Complementary and Alternative Medicine in Otolaryngologic Perioperative Care

Cited by 11 publications

References 40 publications

Opioid Prescribing and Use in Ambulatory Otolaryngology

Opioid Prescribing and Use in Ambulatory Otolaryngology

Pre-Emptive Effect of Intravenous Paracetamol Versus Intravenous Ketorolac on Post-Operative Pain and Shivering After Septoplasty Under General Anesthesia: A Comparative Study

Complementary and Alternative Medicine Usage and Quality of Life in Patients With Renal Colic Attack

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