Skip to main content Accessibility help
×
Home

A study of the use of post-operative opioid analgesics following rhinology surgery in 35 patients

  • S Dodhia (a1), S Patel (a1), G Beghal (a1), K Pandey (a1) and C Hopkins (a2)...

Abstract

Objective

Opioid analgesics are often prescribed following rhinology surgery. This study aimed to evaluate whether the quantity of opioid analgesics prescribed is justified.

Methods

Patients were asked about their pain management post-operatively. Parameters recorded included: current pain (using a 10-point Likert scale); type of operation; the opioid analgesics prescribed; and the quantity of opioid tablets taken and other methods of pain relief used.

Results

Thirty-five patients were successfully contacted. The median pain score at one week post-operation was 1 (interquartile range, 0–3). Of these 35 patients, 16 were prescribed opioids, whilst 19 were not. Patients prescribed opioids took a median of 8 tablets (interquartile range, 0.8–10.5) out of the 28 tablets prescribed.

Conclusion

The study shows that the quantity of post-operative opioid analgesics prescribed does not compare with the amount consumed by patients to relieve pain, resulting in a surplus of opioid medication which has the potential to be abused.

Copyright

Corresponding author

Author for correspondence: Mr Sachin Patel, GKT School of Medical Education, Hodgkin Building, Newcomen Street, London SE1 1UL, UK E-mail: sachin8@hotmail.co.uk

Footnotes

Hide All

Mr S Patel takes responsibility for the integrity of the content of the paper

Presented at the 27th Congress of the European Rhinologic Society, 22–26 April 2018, London, UK.

Footnotes

References

Hide All
1Rudd, RA, Seth, P, David, F, Scholl, L. Increases in drug and opioid-involved overdose deaths - United States, 2010–2015. MMWR Morb Mortal Wkly Rep 2016;65:1445–52
2Becker, S, Becker, D. Review and update on postoperative opioid use after nasal and sinus surgery. Curr Opin Otolaryngol Head Neck Surg 2018;26:41–5
3Wise, SK, Wise, JC, DelGaudio, JM. Evaluation of postoperative pain after sinonasal surgery. Am J Rhinol 2005;19:471–7
4Sethi, R, Miller, A, Bartholomew, R, Lehmann, A, Bergmark, R, Sedaghat, A et al. Opioid prescription patterns and use among patients undergoing endoscopic sinus surgery. Laryngoscope 2018;129:1046–52
5Church, CA, Stewart, C 4th, O-Lee, TJ, Wallace, D. Rofecoxib versus hydrocodone/acetaminophen for postoperative analgesia in functional endoscopic sinus surgery. Laryngoscope 2006;116:602–6
6Kemppainen, T, Kokki, H, Tuomilehto, H, Seppä, J, Nuutinen, J. Acetaminophen is highly effective in pain treatment after endoscopic sinus surgery. Laryngoscope 2006;116:2125–8

Keywords

A study of the use of post-operative opioid analgesics following rhinology surgery in 35 patients

  • S Dodhia (a1), S Patel (a1), G Beghal (a1), K Pandey (a1) and C Hopkins (a2)...

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed