Acute Pain Management Following Head and Neck Surgery.

Abstract:

:Acute pain management following major head and neck (HN) surgery is complex. Multimodal analgesia (MMA) regimens including acetaminophen, nonsteroidal anti-inflammatory drugs, gabapentinoids, and locoregional anesthetics are safe and effective in this population (including patients undergoing HN free flap surgery). Special considerations for patients undergoing HN free flap surgery include judicious use of steroids and attention to donor site pain. Evidence for specific analgesic regimens following transoral robotic surgery is limited but should include MMA and perioperative dexamethasone. Further study is required to optimize combinations, dosages, and duration of perioperative analgesia medications, opioid and nonopioid, for patients undergoing major HN surgery.

authors

Bobian M,Gupta A,Graboyes EM

doi

10.1016/j.otc.2020.05.005

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

753-764

issue

5

eissn

0030-6665

issn

1557-8259

pii

S0030-6665(20)30083-9

journal_volume

53

pub_type

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