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.
journal_name
Otolaryngol Clin North Amjournal_title
Otolaryngologic clinics of North Americaauthors
Bobian M,Gupta A,Graboyes EMdoi
10.1016/j.otc.2020.05.005subject
Has Abstractpub_date
2020-10-01 00:00:00pages
753-764issue
5eissn
0030-6665issn
1557-8259pii
S0030-6665(20)30083-9journal_volume
53pub_type
杂志文章,评审abstract::This article discusses the types of telemedicine technologies that are currently in place and being used successfully in otolaryngology. It examines how these technologies have been applied in several different otolaryngology telemedicine programs and discusses their relative merits and successes. ...
journal_title:Otolaryngologic clinics of North America
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journal_title:Otolaryngologic clinics of North America
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journal_title:Otolaryngologic clinics of North America
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journal_title:Otolaryngologic clinics of North America
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