Specialty-Specific Clinical Practice Guideline: Opioid Prescribing for Analgesia After Common Otolaryngology Operations (AMW)
2020 AAO-HNSF Annual Meeting & OTO Experience
Pain is a typical experience after surgery and has been reported in 80% of patients who have undergone surgery. Nearly 60% of the patients report that postoperative pain is the most common concern after surgery. Control of pain after surgery can be in the form of opioids, non-opioid analgesics, and/or non-pharmacological therapies such as acupuncture. Opioids are commonly prescribed for control of post-operative pain and one study has shown that surgeons prescribe opioids second most commonly-only surpassed by pain medicine specialists. The use of opioids has come under scrutiny however, due to the recent nationwide epidemic in opioid dependence and opioid overdose related deaths. Studies have shown that there is a significant risk of chronic opioid use even when used as a short-term treatment for pain. Nearly 10% of the patients who were prescribed opioids for short term were shown to continue use of opioids after 1 year. The purpose of this specialty-specific clinical practice guideline is to provide clinicians with evidence-based recommendations on post-operative management of pain for common otolaryngology surgical procedures, specifically focusing on opioids. In addition, goal of the guideline is to identify quality improvement opportunities in assessment of patients, management of side effects and complications, and reducing variations in care. This guideline's target patient is any individual who has identified with pain within the first 30 days after undergoing a common otolaryngologic procedure. The target audience of this guideline are otolaryngologists who perform surgeries and manage pain after surgical procedures.
Credits
CME:1.0, MOC:1.0
Description
Pain is a typical experience after surgery and has been reported in 80% of patients who have undergone surgery. Nearly 60% of the patients report that postoperative pain is the most common concern after surgery. Control of pain after surgery can be in the form of opioids, non-opioid analgesics, and/or non-pharmacological therapies such as acupuncture. Opioids are commonly prescribed for control of post-operative pain and one study has shown that surgeons prescribe opioids second most commonly-only surpassed by pain medicine specialists. The use of opioids has come under scrutiny however, due to the recent nationwide epidemic in opioid dependence and opioid overdose related deaths. Studies have shown that there is a significant risk of chronic opioid use even when used as a short-term treatment for pain. Nearly 10% of the patients who were prescribed opioids for short term were shown to continue use of opioids after 1 year. The purpose of this specialty-specific clinical practice guideline is to provide clinicians with evidence-based recommendations on post-operative management of pain for common otolaryngology surgical procedures, specifically focusing on opioids. In addition, goal of the guideline is to identify quality improvement opportunities in assessment of patients, management of side effects and complications, and reducing variations in care. This guideline's target patient is any individual who has identified with pain within the first 30 days after undergoing a common otolaryngologic procedure. The target audience of this guideline are otolaryngologists who perform surgeries and manage pain after surgical procedures.Learning Objectives: 1. Discuss evidence-based recommendations on post-operative management of pain for common ENT surgeries. 2. Identify quality improvement opportunities in post-operative management of pain for common ENT surgeries. 3. List ways to reduce variations in care.Faculty: Samantha Anne, MD(I have no relationships to disclose), David Dickerson(Consulting Fees: Fresenius Kabi, Abbott Laboratories), James Mims, MD(Stock or Stock Options: TEVA), David Tunkel, MD(Honoraria: Allergan and Galderma; Consulting Fees: Hitachi Chemical).
Courses in package: