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Multimodal analgesia after thyroid or parathyroid surgery: A randomized controlled trial.
Author: PostevkaEugene, ReinhartHenry A, Romero ArenasMinerva A, SnyderSamuel K, UhlmannRebecca A, WangXiaohui
Original Abstract of the Article :
BACKGROUND: The opioid epidemic prompted reevaluation of surgeons' opioid prescribing practices. This study aimed to demonstrate noninferiority of a staged analgesic regimen after endocrine surgery. METHODS: We conducted a randomized controlled trial comparing analgesic regimens after thyroidectomy...See full text at original site
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引用元:
https://doi.org/10.1016/j.surg.2020.08.008
データ提供:米国国立医学図書館(NLM)
Multimodal Analgesia After Thyroid or Parathyroid Surgery: A Randomized Controlled Trial
This randomized controlled trial compared the effectiveness of two analgesic regimens after thyroid or parathyroid surgery: an as-needed acetaminophen + codeine regimen (study arm A) and a scheduled acetaminophen with as-needed tramadol regimen (study arm B). The study found no significant difference in pain scores or overall analgesic consumption between the two groups. However, study arm A, which included codeine, resulted in a significantly higher percentage of opioid doses. The study concludes that the staged analgesic regimen (study arm B) is non-inferior to combination opioids (study arm A) and led to reduced overall opioid consumption. The findings support the use of a staged analgesic approach for managing pain after endocrine surgery, potentially reducing opioid use and its associated risks.
Minimizing Opioid Use in Surgical Pain Management
This study sheds light on the ongoing efforts to reduce opioid use in surgical pain management. Imagine the quest for safer and more effective pain management strategies as a journey through a desert landscape, where healthcare providers seek to minimize the risks associated with traditional opioid therapies. This study demonstrates the potential of a staged analgesic approach to reduce overall opioid consumption and minimize the risk of addiction and other adverse effects.
The Importance of Evidence-Based Practices
The study underscores the importance of using evidence-based practices in managing post-surgical pain. Just as a camel relies on its instincts and experience to navigate the desert, healthcare providers need to rely on robust research to guide their clinical decisions. This study provides valuable evidence to support the use of a staged analgesic approach, offering a potentially safer and more effective alternative to traditional opioid-based pain management strategies.
Dr.Camel's Conclusion
This randomized controlled trial provides evidence to support the use of a staged analgesic approach for managing pain after endocrine surgery. The findings suggest that this approach is non-inferior to combination opioids and may lead to reduced overall opioid consumption. Remember, just as a camel can adapt to the changing desert environment, we need to be adaptable and innovative in our approach to pain management, embracing evidence-based practices and exploring new strategies to optimize patient outcomes and minimize risks. This research underscores the importance of a balanced approach to pain management, utilizing a combination of non-opioid and opioid therapies to achieve optimal pain relief while minimizing potential adverse effects.
Date :
- Date Completed 2021-04-26
- Date Revised 2021-04-26
Further Info :
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