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Quantifying the use of opioids in the immediate postoperative period after endoscopic sinus surgery

The Laryngoscope May 05, 2020

Badash I, Lui CG, Hur K, et al. - In this retrospective chart review involving 130 patients (45.4% female), researchers sought to quantify the use of opioids in the first 24 hours following endoscopic sinus surgery (ESS) and determine the risk factors correlated with increased need for opioid analgesia. A review of opioid‐naïve patients who were routinely admitted to the hospital following ESS between June 2016 and August 2018 was carried out. Data reported that the mean opioid dose consumed per patient in the first 24 hours following ESS was 24.1 morphine milligram equivalents (MME), and the mean pain intensity was 2.4/10. Increasing pain scores were strongly linked to increasing MME. In the immediate postoperative period, patients undergoing ESS require varying amounts of opioids for pain management. A history of antidepressant use and inverted papilloma resection during ESS were postoperatively correlated with increased opioid use.

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