Assessment and Management of Postoperative Pain Associated with Sleep Apnea Surgery

被引：6

作者：

Waxman, Jonathan A. ^{[1
]}

Shenouda, Kerolos G. ^{[1
]}

Lin, Ho-Sheng ^{[1
]}

机构：

[1] Wayne State Univ, Dept Otolaryngol Head & Neck Surg, 4201 St Antoine,5E-UHC, Detroit, MI 48201 USA

来源：

OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA | 2020年 / 53卷 / 05期

关键词：

OSA; Surgery; Postoperative; Pain; Opioids; LASER-ASSISTED UVULOPALATOPLASTY; EXPANSION SPHINCTER PHARYNGOPLASTY; VOLUMETRIC TISSUE REDUCTION; ROMAN BLINDS TECHNIQUE; TONGUE BASE REDUCTION; ANTERIOR PALATOPLASTY; LATERAL PHARYNGOPLASTY; UPPER-AIRWAY; UVULOPALATOPHARYNGOPLASTY; FLAP;

D O I：

10.1016/j.otc.2020.05.006

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

A literature review was conducted regarding the assessment and treatment of postoperative pain following surgery for obstructive sleep apnea (OSA). Given the risks of opioid use by patients with OSA, special attention to opioid risk reduction and avoidance is warranted in this population. The results of this review demonstrate the existence of a body of evidence that supports the use of nonopioid analgesics and nonpharmacologic approaches pain management. Strategies for managing postoperative pain should emphasize the use of local anesthetic infiltration, nonsteroidal antiinflammatory drugs, acetaminophen, topical analgesics, surgical wound cooling, and when necessary, safer opioid medications, such as tramadol and intranasal butorphanol.

引用

页码：765 / +

页数：14

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